Saturday, May 09, 2026

Nursing Choya Back to a Balanced Gut Microbiome

I have changed my sleep patterns and timings since April 1st, when 'Choya's Great Laosai' began. They are changed out of necessity. Her explosive diarrhea usually arrives at 5.30am thereabouts. It's logical because she would have supper, and food ferments the longest overnight, and her stomach can't take that. She can't not have a small supper because if her stomach is empty, she would puke bile in the mornings.  

I sleep by 11.45pm or so, before midnight. I stop doom-scrolling and doing work in the nights. I swopped to clearing work when I wake at 5am or so. I re-adjusted all social calendars that could accommodate my new preferences. I eat earlier so that I don't get indigestion; I drink a lot less because I need to be sober in the night to sleep through, and wake up feeling human. I'm not a morning person at all. But getting enough sleep helps.

Once I learnt what the diarrhea is about, I know how to manage it. I don't have to stress about the unknown anymore. I can get on with the logistics of solving a problem, weighing theories with practical applications versus desired outcomes. The medication caused Choya to pee a lot more, and I don't want her to hold it or stress the bladder. I take her out for extra pee-walks. This means more work on my part since my schedule is a lot more flexible than the husband's. 

Choya has stabilized. It has been 6 weeks since. Anecdotally, when she has excessive B12 in her system, she tends to pee a lot because she would be too thirsty. Even in this heat, and the bone broth drunk, the volume of urine has increased. I noticed her dribbling pee a little (not incontinent, but she does have this quirk) near the 6-hour mark. So I gave her extra pee-walks, which worked. That meant that she doesn't need the supplements now; whatever she takes via her food is sufficient. I stopped her B12 supplements.  

From twice a day, she has tapered down to a super-low-dosage of metronidazole just once in the mornings. She seems to be doing fine. I'll take her off of metronidazole in the next two weeks. Tapering it off instead of a sudden stop. (And yes, I've spoken with her doctor about this.) Let's hope her stomach rebalances as it should, and her gut microbiome remains calm. This cycle will happen again since she has chronic IBD, and she meets clostridium all the time. May the next shitsplosion happens a lot later than sooner. 

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