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Sep 03, 2016

Inconsistent Ileostomy Output - Smooth or Chunky?

This topic is about the varying consistency of ileostomy output, which can sometimes be thick, watery, or a mix of both. The person experiencing this is curious if this is a common occurrence and seeks advice on managing it, especially given their health conditions.

- It's normal for ileostomy output to change throughout the day and be influenced by what you eat. Foods like carrots and mushrooms can appear as chunks in the output, which is generally not a cause for concern.
- Typically, output is thicker in the morning and becomes thinner or more watery as the day goes on. To help thicken the output, try eating foods that bind, such as bananas, pretzels, or crackers.
- If you have been prescribed anti-diarrheal medication, make sure to take it before meals to help slow down digestion and improve nutrient absorption.
- It's important not to limit your fluid intake to thicken the output, as dehydration is a common risk for those with an ileostomy. Aim to keep your urine a light color by drinking fluids rich in electrolytes, like Gatorade or Smart Water.
- Dehydration can increase the risk of kidney stones after an ileostomy. This is because bicarbonate loss can make urine more acidic, and low urine volume can lead to uric-acid stone formation. Urologists may suggest monitoring or using calcium-based medications, and there are ongoing clinical studies on this.
- Time-release pills might not be fully digested, which is common and usually not a problem.
- Be cautious with foods that could cause blockages and make sure to chew your food well, especially if you've had blockages before.
- The variability in output texture, whether fully blended or with solids floating in liquid, is normal for many people. It's a bit like a box of chocolates—you never know what you're going to get.
- If you have ongoing concerns about digestion or absorption, it's a good idea to consult a gastroenterologist or a certified stoma nurse. For issues related to hydration and kidney health, keep in touch with your nephrologist or urologist.
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