This topic is about managing very watery output from an ileostomy, especially after eating meat. The person has been living with an ileostomy for five years and finds that meals containing meat lead to liquid output, requiring frequent emptying of the pouch. They are looking for practical ways to thicken the output and reduce the frequency of emptying. Here are some helpful tips and insights:

1. Try eating binding foods with or just before consuming meat. Options include white rice, pasta or noodles, pretzels, and smooth peanut butter.

2. Incorporate "thickening" snacks throughout the day or just before meals that cause issues. Consider under-ripe bananas, marshmallows, jelly babies (gummies), buttermilk, and natural or honey-flavored yogurt.

3. Mix a packet of unflavored gelatin in ¼ cup of fruit juice and drink it about an hour before eating meat. This method is used by pediatric nurses to firm up toddlers' stools.

4. Use Metamucil (psyllium) routinely or before meals. Ensure you take it with enough fluid so it can swell and gel effectively.

5. Stay on a scheduled dose of Imodium rather than waiting for issues to arise. Some people with ileostomies need it regularly to manage fluid loss.

6. When eating meat, choose lean cuts, chew thoroughly, and cut into small pieces. Experiment with different types or suppliers to identify if a specific meat or fat content is causing the issue.

7. Consider foods or supplements that slow motility. Codeine phosphate, which requires a prescription, is often used to thicken ileostomy output, though it may be harder to obtain due to new regulations.

8. For severe episodes or social occasions, consider wearing a larger-capacity or drainable pouch to reduce bathroom trips.

9. Check if spicy seasoning might be a hidden cause. If outputs worsen with spicier meats, try removing spices.

10. Consult with a surgeon about possible intestinal adhesions or partial obstructions. CT or MRI imaging can help rule these in or out.

11. Be aware that some supplements, like creatine serum, or enzyme-rich products can cause waterier output for some individuals. Review any workout or nutritional products you are using.