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Jul 27, 2018

Alternatives to Thicken Stools for Permanent Ostomy Patients

This topic is about finding ways to thicken stool output for those with a permanent ostomy, without relying solely on specific foods. The person asking for advice is already using medications like Lomotil, Pepto-Bismol occasionally, and Imodium, especially when away from home. They prefer to avoid using tincture of opium and are curious about others' experiences and any potential side effects of this medication.

Here are some helpful insights and advice shared by others:

- An enterostomal therapy nurse suggests that the stool output should ideally be pudding-like. If the stool is too thick, it might not drop into the pouch properly and could cause leaks. In such cases, a generic over-the-counter stool softener, which is affordable, can be useful.

- To thicken watery stool output, some people have found success with:
1. Increasing the intake of complex carbohydrates, such as macaroni with sauce. This has been described as a highly effective method for improving stool consistency over the years.
2. Consuming more dairy products, like milk with cereal and cheese with bread, which has consistently helped firm up the stool for some individuals.

- Regarding medications:
- Lomotil (a combination of diphenoxylate and atropine) and Imodium (loperamide) are noted for their ability to slow down intestinal transit. However, according to a long-term user, they have a limited effect on the thickness of the stool.

There was no firsthand information provided about the side effects of tincture of opium.
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