What is normal transit time in adapted ileostomates for solid foods?

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esoR
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   Posted 5/25/2010 10:46 AM (GMT -6)   
Hi,

Have had ileostomy for 2+ years now. My transit time for solid food at first was about 20 minutes.

Now after I eat a solid food it can be 2+ hours before I "see it."

It seems like after I eat a solid, I will see liquid in the bag that was in me from say breakfast, lots of coffee and juice.

But the thicker effluent that the solid food makes doesn't appear for hours?

Is there something wrong or is this just adaptation and is supposed to happen?

Thanks for any info,
Rosemary

summerstorm
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Date Joined Aug 2006
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   Posted 5/25/2010 4:49 PM (GMT -6)   
depends on the food. like lettuce comes out sometimes before i even finish eating the salad! I have no idea how that happens, lol.
But like pizza takes about an hour and half or so.
Most of the time stuff is out within 2 hours.
UC for 8 years, before finally kicking its butt and having a permanent ileostomy April 17 2007!
-I have gone to find myself, if i get back before i return, keep me here-
No matter what kind of day you are having, take five minutes to sing loudly and dance like a fool!


Equestrian Mom
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   Posted 5/25/2010 5:02 PM (GMT -6)   
I think we are all different...I eat a high fiber diet and won't see some meals for a good 12 hours, but other meals (if they're low fiber) will be 3 hours!
Crohn’s dx 1989
some terrible years before my
Proctocolectomy in 2008


esoR
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Date Joined Jan 2007
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   Posted 5/25/2010 5:31 PM (GMT -6)   
Oh, Ok, sounds like I'm about on track. I eat pretty much of a bland diet. Today half an English muffin really slowed me down to about 2 hours, but this doesn't seem to be that slow in the great scheme of things :-) Thanks for your replies.
Rosemary

fish1
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Date Joined Jan 2010
Total Posts : 106
   Posted 5/26/2010 2:12 PM (GMT -6)   
I have been trying to eat a pasta meal at supper by 6-7 pm and it seems to help with thicker and slower out put. Most nigts I do not have to get up to empty until 5am...unless I eat something that produces gas then the baloon fills up!
50 yr old man, Colon Cancer survivor 2005
90 % of colon removed 2005 The rest 2-23-10
Illistomy scheduled for Feb-23-10 Done!
Healing up March 2010
<*(((((><


pelztier86
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Date Joined Apr 2009
Total Posts : 401
   Posted 5/26/2010 7:04 PM (GMT -6)   
I have had my ileostomy for 1.5 years now. I alter between a very liquid and massive output even without eating and a very thick ouput (I don't eat much fiber at all). This irregular output is due to my intestinal dysmotility. If I have SIBO which results in osmotic diarrhoea my tranist time (=before I can the "results" for the first time, NOT the time the stuff takes time to pass completely the small bowel) naturally speeds up and can be only 3 hours for solids.
If I have my normal thicker ouptut (although I don't eat normal amounts and have to drink pretty much) my transit time for solids is about 6hours. If I have recurrent episode with super thick output which is even difficult to get out of the bag and resembles real "formed" stool it takes 8,9h+ to see the "results" in the bag, sometimes I don't notice them even after 24h.

Post Edited (pelztier86) : 5/26/2010 7:43:09 PM (GMT-6)


esoR
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Date Joined Jan 2007
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   Posted 5/26/2010 9:15 PM (GMT -6)   
WOW! Peltz. Thanks for sharing that. That is very different from mine. As I have no dysmotility. Thanks again, good comparison. Rosemary

PS Sorry you have that dysmotility issue.

pelztier86
Regular Member


Date Joined Apr 2009
Total Posts : 401
   Posted 5/28/2010 7:36 PM (GMT -6)   
Rosemary,

do you mean that the food has completely passed your small bowel mostly within two hours? Or do you see the first results after two hours but it will tkae another one hour for the stuff to ass completely your small bowel?

When I can see the first results in the bag after 6 hours it can take up to 9-10, sometimes 12 hours for the stuff before it has passed all. So you can add to my other transit times +3-4h, sometimes+6h

esoR
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Date Joined Jan 2007
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   Posted 5/29/2010 10:46 AM (GMT -6)   
Hi Peltz,

Yeah, you are on the right track. If I am very hungry such as in the morning and have coffee, orange juice, and rice cereal it will first start to appear in usually 15 minutes then usually be all out of me in about 45 minutes. To change my bag in the a.m. I have to not eat after 5 p.m. to change at 10:00 a.m. the next day or I will be outputting while I change. Not a good situation.

But then being so hungry, I have gas come out while I eat, then it takes up to an hour for me to see first appearance of food or liquid. This USED to appear in 15 minutes and my bag would be full in 20 minutes. Identifiable Orange Juice, smell of decaffinated coffee when I emptied the bag.

However lately if I eat a solid such as an English muffin it can be up to an hour before pudding like effluent appears, so I start to panic, drink grape juice, and it flushs the solids and the grape juice out of me almost in 15 minutes. Maybe I don't need to panic and just let nature take it's course. Maybe I am "normal" and don't know it.

The panic comes from having the small bowel adhesions but prior to their take down in 2007 after which (so far anyway) I have been OK. Hope this answers your question. Let me know.

Your times do seem slow compared to mine, but check in with Kathy on Ostomyland.com about what is normal. She is very knowledgable. She is also the moderator. I think she said something about 3 hours being normal transit time to see it all passed from mouth to ileostomy stoma. Post her a question and she is super about posting back.

Rosemary

esoR
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Date Joined Jan 2007
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   Posted 5/29/2010 10:48 AM (GMT -6)   
Pelt,

I'm still trying to wrap my head around how some ileostomates eat lettuce. That would give me a stomal clog because I've had 2 on mashed potato. THat's why I stick with bland now: yogurt, rice cereal, pudding, scrambled egg! BUt we are all different. Rosemary
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