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Going back to work is something that I am very reluctant to do given the nightmare I'm experiencing with my loop ileostomy. The main issue is the output, it's very acidic and watery , so much so that if you leave your skin exposed for one minute, expect burning and severe irritation.

Finally I've gotten the situation under control by taking imodium/loperamide and using mouldable rings alongside my ostomy bag to prevent leakage . But is it safe to take 6 imodium a day, and how long does it take to work?

Typically my routine is , two imodiums in the morning on an empty stomach and not eating for two hours and two before I go to bed, but I make sure a long time has passed since I had anything to eat.

Now I know that there are three areas of the small intestine and the ileum is the last part but never did I expect to see such a difference in acidity between the output of an end ileostomy and a loop ileo. So my question to you guys ,at 2am in the morning ,is how far up in the small intestine is a loop ileo ?

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It depends. The surgeon tries to make it as far "downstream" as possible, but even a few feet makes a difference. You can take up to 8 Imodium a day. It is quite safe, even at higher doses. However, there just really isn't much of a benefit beyond 8 per day. The main danger with Imodium is constipation, but you'll know if you have slowed too much.

Jan

As a preventive measure I suggest you also apply ilex protectant  paste around your Stoma  and if you can source them or a similar product, also apply a Salts Stoma Collar ontop of the paste and over your Stoma.

Ilex paste will protect your skin should your Stoma leak again in the future, it can also be used to treat the skin if damage by the contents of a leaking ileostomy bag

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