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Mar 17, 2014

Ileostomy - Frequency of Emptying and Nighttime Concerns?

The topic is about understanding what to expect in terms of emptying frequency and night-time management after getting a new ileostomy. Here are some helpful insights and advice shared by others who have been through this experience:

- **Adjustment Period**: Initially, you might find yourself emptying your ileostomy pouch 8-10 times a day, including once at night. However, as your body adjusts, this often decreases to about 4-5 times a day, with no need to get up at night.

- **Night-Time Routines**:
- Many people can sleep for 6 hours or more without needing to empty their pouch if they avoid eating 2-3 hours before going to bed.
- Some may still need to get up once during the night, depending on how much they eat or drink in the evening.
- For those with very high output, such as individuals with short-gut syndrome, emptying might be necessary every 90-120 minutes. An Enterostomal (ET) nurse can help devise solutions, like a continuous-drainage setup. One creative solution involved connecting a high-output pouch to a juice container for overnight collection.

- **Day-Time Strategies**:
- People often empty their pouches 4-5 times a day, or even every time they use the bathroom, to keep the pouch flat and allow for wearing tighter clothing.
- The frequency of emptying is closely related to your food and fluid intake.

- **Eating & Drinking Tips**:
- To reduce night-time output, try not to eat substantial meals after 7-8 p.m.
- Staying hydrated is important, but be aware that drinking more will likely increase how often you need to empty your pouch.

- **Clothing Considerations**:
- Emptying your pouch more frequently can help keep it flatter, making it easier to wear fitted clothes comfortably.

- **Professional Support**:
- It's beneficial to establish a relationship with a qualified ET (ostomy) nurse. They can assist with problem-solving, selecting the right appliances, and troubleshooting any issues.

- **Reassurance**:
- Over time, emptying your pouch becomes second nature. Many people find that living with an ileostomy is easier than dealing with active bowel disease.
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