Topic Explanation:

The forum discussion revolves around a person who had ostomy surgery about seven weeks ago and is experiencing stomach pain after breakfast. They have been following a high-fiber diet and taking Citrucel and Imodium to manage high output. The individual is concerned about whether the pain indicates a blockage, as their output has slowed but not stopped completely. They are seeking advice on whether this could be a blockage and how to manage their symptoms.

Advice and Insights:

1. Consultation and Emergency Measures:
- It is advised to see a Stoma Nurse for an evaluation. If vomiting occurs, it is recommended to go to the Emergency Room.

2. Fluid Intake and Imodium Use:
- Increase fluid intake with options like tea and fruit juice.
- Consider reducing the use of Imodium, as it might be slowing down the output too much, causing pain.

3. Physical Activity:
- Walking around the house can help move things along if it is a blockage.

4. Dietary Adjustments:
- Consider reducing high fiber and Citrucel intake, as it might be too soon in recovery to manage output this way.
- Foods that can thicken output include cheese, smooth nut butters, pretzels, white rice, and bananas.

5. Medication and Absorption:
- For high output, a higher dosage of Imodium (16mg/day) might be necessary, taken with meals and at bedtime.
- Crushing Imodium in applesauce is suggested to improve absorption.

6. Monitoring and Alternatives:
- Keep a food diary to track how different foods affect output.
- Consider using banana flakes and Metamucil to manage output consistency.
- Gelling sachets can be used for liquid output.

7. Hydration:
- Ensure adequate hydration, especially with high output, to prevent dehydration.

8. Medication Alternatives:
- Lomotil is suggested as an alternative to Imodium, but they should not be taken together.

9. Personal Experiences:
- Some individuals have found success with specific dietary adjustments and medication regimens, such as using banana flakes and adjusting Imodium dosage.