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Mar 10, 2019

Need advice on managing colostomy and improving bowel movements

This topic is about managing colostomy output without relying on daily laxatives. A person with a nearly one-year-old colostomy is seeking advice on how to stimulate more regular bowel movements through diet and other methods, as they prefer not to use laxatives every day. Here are some helpful suggestions and insights shared by others:

1. Colostomy irrigation
- Consider learning about colostomy irrigation. Doing it daily or every other day can help ensure predictable and thorough emptying, reducing concerns about constipation.

2. Hydration
- Make sure to drink plenty of water throughout the day, as staying well-hydrated can often help restore regular output.
- Warm beverages, like hot tea, might also help stimulate bowel movements.

3. Food ideas that promote movement
- Some people find that foods like Honey Nut Cheerios cereal and buttered movie popcorn reliably trigger output.
- Since everyone reacts differently, try experimenting with different foods to see what works best for you.

4. Evaluate what is “normal” for you
- If having two-day gaps and larger single outputs was typical for you before surgery and you experience no pain or hard stool, this might just be your normal pattern.
- While medical guidelines provide averages, it's important for ostomates to track and respect their own unique patterns.

5. Caution against routine laxative use
- Many advise against using daily laxatives, as long-term use can lead to dependence or cause blockages when stopped.
- Before making any changes to medication, discuss options like irrigation, diet, and fluid intake with your doctor.

6. General tips
- Review your bowel patterns before and after surgery, as they often align once the initial healing period is over.
- Keeping a simple food and output diary can help you identify personal triggers and better understand your body's responses.
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