10. High Ileostomy Output


Patient is able to identify potential complications, preventive measures for, and management of, high ileostomy output.


High ileostomy output (over 1000cc in a 24-hour period) may occur following the construction of the pelvic pouch with a loop ileostomy. The stoma can be constructed quite proximal following pelvic pouch surgery to avoid tension on the bowel. This surgical scenario may result in higher than normal stool outputs.

With high ileostomy output, the patient would experience the following signs and symptoms:

The patient needs to be encouraged to:

If outputs remain high, medications such as Imodium™ or Lomotil™ may be introduced to help slow the tract. Medications should only be administered under the supervision of a physician. Intravenous replacement fluid may also be required.

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