It is important to increase your intake of calories, fat and protein to aid your body's healing process. In addition to your normal diet, you should look to include the following foods: Full fat milk and cheese.
Tips for eating with a stoma
Include fruit and vegetables daily. Include milk and dairy foods two to three times per day as they are rich in calcium – choose lower fat varieties as healthy options. If you cannot eat dairy, try dairy free alternatives such a soya/almond/coconut/oat milk which are fortified with calcium.
Foods that are reported to help thicken the stoma output include apple sauce, bananas, buttermilk, cheese, marshmallows, jelly babies, (boiled) milk, noodles, smooth creamy peanut butter, rice, tapioca pudding, toast, potatoes and yoghurt.
Roast potatoes – enjoy as is. Yorkshire Pudding – enjoy as is. Roasted root vegetables e.g., parsnips and carrots, neeps and tatties: peel them, cook them until soft and enjoy with your favourite flavourings such as honey and spices.
Applesauce, Bananas, Boiled white rice, Creamy nut butter (such as peanut butter), Oatmeal/porridge, Gelatin containing foods (jelly babies, marshmallows).
Eat starch carbohydrates such as white bread, low fibre cereals like rice crispies or cornflakes, potatoes (no skins) and white rice/pasta for energy and to help thicken your colostomy output.
Skin irritation around your stoma is usually caused by leakage from your ostomy pouch and the output from your stoma getting underneath the adhesive and onto your skin. It is uncomfortable and can stop your pouch from working well. The skin around your stoma should look similar to the skin on the rest of your body.
One major issue to watch out for with a stoma is the laxative effect of some chocolates. The caffeine and fibre within the chocolate can increase the rate of motility (which is the contraction of the muscles in the digestive tract that encourage bowel movements).
Once your appetite has returned and your stoma output starts normalising, you can gradually reintroduce more foods. Try to include a range of foods from each of the following food groups to make sure you have a balanced diet: Protein rich foods such as meat, fish, eggs, nuts, lentils and beans.
Make sure that you are drinking plenty of fluids – this can help to soften the stool and reduce any risk of pancaking. Water is the best for hydrating, however, some fruit juices such as prune, apple and grape are effective at loosening stool. Make sure that you eat plenty of fibre.
This is usually due to the filter becoming wet or blocked from stoma output.
Eat slowly and have smaller portions. After you've recovered from surgery, don't be afraid to try foods that you like. Test foods by trying a little bit at a time first. And avoid those sausage and egg mcmuffins!!
You must still include fibre in your diet. Choose some foods from the following list daily: Wholemeal bread. High fibre cereal e.g. Weetabix, porridge.
Foods to limit
High-fat milk and dairy products, such as: Whole milk. Regular ice cream or sherbet.
Drinks. After a colostomy surgery, the type of fluids a person drinks will also affect their colon. It is important to avoid carbonated and caffeinated beverages, which tend to cause irritation, gas, and bloating, leading to discomfort.
Here is a list of the most common stoma problems people face. They are usually related to leaks, skin irritation/sore skin, diarrhoea/loose stools, ballooning, hernias, prolapses and a few of the less common problems which may occur for some.
Many people enjoy leaving their skin uncovered for 15 to 30 minutes after taking their pouching system off. This is called a skin break. Taking a skin break can help with irritation or keep it from happening. You can decide if you want to take a skin break.
Irritant contact dermatitis is the most common peristomal skin complication. Although attention to proper fit occurs during the inpatient setting, patients need to be refitted postoperatively as stomal swelling decreases.
Raw vegetables, including salad e.g. lettuce, celery, raw bell-peppers and spring onions. Hard to digest vegetables, including beans like butter beans or green/runner beans, sweetcorn, peas, mushrooms, cabbage, brussel sprouts, spinach, kale and spring greens.
Stay away from these foods when you've recently had colostomy surgery: Dairy products, with the exception of small amount of yogurt. Fried food or any fatty meats, including potato chips. Foods that are very high in fiber such as wheat bran cereals and whole grain bread.
Eat three small meals a day, with snacks in between about 4-6 times per day. Start by eating a light, bland and easily digestible diet. Avoid fatty, spicey or high fibre foods. Drink plenty of fluids at least 6 cups per day (8 cups per day for those with ileostomies)