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May 09, 2013

Dehydration with Colostomy - Tips for Staying Hydrated?

This topic is about managing dehydration for someone living with a colostomy. The person has been experiencing some issues recently, including blockages and symptoms that suggest dehydration. They are seeking advice on how to stay hydrated and prevent future blockages. Here are some helpful tips and insights:

1. General Hydration Strategies:
- Sip fluids continuously throughout the day, as those with a colostomy tend to lose more water.
- Before exercising, drink fluids to prepare your body, and continue to hydrate during and after the activity.

2. Commercial Hydration Options:
- Consider drinks like Gatorade, Powerade, Lucozade (available in the UK), Pedialyte, or 100% pure coconut water. Be mindful of the cost, sugar content, and calories.

3. DIY/Home-Mix Solutions:
- Mix half Gatorade or Powerade with half water and a pinch of salt.
- Combine grape juice with water and salt (specific ratios can be provided if needed).
- Use a Kool-Aid or Crystal Light packet with Lite Salt and a little sugar; Lite Salt provides sodium and potassium.
- Add Lite Salt to lemonade, iced tea, or other drinks for extra electrolytes.
- Try an oral hydration recipe: 2 cups orange juice, 1/8 cup sugar, 1/8 tsp salt, 1/8 tsp baking soda, 1 liter water, and 1 packet of Emergen C.
- Consider semi-skimmed or skimmed milk, or a milk-water mix, as a natural and affordable electrolyte source, if you're not lactose intolerant.
- Flavor 100% coconut water with pineapple juice if desired.

4. Monitoring & Testing:
- Get blood work done to check electrolyte, magnesium, and vitamin levels, as low levels can mimic or worsen dehydration.
- Strong-smelling urine, like ammonia, can indicate dehydration.
- Use body-composition scales, such as Tanita models, to estimate body-water percentage at home. Look for affordable options if needed.

5. Additional Medical Considerations:
- Dehydration is more common with an ileostomy, but if it persists with a colostomy, assess how much of the colon was removed and check for adhesions or small-bowel issues.
- If dehydration becomes chronic, consult your medical team promptly. Severe cases might require IV Saline 0.05%.

6. Diet & Blockage Prevention:
- Aim for adequate fiber intake if tolerated, such as 20 walnut halves daily or small servings of prune custard.
- Chew food thoroughly, as nuts like peanuts can cause blockages if swallowed in large pieces.
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