We would give topically acting steroids like oral budesonide:
1. Ecker KW, Stallmach A., Seitz G., Gierend M., Greinswald R., Achenbach: V. Oral Budesonide Significantly Improves Water Absorption in Patients with Ileostomiy for Crohn`s Disease. Scand J Gastroenterol 2003; 38: 288 - 293
2.Ecker KW: Stallmach A: Löffler; Greinwald R, Achenbach U.: Long-term treatment of High Intestinal-Output-Syndrome With Budesonide in Patients With Crohn`s Disease and Ileostomy. Dis Colon Rectum 2005; 48:237-42
The patient should measure ileostomy output for 2 days. If over 1200 ml per day, start taking loperamide up to 16 mg (8 tablets) per day, taken in divided doses before meals and at bedtime.
Eat 6 small meals per day rather than 3 larger ones.
Try limiting fluid intake with meals. Still make sure you are drinking 8-10 cups of fluid per day.