This topic is about dealing with medication absorption issues after transitioning from a colostomy to a temporary ileostomy. After undergoing surgery that involved reconnecting the colon, removing a colostomy, performing a hysterectomy, and repairing a hernia, the person now has a temporary ileostomy. They are noticing whole, undigested pills in their pouch and are concerned about the absorption of their medications and vitamins, which are mostly in tablet or capsule form. They are seeking advice on how to ensure these are properly digested.

Here are some helpful suggestions and insights:

1. Consult with your doctor to see if certain tablets can be crushed or opened and mixed with a drink like Sprite or ginger ale. This method has been effective for some people.

2. Whenever possible, switch to chewable, gummy, or liquid forms of medications and vitamins, such as gummy multivitamins, liquid acetaminophen, or liquid ibuprofen.

3. Be cautious with coated, time-release, or enteric-coated medications, as they may not absorb well. Brands like Acacol and Pentassa are mentioned as problematic because they cannot be split or crushed. Always confirm with your doctor before making any changes to your medication.

4. If absorption remains an issue, some people take a higher dose, such as doubling Tylenol, but this should only be done under medical supervision to avoid the risk of overdose.

5. To manage pouch changes, you can slow down stoma output by eating 3–4 regular marshmallows about 15 minutes before changing the appliance. Others find it helpful to stop eating after 7:30 p.m. or to change appliances first thing in the morning when the flow is naturally slower.

6. At work, frequent emptying can be managed, and many have found returning to work easier than expected. However, be mindful that unplanned snacking can increase output.

7. Setting a scheduled meal cut-off before bedtime can allow for longer, accident-free baths or sleep.