Terminal ileostomy output after food introduction typically falls within which range?

• A. 200-400 cc/24 h
• B. 300-700 cc/24 h
• C. 800-1700 cc/24 h
• D. 1500-2000 cc/24 h

Answer: (C)

When a terminal ileostomy starts receiving food, the output becomes more liquid and volumes rise as the small bowel processes oral intake. The typical daily pouch output after food introduction falls in a broad range around 800 to 1700 mL per 24 hours, with most patients settling in the 800–1500 mL zone. This reflects normal adaptation and the high fluid/electrolyte content of ileostomy effluent. While some individuals may experience higher outputs, especially with high fluid intake or certain diets, the range 800–1700 mL per day best represents what is commonly expected. The lower ranges are usually not seen once feeding has begun, and extremely high outputs beyond 1700 mL are less typical.