This topic is about the challenges of medication absorption for someone with an ileostomy, particularly when they have a rapid output. This can be a concern because it might mean that medications taken orally aren't being absorbed properly, leading to symptoms like increased pain and hot flushes. Here are some helpful insights and advice for managing this situation:

1. Talk to your doctors regularly about how an ileostomy can affect drug absorption. Ask them about alternatives to oral medications, especially those that aren't time-released.

2. Avoid medications that are enteric-coated, sustained-release, or timed-release, as they might not be absorbed properly and could pass through your system undigested.

3. If you only have access to solid medications, consider opening capsules or crushing tablets and mixing them with juice or soft food to help with absorption. Always check with a pharmacist before doing this.

4. Opt for fast-acting medication forms like liquids, dissolvable tablets, or gel-caps whenever possible, as they are more likely to be absorbed effectively.

5. Keep an eye on your pouch for any intact or partially dissolved pills. If you notice any, inform your doctor.

6. Eating small, frequent meals can help slow down gut transit time, which might improve medication absorption.

7. Be careful with high doses of loperamide. While it can help manage output, taking too much can lead to other issues. Discuss the appropriate dosage and any potential risks with your healthcare team.