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Oct 26, 2013

Need help with high output & diarrhea - seeking guidance!

This topic is about managing sudden high output and watery ileostomy output, especially when it happens unexpectedly and before you can see a doctor. If you're experiencing this, it can be quite challenging, as it may lead to fatigue and dehydration. Here are some helpful tips and insights that might make things a bit easier:

1. **Hydration and Drinks**:
- Be cautious with drinks containing high-fructose corn syrup, as they can worsen watery output.
- Keep fluids nearby and take frequent small sips rather than large gulps.
- Consider alternatives to standard sports drinks, such as Hydralite, coconut water (strained of pulp), or Gatorade, even though it contains sugar.

2. **Foods to Thicken Output**:
- Try bananas, especially sliced into oatmeal.
- Peanut-butter toast, mashed potatoes, marshmallows, and white bread or rolls can help. Eating these 20–30 minutes before taking supplements might be beneficial.

3. **Over-the-Counter Anti-Diarrheals**:
- Imodium (loperamide) is effective for many; start with small doses and increase cautiously.
- Lomotil (diphenoxylate-atropine) can also help, but be aware of potential side effects like dizziness.

4. **Prescription Options**:
- Distilled Tincture of Opium (DTO) is reliable but has a high risk of dependence.
- Tylenol with Codeine #3 or #4 can slow output effectively, with long-term users reporting minimal side effects when used as prescribed.

5. **Nutrient Absorption**:
- Eating a thickening starch, like bread, 20–30 minutes before taking vitamin or iron supplements can help slow down transit time.

6. **Understanding Underlying Causes**:
- If you have short-bowel syndrome due to significant intestine removal, chronic high output might be a permanent issue requiring ongoing medication and dietary management.

7. **General Advice**:
- Remember, every gastrointestinal system is unique. Finding the right combination of diet, fluid, and medication often requires patient trial and error.

These tips are meant to help manage symptoms and improve comfort until you can consult with a healthcare professional.
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