This topic is about someone who recently had surgery and is experiencing issues with their medications not digesting properly. They have an ileostomy and are finding that their vitamin tablets and other medications are ending up in their ostomy pouch without being absorbed, which is both painful and concerning. They are seeking advice on how to manage this situation.

Here are some helpful suggestions and insights:

1. Consider switching to liquid, chewable, dissolvable, or non-enteric-coated versions of medications. Pills that pass through whole are not beneficial.

2. If liquid forms are not available, you might crush pills (only if the medication remains effective after crushing) and mix them with water or another drink.

3. Gummy vitamins, such as multivitamins, vitamin C, D, and Omega-3, are often better absorbed for those with an ileostomy and are available in the US and UK.

4. Centrum Specialist Energy multivitamin is noted for having an iron component that is easily absorbable for individuals with malabsorption issues.

5. Some people choose to chew every tablet after experiencing whole pills in their pouch. However, it's important to consult with a pharmacist or doctor before doing so.

6. Keep your fiber intake low and avoid hard-to-digest foods like seeds, fruit skins, and nuts if they are also passing through undigested.

7. Regular blood tests, such as every six months, can help ensure that your vitamin, mineral, and medication levels are adequate after changing formulations.

8. Herbal or spice-based remedies might sometimes replace conventional tablets, which can help reduce the issue of undigested pills. However, some medications, like high-dose omeprazole, may still be necessary.

9. Stay in communication with your healthcare providers, including your stoma nurse, GP, and pharmacist. Many medications, including beta-blockers, have liquid or soluble alternatives.