This topic is about how Metamucil, which contains psyllium, can help manage high output and frequent emptying after ostomy surgery. The person sharing their experience had a sigmoid-colostomy and found that adding Metamucil to their routine made a big difference. Here are some helpful insights and advice based on their experience:

- Metamucil acts as a "stool-normalizer":
- It can firm up loose output and reduce frequency for both colostomies and high-output ileostomies.
- It can also soften hard stool if constipation is an issue.

- Different forms of the product are available:
- Metamucil orange-flavored powder.
- Psyllium Husk fiber powder, like Costco’s Kirkland brand.
- Psyllium Husk capsules from various brands, though some find the powder more effective as capsules might pass through intact.

- Common dosing routines include:
- Taking one glass in the morning and another in the evening.
- Adding the powder to a breakfast smoothie for consistent semi-solid output throughout the day.
- Combining with one Imodium (Costco generic) per dose for additional control.

- Benefits reported by users:
- Fewer trips to empty the pouch or visit the bathroom, reducing from over 15 times a day to more manageable levels.
- Thicker, easier-to-drain stool, resulting in a cleaner flange and fewer full bag changes.
- Slower transit time allows for better nutrient absorption, helping with weight gain and reversing "failure to thrive."
- Improved mental and physical wellbeing, with some users feeling "normal" again.
- An added bonus is the potential to help lower cholesterol with long-term use.

- Practical tips and cautions:
- Start with a small amount and adjust based on your output.
- It's important to discuss with a gastroenterologist or colorectal nurse, especially if you experience pain, have a short gut, or are being assessed for total parenteral nutrition (TPN).
- This approach is not widely promoted outside the U.S., and information for ileostomates might be limited.
- Fiber may not be suitable for everyone, so seek medical advice before trying it, especially if you have severe pain, blockages, or significant weight loss.

- Related products mentioned include Ensure nutritional drink, which can cause abdominal pain for some people.