Topic Explanation:
The discussion centers around kidney issues following an ileostomy surgery. The original poster, who had the surgery 8 months ago, is experiencing problems with kidney function. They are taking 8 loperamide daily to thicken stoma output but face a dilemma: drinking too much liquid results in loose stoma output, while drinking too little leads to dehydration and kidney issues. They have been referred to a renal specialist and are seeking advice from others who might have faced similar challenges.

Advice and Insights:

1. Hydration is crucial for those with an ileostomy to prevent kidney issues. It's important to drink throughout the day, but the amount should be tailored to individual needs, ideally with guidance from a nephrologist. Blood work can help determine the appropriate liquid intake and monitor sodium levels.

2. Diversifying fluid intake can help manage stoma output consistency. Instead of just water or coffee, consider electrolyte drinks like Pedialyte, G Fit, or Drip Drop to maintain hydration and electrolyte balance.

3. Eating foods that thicken stoma output, such as peanut butter on toast or bananas, can be beneficial.

4. Dehydration is a serious concern for ileostomates because the colon, which normally absorbs water and electrolytes, is removed. Regular monitoring and replacement of electrolytes are necessary, especially in hot climates.

5. Regular appointments with a renal specialist are recommended to monitor kidney function and prevent severe dehydration.

6. Pay attention to magnesium and potassium levels in blood work, as deficiencies in these electrolytes are common among ileostomates. Supplements may be necessary, but they should be in a form that is easily absorbed, such as gummies or powders, to avoid passing through the digestive system undissolved.

7. The use of loperamide should be moderated, as 8 tablets daily may be excessive. Some individuals manage with fewer tablets.