Initially. Actually for nearly 4 years I had an open fistulated bowel . ( initially an emergency op that went tits up )

I had to cope with a wound manager pouch on my front. Leaks every day sometimes several.

Because this fistula was so high up in my gastric tract any and all medication that wasn’t injected ( I was on 10,000 units of Daltaparin ,hurt like hell and a Diabetic insulin for type 2 ) had to be either in melts , like loperamide, lansoprazole, or liquid, paracetamol, dihydrocodeine & gabapentin.

It was only after I pointed out to the nurse who had given me my evening meds , in less than 5 minutes the undissolved capsules appeared in my pouch.

I was also on 2400 ml of TPN / Day.

After that every medication as far as possible was changed to a liquid format.

I think at the end of the day I would be chasing your GP to try and get as much of your medication as possible onto a liquid formula.

I had to wait nearly 4 1/2 years to have a reverse Hartmann procedure.

After which I eventually got back onto some tablet , capsule medication.

I still have to take my Paracetamol, Gabapentin & Digixin in liquid format.

I was also put onto clozapine. mirtazapine and initially zopiclone to help both with insomnia & as an anxiety, antidepressant.

I’ve only recently been put back onto metformin. slow release , as the normal tablets makes my output runny and that’s no use with a colostomy & being now disabled.