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Jun 10, 2025

Colostomy Output: Is Liquid or Solid Better?

This topic is about managing the consistency of colostomy output, specifically whether it's easier to handle when the output is more liquid or more solid. Here are some helpful insights and advice on this matter:

1. **Preferred Consistency**
- Many people with a colostomy find that slightly firm or toothpaste-like stool is easier to manage and less likely to leak. On the other hand, those with an ileostomy often prefer a runnier output for easier emptying.

2. **Rinsing Techniques**
- A quick warm-water rinse, lasting about 30 seconds after each emptying, can help keep the pouch nearly clean and save on toilet paper.
- Depending on the stickiness of the output, some may need only one rinse, while others might require several.

3. **Lubricants & Deodorizers**
- Using a lubricating deodorant, like Hollister Adapt mixed with hydrogen peroxide, can help sticky stool slide out more easily.
- A few drops of Johnson’s Baby Oil in the pouch after each rinse can have a similar effect. Some people create a DIY applicator using a travel-size baby-oil bottle with a disposable-enema cap.
- Be cautious with liquid deodorizers, as they can worsen pancaking in an "innie" stoma unless followed by a rinse.

4. **Diet Adjustments to Thicken Output**
- Foods like potatoes, mashed potatoes, crackers, marshmallows, and gummy sweets can help firm up the stool.
- Steak can firm output for some, but it might make it runny for others, especially those with an ileostomy. Chewing thoroughly may alter the effect.
- Reducing intake of coffee, fizzy drinks, excess water, and large amounts of raw fruits and vegetables can help decrease wateriness.

5. **Diet Adjustments to Loosen Output**
- Consuming raw produce and maintaining a high fluid intake can increase liquidity, which might be beneficial for those who prefer a runnier stool.

6. **Hydration & Absorption Differences**
- People with an ileostomy lose more fluid since they don't have a large intestine, so they must be cautious about dehydration. Colostomates usually handle less fluid loss and can aim for a firmer stool.

7. **Medical Considerations**
- If colostomy output is persistently watery and high in volume, it might indicate bile-acid malabsorption. Prescription binders are available, so it's important to discuss this with a physician.

8. **Pouch-Wear Time & Cost**
- Some colostomates choose to empty without rinsing to extend the wear time of their pouch, which can last between 24 to 48 hours.

9. **Equipment Mentioned**
- Hollister Adapt Lubricating Deodorant
- Johnson’s Baby Oil
- "Flow Assist" device (brand not specified)

These tips and insights can help in managing colostomy output more effectively, making daily life a bit easier.
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