Topic Explanation:
The discussion centers around managing constipation and fluid issues with a stoma, specifically a colostomy. The original poster, Ann, has experienced a change in her stoma size due to constipation, which she managed by increasing fiber and water intake. However, after taking loperamide to control her bowel movements, she now faces continuous liquid output from her stoma and seeks advice on how to manage this issue.
Advice and Insights:
1. Consult Medical Professionals:
- It is advised to contact a doctor or ostomy nurse for guidance, especially when experiencing unusual symptoms like continuous liquid output or changes in stoma size.
2. Dietary Adjustments:
- Some individuals with similar issues follow a low residue diet, which involves consuming very little fiber, as recommended by their doctors.
3. Medication Considerations:
- Avoid taking loperamide if constipated, as it can exacerbate constipation. It is important to consider the effects of medications on bowel movements and consult with a healthcare provider.
4. Understanding Liquid Output:
- Continuous liquid output can be a normal occurrence for some individuals with a stoma, and it may not always be possible to change this. Experimenting with diet to find what helps thicken the output might be necessary.
5. Potential Blockage:
- There is a possibility of a partial blockage, where clear liquid flows around a constipation blockage. Medical intervention, such as an enema, might be needed to clear it.
6. Color of Liquid Output:
- The clear gold color of the liquid output is unusual and may warrant further investigation by a healthcare professional to rule out any underlying issues.
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