This topic is about managing persistently liquid output and maintaining hydration after getting a new ileostomy. If you're experiencing very watery output and are concerned about staying hydrated and keeping your nutrient levels up, here are some helpful tips and insights:
- **Normal adaptation period**: It's common to have high-volume, liquid output in the first 8 to 12 weeks after surgery. As your small bowel adapts, the output usually thickens. Right now, your stoma is fully "awake," which might make the volume seem higher.
- **Thickening foods and recipes**: Consider incorporating foods like bread, rolls, rice, mashed or baked potatoes, and ripe bananas (one per day, well-chewed) into your diet. Peanut butter, marshmallows, squash soup, and homemade carrot soup can also help. Avoid seeds, nuts, and raw fruit or vegetable skins until your body has adapted more.
- **Hydration and electrolytes**: Water alone isn't enough; you need to add electrolytes. Pedialyte diluted with water is recommended due to its low sugar content. High-sugar sports drinks like Powerade can increase output. You can find DIY electrolyte solutions online. Keep a close eye on your intake, especially if you're also undergoing dialysis.
- **Medications and supplements**: Psyllium can help add bulk to your output. Loperamide (Imodium) may slow transit and reduce liquidity and frequency, but discuss the dosage with your doctor. Be cautious with pills that have hard coatings, capsules, or gel casings, as they might not dissolve fully and could cause blockages.
- **Weight maintenance and protein**: Try high-protein nutrition shakes. Some people prefer BOOST over Ensure, but it depends on individual tolerance. Yogurt and other protein-rich foods can help maintain muscle mass.
- **General tips**: Chew your food thoroughly until it's mushy to aid absorption. Keep marshmallows handy for quick thickening if your output suddenly becomes too watery. Since everyone responds differently, keeping a food/output diary can help you identify personal triggers and thickeners.
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