This topic is about managing changes in stoma output after surgery, particularly when dealing with a colostomy. The person in question has experienced a shift in their stoma output from frequent liquid to thicker, less frequent stools after surgery to remove scar tissue. They are also dealing with constipation and are looking for advice on how to improve their situation. Here are some helpful insights and suggestions:

1. Opiate pain medications can significantly slow down gut movement, which can lead to thicker stool output and even constipation. It might be helpful to talk to your doctor about possibly reducing the dosage or exploring alternative pain management options.

2. Consider reviewing your daily diet with a dietitian or physician. Adding more fluids and easily digestible fruits and vegetables, like the fresh juice blend you tried, might help keep your stoma output moving more regularly and prevent it from becoming too thick.

3. Pay attention to how different foods and drinks affect your stoma output. Keeping a close relationship with your stoma care team can help you adjust your diet and the use of laxatives like Movicol and Lactulose to better suit your needs.