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A well-balanced diet is essential for those who have an ileostomy (an opening into the ileum) or a colostomy (an opening into the colon). As water is typically reabsorbed by the body in the colon, all groups lose fluid through the ostomy. For patients with ileostomies or colostomies, a normal daily liquid consumption is 2 liters (or 8 cups). It is advisable to consume primarily water and avoid beverages such as colas, strong teas, or coffee.

Salt must be consumed in moderation by both groups. Salt is wasted through ostomy that might otherwise be reabsorbed in the colon. Due to the extreme danger of dehydration, individuals with ileostomies must add more salt to their diets. Colostomies patients should consume a reasonable quantity of salt as part of their normal meal.

When more than 100 cm of the terminal ileum has been eliminated with the ileostomy, vitamin B12, A, D, E, and K supplements may be required. If you’re not sure if it is applies to you, talk to your doctor. Individuals who have ostomy may experience issues like diarrhea, constipation, odor, gas, and/or obstruction. Most people can maintain a consistent diet, but if any of the following issues arise, it may be essential to make certain changes.

Diarrhea

Because ileostomy stools are frequently liquid, diarrhea is typically defined as more than 1000 mL of loose, liquid feces each day. Diarrhea is typically characterized as irregular, watery feces in those who have colostomies. The following information may assist in the relief of diarrhea:

  • Boost your overall water intake to 2½ liters (10 cups) each day. 
  • Apple sauce, bananas, yogurt, rice, and oatmeal are among the items that can help improve your stool.
  • Avoid foods like prunes, prune juice, alcohol, broccoli, cauliflower, Brussels sprouts, and cabbage, which might cause diarrhea.
  • Add more salt to your meals or consume salty foods.
  • Eat bananas, oranges, tomatoes, potatoes, meats, and dried fruits that are rich in potassium.

Constipation:

Those with colostomies can experience constipation (not with Ileostomies). Constipation can be relieved by doing several things:

  • Drink at least 2 ½ liters (10 cups) of water each day.
  • Fiber-rich foods include bran, fruits, vegetables, and whole grains. Prunes, as well as prune juice, may be beneficial.

Odor

If a smell is an issue, you should seriously consider:

  • Avoid foods like broccoli, cauliflower, cabbage, turnip, Brussels sprouts, beans, garlic, and onion, which cause a smell.
  • Add odor-reducing foods like parsley, buttermilk, and yogurt.

Gas:

Most of those meals mentioned above can create gas and should be avoided to prevent odor. Gas may also be produced by swallowing excessive air, therefore if you have gas, chewing gum and consuming soft drinks must be avoided.

Obstruction

Patients with ileostomies may have obstructions. An obstruction may have developed when there’s no stool production from the ileostomy for so many hours. To avoid a blockage, do the following steps:

  • A minimum of 2 ½ liters (10 cups) of liquids should be consumed each day.
  • When eating high-fiber meals for the first time following surgery (ileostomy), just take 1 new food item at a time. Items with seeds or pits must be approached with caution (e.g. popcorn, nuts, seeds, corn, strawberries, or raspberries).

Ileostomy and Colostomy Diet Advice

It’s necessary to concentrate on your diet daily if you’d like to ensure that your body is treated properly and heals correctly. Understand that living a healthy lifestyle, not just a diet, is the key to success. For caring for your ileostomy and colostomy, follow these simple guidelines:

Eat a Balanced Diet Every Day

Consume modest meals during the day to allow your body to digest correctly. If you eat smaller amounts, your system can digest them faster, resulting in less gas as well as more effective digestion.

Consume In Moderation: 

It’s important to remember to consume in moderation. Excessively food consumed too fast might create digestive issues and cause you to feel ill. If you want to experiment with new meals, start with a small amount and observe how your body responds. If everything is in order, you should be able to consume it again. If you’re not feeling well, have stoma issues, or have a lot of gas, the food isn’t going to agree with your body.

Chew Food Properly

Take your time chewing your meal correctly when you’re eating. It will improve in healthy digestion and absorption of all nutrients. It also lowers the chances of a stoma obstruction.

Ostomates can generally consume a normal diet as long as they get enough liquids and salt. Only one new food should be attempted at a time when introducing a new food, especially if it may cause a problem (diarrhea, constipation, odor, gas, or obstruction). In care for your ostomy, it’s crucial to be aware of potential difficulties and how to assist alleviate them.