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Oct 10, 2018

Imodium for Travel - Dehydration Tips?

Planning a Mexican cruise can be an exciting adventure, but if you have an ostomy and experience high output, it’s important to prepare for managing your condition while enjoying your trip. Here are some helpful tips and insights to ensure you have a comfortable and enjoyable experience:

- Hydration
- Make sure to drink plenty of plain water and use electrolyte drinks like Gatorade or Vega “Electrolyte Hydrator” powder. Start hydrating before your outings and flights, as these can be dehydrating.
- In Mexico, consider trying “nopales” (cactus) water or pills for hydration and added fiber.
- Check the cruise line’s rules about bringing outside beverages. Some may require medical documentation to allow them.

- Imodium / Loperamide Usage
- Some common daily regimens include taking 2 tablets three times a day, 1 tablet with each meal, or 2–4 tablets split between morning and early afternoon to manage evening output.
- While some people safely use 6–8 tablets per day, be cautious of potential constipation or blockage. Monitor your body’s response and stop if you experience cramping or bloating.
- Consider buying generic loperamide online to save on costs.

- Alternative or Supplemental Medications
- Tylenol with Codeine 30 mg, taken 15–30 minutes before meals, is noted as an effective alternative for slowing output. Long-term users report no liver issues or addiction at low doses.
- Other medications like Lomotil or paregoric are mentioned but may be less effective for some.

- Food / Timing Strategies
- Eat lightly while traveling. A protein drink for breakfast and minimal food until evening can help keep output lower.
- Avoid eating after 6 p.m. if you have an early start planned to begin the day with an “empty” system.
- Choose binding foods such as apples, peanut butter, and crackers, and avoid dishes high in butter or oil. Request dressings on the side.
- Test fiber sources like slippery elm, psyllium, or apple pectin capsules before your trip.

- In-Pouch Thickening Products
- Products like ConvaTec “Diamonds” or similar gel crystals/tabs can help thicken liquid output into a paste. However, they might make the stool too thick for easy emptying, so it’s best to test them at home first. Samples are available from ConvaTec.

- Supply & Contingency Planning
- Pack more ostomy supplies than you usually would to account for dietary or climate-related changes.
- Consider carrying a small trowel or be comfortable using natural settings when bathrooms are unavailable.
- If high output persists, consult your surgeon or stoma nurse, as medication adjustments may be necessary.

By following these tips, you can better manage your condition and focus on enjoying your cruise and the beautiful sights of Mexico.
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