This topic is about managing complications related to an ileostomy, specifically focusing on controlling high potassium levels and protecting kidney function. Here are some helpful strategies and insights shared by others who have faced similar challenges:

1. Seek Professional Help
- Consider getting a second opinion from a nephrologist who is experienced in managing electrolyte issues and understands the unique hydration needs of those with an ostomy.
- Ask for a referral to a dietician who is knowledgeable about renal and ostomy-related dietary needs.

2. Hydration Tips
- Since ileostomates can lose fluids and electrolytes quickly, plain water might not be enough. Look for specialized hydration drinks that are low in potassium, often labeled as "low-K" or "renal."
- Regular blood tests are important to keep track of sodium, potassium, magnesium, and creatinine levels.

3. Dietary Adjustments
- Avoid or strictly limit foods high in potassium, such as apricots, avocados, bananas, cantaloupe, dried fruits, and certain vegetables like potatoes and spinach.
- Foods that are generally safer when eaten in moderation include apples, berries, cherries, cranberries, grapes, peaches, and certain vegetables like raw cabbage and cauliflower.

4. Beverages
- Apple juice and cranberry juice are considered safer options. It's best to avoid most other fruit juices.
- Consider using non-dairy milk alternatives instead of cow’s milk.

5. Medication Options
- Discuss with your nephrologist the possibility of using potassium-binding medications, similar to phosphate binders used in chronic kidney disease.

6. Self-Advocacy
- Keep a detailed diary of your food and fluid intake, and adjust based on lab results.
- Be aware that dehydration from ileostomy output can harm the kidneys, so balancing fluid and electrolyte intake is crucial.
- Be ready to coordinate information among various specialists, as no single doctor may address all your needs.

7. Community Support
- Others with ileostomies have reported normal to low potassium levels but stress the importance of constant monitoring. Personalizing your management plan is key, as experiences can vary widely.