What does high output ileostomy mean?

What is a high output ostomy? A high output ostomy is when you have more than 2 litres (8 cups) of fluid from your ostomy in a 24 hour period. The output is usually very watery and needs to be emptied 8 to 10 times or more a day. The output may also be very difficult to pouch and often leaks.

What causes high output colostomy?

Causes include obstruction, new medication or new onset of bowel pathology e.g. inflammatory bowel disease. Up to 20% of HOS will remain with a high output until the stoma is reversed.

How do you manage high ostomy output?

For high ostomy output, your doctor may have you take medicine to help slow down output. If you are having high ostomy output, talk to your doctor about increasing or adding medicine to help. You lose sodium, potassium, and water in ostomy fluid, so it is important to stay hydrated.

Is High ileostomy output a complication?

High output ileostomies are important complications of stoma formation following bowel surgery. Adequate management of such stomas might prevent severe morbidity and mortality when this potentially fatal complication develops.

How do I control my ileostomy output?

Slowing Output for Pouching Changes

Applesauce.
Boiled rice or noodles.
Creamy peanut butter.
Tapioca pudding.
Bananas.
Peeled potatoes.
Toast.
Yogurt.

What is the normal output of a colostomy?

Goal ostomy output is less than 1,500 milliliters, or 1.5 liters in a 24-hour period. Goal urine output is more than 1,000 milliliters, or 1 liter in a 24-hour period. Certain foods and drinks can increase stool output, or worsen diarrhea.

When should you replace stoma output?

Naso-gastric, stoma, or salivary fluid loss needs to be replaced once the volume exceeds 20ml/kg in a 24 hour period, in order to prevent complications due to dehydration, electrolyte imbalance, and failure to thrive.

How do I bulk up my colostomy output?

Foods which may help thicken output:

Starchy foods such as white bread, pasta and mashed potatoes.
Marshmallows or jelly babies.
Jelly.
Ripe bananas.
Apple sauce.
Rice cakes.
Banana bread.
Peanut butter (smooth)

How is an ileostomy different from a colectomy?

Colectomy with ileostomy surgery for inflammatory bowel disease (IBD) A colectomy removes all or part of your large intestine (colon) and an ileostomy (a type of stoma) is then formed using the end of your small intestine. A stoma is an opening in your abdomen which is surgically created.

What is the normal output of an ileostomy?

output, which in turn may lead to dehydration and kidney injury. A normal, mature ileostomy should only make about 1200mL of output each day (Table 4). Jejunostomies can initially put out up to 6 L, but this too will decrease with the help of medication. On the other hand, colostomies usually only put out 200-600mL/day.

Why does my ileostomy cause so much diarrhea?

Some patients fail to adapt adequately and have high ileostomy outputs from the time of surgery. Others with a previously well-adapted ileostomy may encounter periods of sustained high output when some additional process causes diarrhea.

What happens when you have a high output ostomy?

When you have a high output ostomy, your ability to absorb fluids is reduced. Drinking too much fluid can increase the output from your ostomy and cause you to become dehydrated. This may be opposite to what you might expect. To help you absorb fluids: • limit the amount of fluids you drink. • change the types of fluids you are used to drinking.