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Nov 08, 2011

Stoma Complications and Seeking Advice

This topic is about managing some common complications that can arise after colorectal cancer treatment, particularly for those with a colostomy. The person sharing their experience is dealing with persistent diarrhea, loud gas, and a hernia. Here are some insights and advice that might help:

- The colostomy was described as "poorly constructed," and a peristomal hernia has developed. Surgery for the hernia is not recommended, so wearing a custom-made hernia belt is suggested.

- After experiencing severe abdominal cramps diagnosed as mild gastroenteritis, the cramps resolved, but continuous diarrhea and loud abdominal noises persist. The person is seeking advice from others who might have experienced similar issues.

- They are currently taking half a tablet of Betaperamide daily and are considering whether this dosage is sufficient. They have also tried Loperamide, which provides short-term relief, and are open to other methods like eating marshmallows. However, they are cautious about overusing antidiarrheals due to the risk of blockages.

Here are some strategies and tips that might be helpful:

1. Antidiarrheal medication:
- Loperamide is available in tablets or liquid form. The liquid allows for precise dosing to avoid blockages.
- Imodium A-D and Lomotil are mentioned as daily aids. It's important to increase the dosage slowly and watch for any signs of cramping or obstruction.

2. Fiber and bulking agents:
- Psyllium husk mixed with fluids can help thicken the output and reduce gas.
- Eating oatmeal before bedtime and consuming bananas, marshmallows, or yogurt during the day can help slow down the flow.

3. Gas reduction strategies:
- Over-the-counter gas tablets like Gas-X or generic simethicone can be taken with or after meals.
- Beano can be used before consuming gas-producing foods.
- Eating five smaller meals a day, keeping the evening meal light, and having a quick carbohydrate snack when noise starts can help.
- Identifying and limiting personal gas triggers such as beer, beans, and other fermentable foods is beneficial.

4. Probiotics and supplements:
- Taking daily probiotic capsules and garlic tablets has been reported to reduce gas and improve gut balance.

5. General dietary guidance:
- Maintaining regular meal times is important, as skipping or delaying meals can lead to excessive gas.
- Using trial-and-error to find tolerable foods and appropriate portion sizes can be helpful.

6. Hernia support:
- When surgery is not advised, continuing to use a well-fitting hernia belt is recommended.
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