A stoma producing more than about 1.5–2 liters (1500–2000 mL) in 24 hours is considered high output. Prompt attention helps prevent dehydration and kidney problems.
Warning signs
- Emptying the pouch more than about six times per day
- Watery output
- Dark yellow or cloudy urine, increased thirst, dry mouth or skin
- Headache, muscle cramps, fatigue, lightheadedness, or feeling generally unwell
Basic prevention
- Drink 8–12 cups of fluid daily; more if you are sweating or have diarrhea
- Include foods and drinks with sodium and potassium as advised by your care team
- Oral rehydration solutions may be recommended
If high output develops
Increase appropriate fluids, follow diet guidance, and use fiber supplements only if recommended. Contact your wound ostomy nurse or the office promptly. Medications such as loperamide or others may be prescribed. Some patients need IV fluids.
Urgent: Severe dehydration can be dangerous. Call (208) 302-2400 or seek emergency care if you cannot keep fluids down, feel faint, or have markedly decreased urine.