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Dec 31, 2024

Thick Output After Eating Starches: Seeking Advice

This topic is about managing thick, paste-like output from an ileostomy, especially after eating starchy foods like potatoes. The person sharing their experience is on a low-residue diet due to abdominal adhesions and is seeking advice on how to thin the output. Here are some helpful suggestions and insights from others:

1. Increase fluid intake:
- Drink plenty of water throughout the day to stay well-hydrated, which can help keep the output looser.
- Consider adding electrolyte powder or a pinch of plain salt to your water to replace lost salts.

2. Use specific thinning beverages or foods:
- Try drinking soda or other carbonated drinks after a starchy meal.
- Grape juice, apple juice, or other fruit juices might help.
- Some people find that ice cream or other higher-sugar items can loosen the output.

3. Mechanical aid inside the pouch:
- Pour a small amount of water directly into the pouch to help the thick output slide out more easily and prevent pancaking.

4. Confirm stoma type and expectations:
- Thicker output is common with colostomies and may not be problematic. It might be helpful to verify with your surgeon whether you have an ileostomy or a colostomy.
- Some people prefer thicker output because watery effluent can lead to dehydration and requires more frequent emptying.

5. Products or medications mentioned:
- Loperamide (Imodium) is used by some to thicken output, although this is generally for the opposite goal.
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