This topic is about managing constipation caused by opioid use in a patient with an ileostomy who recently had partial hip-replacement surgery. The caregiver is concerned because the patient is experiencing no stoma output and feels constipated, which might indicate a bowel blockage. Here are some helpful suggestions to address this issue:

1. Prune Products
- Drinking 4 to 8 ounces of prune juice or consuming one small jar of strained baby prunes can help stimulate bowel output.

2. Osmotic Laxative
- MiraLAX (polyethylene glycol 3350) can be used. A typical home dose is one capful dissolved daily in any liquid like coffee, hot tea, or water.
- It is important to consult with the surgeon or stoma nurse before starting to ensure it is safe and to confirm the correct dosing.

3. Pain-Management Adjustment
- If possible, switch from opioids to acetaminophen (Tylenol) for pain relief. Follow the dosing instructions on the label and take it on schedule rather than waiting for pain to occur. Reducing or eliminating opioids can significantly decrease the risk of constipation.

4. Hydration
- Ensure adequate fluid intake when using laxatives. Include electrolyte solutions, not just water, to prevent dehydration, which is especially important for those with an ileostomy.

5. General Notes
- Opioid medications are a common cause of severe constipation. Early preventive measures such as staying hydrated, using mild laxatives, and maintaining a suitable diet can help prevent blockages.