Topic Explanation

The discussion centers around finding alternative methods to thicken watery ileostomy output without using commercially available beads. The original poster is unable to consume solid foods due to the risk of bowel obstruction and experiences pain when eating. They are seeking advice on other ways to manage their ileostomy output, possibly using gelatin or other methods, as they cannot use oral thickening agents due to rapid transit and pain.

Advice and Insights

1. Experimentation with Gelatin:
- Gelatin is suggested as a potential thickening agent. It is recommended to test it in a separate container to ensure it does not block the ostomy bag.

2. Use of Metamucil:
- Metamucil, mixed in a drink, is mentioned as a product that can create a sludge-like consistency, which may help in thickening the output.

3. Immodium/Loperamide:
- Immodium is suggested by some as a way to thicken output, although it is noted that it may not work for everyone, especially those with rapid gastric emptying.

4. Urostomy Bags:
- A urostomy bag with internal chambers is recommended to reduce splashing sounds, provided the output is very liquid to avoid clogging.

5. Applesauce:
- Applesauce is mentioned as a potential thickening agent, though its effectiveness may vary.

6. Precise Sachets:
- A thickener called "Precise Sachets" from New Zealand is suggested as a possible option, though not specifically designed for ileostomy effluent.

7. Smoothie High in Carbs:
- A high-carb smoothie is recommended, which is easily digestible and can help thicken output. It includes milk, yogurt, fruit, and a specific high-carb powder, avoiding protein powders due to digestion issues.

8. Central Venous Catheter (CVC):
- For those concerned about IV access during surgery, a CVC is suggested as an alternative to peripheral veins, which can be used in major surgeries.