How to handle Hydration & Blockages when in an ostomy with guest Dr. Joga Ivatury

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How to handle Hydration & Blockages when in an ostomy with guest Dr. Joga Ivatury

Рет қаралды 13,867

Күн бұрын

Ask the Dr! This episode is chock FULL of information about how to deal with hydration and blockages directly from Dr. Joga Ivatury, Chief of Colorectal Surgery at Dell Medical School at University Of Texas Austin, and my surgeon.
We all have so many questions about life in our ostomies so I thought it would be great to create some ASK THE DR episodes.
So get ready to listen in and learn how the body handles hydration issues when you are in an ileostomy and colostomy.
We also discuss what to do in the case of blockages and how to prevent them.

Пікірлер: 15

@lcee6592 3 ай бұрын

My wife has had her ileostomy for 6-7 months and everything flies right through. Her small intestine hasn't learned anything. I have to give her daily infusions (1000-1500 ml) so her kidney function doesn't bottom out from dehydration. She drinks a variety of things all day long and it's not enough hydration! I believe she has what is known as short gut syndrome but not confirmed. She has tried anti diarrheal pills to prescription powder and it hardly does anything to slow her output. She can't barely maintain her weight and eats twice what I eat in any given day. It's been very hard to deal with and the options are ???

@arzooarora9297 3 ай бұрын

How she is doing rightnow I m in a same situation Got ileostomy and I feel dehydration everyday Do I need to get iv fluids on daily basis?

@lcee6592 3 ай бұрын

@@arzooarora9297 Thanks for asking, she is maintaining, most everyone with an ileostomy has higher dehydration issues. Your kidney function will play the biggest role in if you are getting enough hydration. Blood tests will reveal if there is a problem. Also with electrolytes, mainly potassium and magnesium. I believe most ostomy patients will need some infusions, especially when they first get their ostomy, but at least every now and again. Make SURE your doctor is checking your kidney function and keep track of your urine color and output. Your urine should still be light colored like normal and output should not diminish too much from pre ostomy surgery. Be sure to look for drinks with electrolytes in them with low or no sugar. Keep something by your bedside at night as well. Stay hydrated!!

@carolepenfield7295 2 ай бұрын

3:43

@dinaimb518 6 ай бұрын

I’m sorry but it’s not a beautiful bag. I’ve had my ileostomy since I was a child and had 2 kidney transplants and also an amputee. Born with congenital anomalies and my 2nd kidney transplant which happened in 2021 is put right under my ileostomy and all I’ve had is problems. I lose too much fluid and have hyper granulation around the stoma which I have to get burned off by my dermatologist but they grow back. When the bile and stomach acid come out it stings abs burns so bad. I am a prisoner in my own body. I had to quit my job cause of this damn. ileostomy I eat it comes right through me. I’m in the hospital for months to regulate electrolytes and get stuck with iv fluid with bad veins for all my surgeries that I also get a pic line in the neck for labs and medication. Not fun when I go through all this crap just to be healthy to keep the kidney and have no life cause of this bag and ileostomy. Talk about stuff that’s bad abs hard for people like me. What should I do? I lost all faith in my life and nothing works. I’ve seen GI doctors, colorectal surgeons and no one can come up with anything to help me. So not only is my kidney getting compromised because of fluid loss, but I’m also in constant pain from the granulomas. So if you could help me that would be great. Can’t drink pedialyte or Gatorade, too high in potassium with kidney transplant which means more medications that mess up my digestion. So yeah u may be happy with ur bag but I’m in misery cause I had to give up my whole life just for my health and talk about deep depression and having no purpose in life. I lost everything. Everything !!

@kristinepauwels4086 5 ай бұрын

Sorry dear, so sorry you have to go trough this. Have you tried carnivore diet. Had colostoma and illeostoma and kidney problems. I felt good with eating meat. All kinds. Red meat. Chicken . Porc, lamb,.. also fish, eggs, milk and cheese. For vitamine C you can eat liver. Organ meat. After a big part of my intestine has been removed I can not digest fibre anymore. Fruit and vegetables are no longer for me. Bread, cake neither. Try to find some info about carnivore and give it a try. Take it slowly.

@LeeAnneHayden 5 ай бұрын

Kristine, Thank you for responding to Dina. Having been in the same situation is helpful.

@LeeAnneHayden 5 ай бұрын

I am so sorry you have gone through all of this and feel this way. Kristine gave some great advice about food below. Let me do some more research and see if I can find some more information for you as well. One day at a time and know you are not alone in this. There is a world of other ostomates that will be here for you

@kristinepauwels4086 5 ай бұрын

@@LeeAnneHayden I found out that when I ate meat there was no residu even in my illeostoma bag. Vegetables and fruit didn't digest and gave me pain and discomfort. Some doctors really present the carnivore diet whilst others insist on eating fibre. One has to find out for themselves. It sure helped me to eat almost only meat.

@LeeAnneHayden 5 ай бұрын

@@kristinepauwels4086 glad that it helped you. We are all so unique when it comes to the food we can eat!