Managing high output from a loop ileostomy can be challenging, but there are several strategies that might help. If you're dealing with this issue, here are some tips and insights that could make things a bit easier:

- **Check the Basics First**
- Keep track of your total output by measuring it in a jug for a week. This will help you and your healthcare provider understand what "high output" means for you.
- Reach out to a stoma or ostomy nurse or your doctor to determine if the issue is temporary or if medication is needed.

- **Hydration Management**
- Aim for at least 2 liters of fluid daily, but be cautious as too much water can increase output. Balance your intake and consider adding electrolytes.
- Products like "Liquid I.V." powder can help improve absorption and prevent dehydration.

- **Medication Options**
- Over-the-counter Imodium (loperamide) can be effective if taken an hour before meals, and some people use it three times a day.
- If Imodium isn't enough, prescription Lomotil (diphenoxylate/atropine) might be a better option.
- Some people find that eating marshmallows can slow output during bag changes.
- Be mindful of other medications, like Metformin for diabetes, as they can increase watery output. Discuss alternatives with your doctor if needed.

- **Foods That Thicken or Slow Output**
- Consider eating foods like squash, pumpkin, sweet potatoes, bananas, and peanut butter. Canned pumpkin and products like Pacific brand "Light Sodium Butternut Squash Soup" can be convenient options.
- Starchy foods such as potatoes, bread, pasta, rice, and pretzels can also help. Try eating these first at meals so they reach the stoma early.

- **Foods and Drinks That Increase Output**
- Hot liquids like coffee and soup, as well as caffeine in general, can increase output.
- Sugary foods and sweets might also have this effect.
- Be cautious with excess fiber or certain vegetables, as they can speed up transit or even block an ileostomy. Introduce them slowly and chew well.

- **Eating Patterns**
- Smaller, more frequent meals or temporarily skipping food before going out can help reduce daytime pouch volume.
- Some people prefer having one larger meal in the evening when they're at home.

- **Practical Tips**
- Empty your pouch at least once during the night to prevent overfilling and leaks.
- If leaks continue, consult a Wound, Ostomy, and Continence (WOC) nurse to review your pouching system, wafer fit, and any accessories you might be using.

- **When Medical or Dietary Measures Fail**
- If you're experiencing persistent "cluster" emptying and lifestyle limitations even after a reversal, some people consider having an ileostomy re-created. It's important to discuss the pros and cons thoroughly with your surgeon.

These suggestions might help you manage high output from a loop ileostomy more effectively. Remember, it's always best to consult with your healthcare provider for personalized advice.