This topic is about finding alternatives to Milk of Magnesia for someone with an ostomy who needs to keep their stool soft and prevent issues like pancaking. The caregiver is looking for other options because the current solution is causing stomach pain, and the person is also taking Tramadol, which can make the stool harder. Here are some suggestions and insights shared by others:

1. Fruit and Fruit Juices:
- Drinking cherry, apple, or prune juice can help when the stool becomes too firm.
- Fresh, unpasteurized apple cider from an orchard, about 10 ounces daily, has been very effective for some.

2. Fiber Foods and Supplements:
- Honey Nut Cheerios cereal has been noted to quickly loosen stool for some individuals.
- Citrucel, an orange-flavored methylcellulose powder, can be mixed into hot tea.
- Metamucil, which is made from psyllium husk powder, is recommended for maintaining a good stool consistency.

3. Hydration:
- It's important to drink plenty of water, with a recommendation of at least 6 glasses, or about 1.5 liters, per day. This advice is supported by both medical professionals and community members.