Topic Explanation
The discussion in the forum revolves around a concern about an unusual fishy smell in the stool of a child with an ostomy. The parent notes that the child's diet is restricted based on medical advice and mainly includes Pedialyte, protein, and three meals a day. Previously, a similar smell was associated with a norovirus infection, but currently, the stool is thick and not watery, which differs from the previous occurrence.

Advice and Helpful Insights from Replies
1. Medical Consultation:
- If the fishy smell is constant and/or if there are changes in the color of the stoma or dark spots appearing, it is advised to consult a doctor to rule out possible infections.

2. Dietary Adjustments:
- Consider if the child has consumed seafood, as fishy smells can be linked to seafood intake.
- Review the child's diet against the detailed list provided, which includes foods that may cause blockages, gas, odor, diarrhea, and those that can help thicken stool or relieve gas and odor. Adjust the diet accordingly to manage the ostomy output and smell.

3. Ostomy Bag Maintenance:
- Regularly clean the ostomy bag at each emptying. Use a few drops of liquid antibacterial soap and water, followed by thorough rinsing. This helps to eliminate digestive enzymes that continue to break down food in the bag, which can cause unpleasant odors.
- Consider leaving a couple of drops of soap mixed with a little water in the bag after cleaning to help manage future odors.

4. Hydration and Nutrition:
- Ensure adequate hydration and consider consulting a nutritionist for a tailored dietary guide, especially considering the child's age and specific health needs.

5. Monitoring and Proactive Health Management:
- If there is a suspicion of a virus or infection similar to previous experiences, promptly contact healthcare providers to check and address the issue early.