The topic at hand is about the potential effects of gall-bladder removal, known as cholecystectomy, on individuals who already have a stoma. Specifically, there is a concern about whether this surgery might lead to chronic diarrhea. Here are some insights and advice shared by others who have been through similar experiences:

1. Many people with stomas, especially those with ileostomies, did not notice any significant change in their output after gall-bladder removal. Their output was already loose before the surgery, and the procedure did not worsen it.

2. A few individuals did experience what is known as "bile-salt diarrhea" after the surgery. One person mentioned having severe and persistent watery output, which was effectively managed with a medication called cholestyramine. This medication helps by binding bile acids.

3. If you had uncontrollable diarrhea as a symptom of your gall-bladder disease before surgery, you might be at a higher risk of experiencing bile-salt diarrhea afterward.

4. The general consensus among those who have undergone the procedure is that most people with stomas do not face new issues after gall-bladder removal. However, it's important to be aware of the possibility of bile-salt diarrhea. Keep a close eye on your output, and if you notice persistent watery output, it would be wise to consult your doctor about possible treatments like cholestyramine.