This topic is about managing hydration and kidney function after having an ileostomy. The person sharing their experience is dealing with declining kidney function eight months after their surgery. They are using loperamide (Imodium) to thicken their output but are struggling to find the right balance between staying hydrated and maintaining proper kidney function. They are seeking advice from others who have been through similar experiences. Here are some helpful tips and insights:

1. Stay consistently hydrated:
- Avoid reducing your total fluid intake to control output, as dehydration can quickly lead to kidney issues.
- Your fluid needs will vary based on individual factors and should be guided by blood work results. Some people aim for 60 to 96 ounces of fluid daily, depending on their lab results and climate.

2. Include electrolyte-rich drinks, not just water:
- Use products like Pedialyte, G Fit, or Drip Drop to replenish essential salts like sodium, potassium, and magnesium.
- Always have water or an electrolyte drink with you, especially in hot weather.

3. Diversify fluid and food choices to thicken output:
- Try a variety of beverages, not just water or coffee.
- Incorporate natural thickeners into your diet, such as bananas, peanut butter on toast, white rice, applesauce, marshmallows, and pretzels.

4. Review antidiarrheal dosage:
- Some people find that 8 loperamide tablets a day is too much and manage well with 2–3 tablets. It's important to discuss the best dosage with your doctor or stoma nurse.

5. Regular renal and electrolyte monitoring:
- Schedule regular check-ups with a nephrologist, perhaps every four months.
- Keep an eye on potassium and magnesium levels in your lab results, as deficiencies are common and may need supplementation.

6. Supplement choice and form:
- If you need magnesium or potassium supplements, opt for gummies, powders, or capsules, as hard tablets might not be absorbed properly.

7. Develop a personal routine:
- Be prepared for some trial and error as you find the right balance of fluid intake, output consistency, and nutrient absorption.
- Once you find a routine that works, make it a daily habit and adjust as needed based on changes in weather or activity levels.