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Jul 25, 2018

Medications and Strategies for Managing Stoma Output

This topic is about managing stoma output, particularly for someone who has a permanent stoma after losing a portion of their bowel. The person is seeking advice on medications and strategies to control the output, as they currently rely on Lomotil, Imodium, and a probiotic. They experience frequent episodes of loose, high-volume output and are curious if these are influenced by food or medication.

Here are some helpful insights and advice:

1. It's normal to have some continual output with an ileostomy, so don't worry if you notice this happening.

2. To help thicken the output, try incorporating more binding foods into your diet, such as rice and bananas, along with other low-residue foods.

3. Be cautious with Imodium, as it can lead to dehydration. It's important to stay well-hydrated.

4. Lomotil is designed to slow bowel movements, but it primarily affects the colon. If your colon has been removed, it might not be as effective.

5. A gastroenterologist might suggest trying WelChol, a bile-salt binder, to help thicken stool when the colon is absent.
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