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Oct 17, 2018

Diarrhea After Stoma Irrigation: Seeking Advice and Experiences

This topic is about managing unexpected diarrhea episodes after stoma irrigation. The person who started the discussion usually irrigates daily in the evening and generally has well-formed stool. However, every couple of weeks, they experience sudden bouts of loose output shortly after irrigation. They are curious about whether others face similar issues and if using Imodium or other strategies can help manage these episodes without causing constipation.

Here are some insights and advice shared by others:

1. **Diet as a Control Measure**
- Many people find that unexpected output is often linked to specific foods. Keeping a food diary can help identify personal triggers, such as certain fruits or large quantities of specific foods, and adjusting your diet accordingly might help.

2. **Normal Watery Residue**
- It's common to have some watery or liquid seepage after irrigation, which isn't necessarily diarrhea. Timing your irrigation in the evening and using an irrigation sleeve overnight can help manage this.

3. **Using Imodium (Loperamide) Carefully**
- Some have experienced constipation with full tablets of Imodium, so using the liquid form and measuring small doses with a syringe can help fine-tune the effect without over-slowing the bowel.
- Others found that even a small amount, like half a tablet, can make the output too thick, so they stopped using it.
- No one reported using Imodium on a fixed daily schedule; instead, they prefer minimal and occasional use if absolutely necessary.

4. **Timing of Irrigation**
- Switching from evening to morning irrigation led to more liquid output for one person. Returning to evening sessions or ensuring the colon is at rest during sleep might reduce unexpected episodes.

5. **Staying Hydrated**
- When using anti-diarrheals or experiencing liquid output, it's important to drink plenty of water to prevent dehydration.
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