The topic at hand is about managing ostomy output during travel, particularly when access to restrooms is limited, such as on long flights or boat trips. One method discussed is using marshmallows to temporarily slow down ostomy output. Here are some insights and advice on this approach and other strategies:

- Effectiveness & Typical Doses
- Many people with ileostomies find success with marshmallows. Typically, they consume 3–4 standard-sized marshmallows or 6–8 large ones about 30 minutes to an hour before needing reduced output. However, results can vary, and some experience no benefit or even a stomach ache.

- Duration of Slowed Output
- Those who find marshmallows effective usually experience reduced output for 1–3 hours, with some reporting several hours. It rarely stops output completely.

- Imodium / Loperamide Alternatives
- Some prefer Imodium (loperamide) tablets for their convenience and predictability. A common approach is taking one tablet in the morning and another at lunch and dinner if needed. In Australia, Gastro-Stop capsules are noted as effective, with two capsules taken before activity. People with short-bowel syndrome or some colostomates might require higher doses or find loperamide less effective.

- Combination Approaches
- A few people combine 4–5 marshmallows with 1–2 Imodium tablets about 30 minutes before a bag change for optimal dryness.

- Dietary Alternatives
- Eating eggs, such as omelettes or scrambled eggs, can help thicken output for some. Reducing food intake before and during flights and choosing naturally thickening foods from airline meals can also be beneficial.

- Travel-Specific Tips
- Empty your pouch right before boarding and carry a small bag with spare supplies in the cabin. Sip fluids instead of taking large gulps, and avoid high-sugar foods and drinks during the flight. Plan for 1–2 pouch empties on an 11-hour flight with careful eating and drinking. Practice quick emptying in cramped plane lavatories and have paper towels ready.

- Sugar & Weight Considerations
- Marshmallows are high in sugar, so frequent use can add calories, affect blood sugar levels, and impact dental health.

- Bag-Change Tricks
- Change your bag first thing in the morning when output is naturally lower. Some people place a small piece of paper towel or toilet tissue over the stoma after showering until the new appliance is on. Placing tissue at the bottom of a pouch can absorb minor residual output for those using separate pouch and flange systems.