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Oct 26, 2025

Dehydration After Emergency Colectomy and Ileostomy

This topic is about managing dehydration after having an ileostomy, which is a type of surgery where part of the small intestine is brought to the surface of the abdomen to create a stoma. This can lead to dehydration because the body loses fluids more quickly. Here are some helpful tips and advice to keep in mind:

1. Track Output and Manage It:
- Measure your ileostomy output every day and let your surgeon or ET nurse know if it’s high.
- Your doctor might prescribe Imodium (loperamide) to help slow down the transit and reduce fluid loss.
- Sip fluids slowly and steadily, as drinking too quickly can cause fluids to pass straight through to the pouch.

2. Daily Fluid Intake:
- Aim for 60-80 ounces of fluids per day, though some kidney specialists recommend 90-100 ounces.
- Increase your fluid intake if your lab results show electrolyte imbalances or if your output is high.

3. Electrolyte and Hydration Options:
- Consider drinks like Pedialyte, Pedialyte Advanced, Gatorade Zero, and Liquid I.V. mixes.
- Other options include PowerAid, BodyArmor, Propel, and tasteless electrolyte drops.
- Coconut water, milk, almond milk, lemon water, and herbal teas are also good choices.
- Be cautious with high-water foods like cucumbers, as they can increase output.
- Limit caffeine and sugary drinks, and be mindful of drinks sweetened with corn syrup.

4. Kidney Protection and Medical Follow-Up:
- Dehydration can harm your kidneys, potentially leading to chronic kidney disease.
- Schedule follow-ups with a nephrologist and get regular bloodwork to monitor your kidney health and electrolytes.

5. Useful Tools and Resources:
- Use the Ostomy 101 mobile app for guidance.
- Check out the Vegan Ostomate website for hydration and diet tips.
- Explore the forum’s “Collections ➔ Ask Ostomy I.A.” for quick questions and answers.

6. Self-Advocacy and Personal Experimentation:
- Keep a record of your fluid intake, output, and how different foods affect you.
- Understand that everyone’s absorption is different, so some trial and error is normal.
- If you have conditions like Addison’s disease or diabetes, adjust your hydration plan accordingly.

7. Encouragement:
- Remember, many people leave the hospital without complete guidance, so you’re not alone.
- Being proactive with your fluid intake, electrolytes, and lab work can help prevent future hospital visits.
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