This topic is about managing and preventing uric-acid kidney stones for individuals who have an ileostomy. After surgery, some people may experience these stones, and the discussion revolves around effective strategies to prevent them. Here are some helpful insights and advice shared by others:

1. Hydration
- It's crucial to stay well-hydrated. Aim for urine that is almost clear, as this can help minimize the formation of stones.
- People with ileostomies are more prone to dehydration, which increases the risk of developing stones. So, remember to "drink, drink, drink."

2. Prescription Medications
- High-dose potassium citrate can be prescribed to help alkalinize urine and neutralize excess uric acid. This should be monitored with follow-up urine collections and bloodwork to ensure its effectiveness.
- Allopurinol is another medication that can significantly reduce uric-acid production. It's affordable and generally has few side effects. However, it should be used with caution, especially for those with liver issues, as it can stress the liver over time. A physician should assess its suitability.

3. Genetic Predisposition
- Some people naturally produce more uric acid. For these individuals, medication might be necessary in addition to maintaining good hydration.

4. Supplements
- The original poster mentioned reading about Lecithin supplements as a potential aid, but there was no confirmation or refutation from others regarding its effectiveness.