Ileostomy Lifestyle . . .
Our fluids move fast and for that our lifestyle is quite different. This timing and its effects need attention, and here we translate a few details.

Timing & Alkalinity
After eating, we need up to 3 hours to pass 1.5 — 4 pH stomach fluid (Chyme) going to the Duodenum.
The Duodenum connects our stomach to the small intestine, and is the beginning of where 90% of nutrient and medicine absorption occurs while waste products are passed along.
The Duodenum secretes alkaline to blend with stomach fluids. Its secretion goes on till that blend hits 7.0 — 8.5 pH for it to quit. Before Ileostomy this could need up to 1 hour.
Pathway is shortened from Duodenum to Stoma which used to take 1 — 5 hours.
The Ileostomy's faster fluids move alkalines away from Duodenum before full blending, so alkaline secretion continues, trying to reach that target pH. Now our skin is exposed to fluid more alkaline (8 — 10 pH) than tolerable.
Muscles can't limit output as before.
Fluid travel time can be improved with Fiber and Anti-Diarrheal meds. Try Benefiber or note many pharmacies have their own brand.
Fiber helps balance with food and Anti-Diarrheal meds.
See your system:  get pH Test Strips
First, find your own scale very easily, read output each time. That pH level will vary and can help show the effects of Fiber & Anti-Diarrheal meds. Stomach Acid Reflux (GERD) meds can affect stoma output alkalinity.

Output pH Comparison:
       Before Ileostomy  4.0 — 7.0 pH
        With Ileostomy        7—10 pH


Stoma Leaks beneath the barrier are painful, and even with no leak showing outside, the barrier requires replacement.
So we try more devices for fit and comfort.
Click Learn More for leakage info.

Absorption
Some medicines and nutrients need more time and might be passed along before fully absorbed.

Consider that liquid and gel meds may absorb faster than solids, and delayed-release meds may be out of place to dissolve & absorb (washed away).
  A few important meds to ponder:
Diabetes, diarrhea, blood pressure, seizure, anxiety, cholesterol, pain relief, or many others.
For nutrition, foods we eat have always required proper chewing (Mom said). Nutrition labels help you get maximum protein and nutrition from smaller meals and daily supplements. Eat less volume per meal and have more meals in a day to accomplish better intake.
Good eating style doesn't require ileostomy, just practice. Pass that on!
Protein, Vitamins, Minerals and Protein need attention, liquids and gels give better absorption. Most of us need > 60-80 grams Protein/day.
Click these to see:
There are several drinks with added Protein and other nutrition, try to balance cost with your food for the day.
Click for Nutritional Drinks Ensure, Boost, Resource, Nutren, Pediasure, Nestle, online.




Shopping List
Benefiber*, Imodium*, wipes, toilet tissue, anti-bacterial-hand-soap, paper towels, liquid protein nutrient drinks,
pH Test Strips, etc., etc.
 *names shown may be generic


Patrick Mullins
2018