This topic is about someone who recently had an ileostomy and is struggling with a lack of appetite and persistent nausea. They are seeking advice from others who might have experienced similar issues. Here are some helpful insights and advice shared by others:

- Staying hydrated is crucial after an ileostomy. Dehydration can lead to serious health issues like low blood pressure, fainting, and kidney problems.
- A common hydration goal is to consume at least 30 mL of fluid per kilogram of body weight each day. It's recommended that about two-thirds of this fluid intake should come from Oral Rehydration Solutions (ORS). Limit plain water to no more than 1 liter per day, and you can add about 0.5 liters of other non-ORS fluids if you like.
- For severe dehydration or high-output stomas, use ORS formulas based on World Health Organization guidelines. TRIORAL Oral Rehydration Salts are a good option, and you can add flavorings like Kool-Aid Liquid or fresh lemon/lime juice to make them more palatable without affecting the electrolyte balance.
- Be cautious with plain sports drinks like Gatorade, as they contain too much sugar and not enough sodium for clinical needs. Products like Liquid I.V. are also not suitable for severe dehydration.
- If drinking fluids is difficult, electrolyte tablets or chews, such as SaltStick FastChews, can be helpful.
- For nausea, many people find relief with anti-nausea medications like Zofran (ondansetron). It's important to consult with your surgeon or GI doctor for a prescription.
- Sip fluids frequently rather than drinking large amounts at once. Very cold drinks are often easier to tolerate than those at room temperature.
- Keep an eye on your urine color and volume as a quick way to check your hydration status. Aim for clear or pale yellow urine.
- After rectal surgery, some people experience a temporary loss of taste, but it usually returns over time.
- Be alert for signs like low blood pressure, dizziness, and lack of thirst, and contact your healthcare team immediately if you notice these symptoms.
- Bringing a partner or friend to medical appointments can be helpful, and requesting visits from an ostomy or wound-care nurse can provide specialized guidance.
- If solid foods are hard to tolerate, try calorie-dense, easy-to-eat options like ice cream. This helped one person maintain their weight until their appetite improved. It's also a good idea to try new foods that aren't associated with previous periods of illness to avoid food aversion.
- It's common for some people to still experience fatigue, mild nausea, and poor appetite even three months after surgery. However, it's important to discuss any ongoing symptoms with your healthcare providers.