About 6–8 weeks after surgery: After your bowel has healed and your ostomy is working well, you can go back to your usual diet. Use Canada's Food Guide to eat a variety of healthy foods every day.
It's best to eat mostly bland, low-fiber foods for the first few weeks after your surgery. Bland foods are cooked, easy-to-digest foods that aren't spicy, heavy, or fried. Eating bland foods will help you avoid uncomfortable symptoms, such as: Diarrhea (loose or watery bowel movements)
In general, people with an ostomy can eat and drink what they want unless the surgeon or ostomy therapist has given counter-advice. But as before the surgery some food may be easier to digest than others – and right after surgery it may be helpful to pay some extra attention to the signals from your body.
Patients often start passing gas and stool through the rectum in 24 to 48 hours (one-two days), but sometimes it takes 72 hours (three days). By the third or fourth day after surgery, patients are often discharged from the hospital. The closure of the stoma in the belly is done with sutures (stitches).
Passing wind with a stoma
When you have a stoma, there are only two options for gas. It has to come out of your stoma, or out of your mouth. From your stoma, gas usually leaks very slowly into your stoma bag.
Most people will be able to feel their bowels move and know when poop is about to come out. But you won't be able to control it anymore. Unlike your anus, your stoma doesn't have a muscle system that allows you to close it at will. So pooping won't be the intentional action that it used to be.
Applesauce, Bananas, Boiled white rice, Creamy nut butter (such as peanut butter), Oatmeal/porridge, Gelatin containing foods (jelly babies, marshmallows).
Drink sports drinks (such as Gatorade or Powerade) and oral rehydration solutions (such as Pedialyte). These drinks will help replace your fluid loss quickly, especially if your ostomy output is high. A high output is more than 1000 milliliters (about 34 ounces) per day.
It's always a good idea to empty or change your stoma bag before you go to bed as it will help to prevent your bag from filling up too much overnight and disturbing your sleep. A full stoma bag is always at risk of leaking and that's not something you want to experience during the night.
You can normally start bathing or showering two to three days after your operation, but your Stoma Care Nurse or ward staff will give you more specific advice.
You can eat whatever you want if you have an ostomy
If you have a colostomy or ileostomy, you'll find that various foods affect your digestive tract differently. Just as some foods gave you gas before your surgery, you'll likely experience gas with certain foods now that you have an ostomy.
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.
Lifting weights can put a strain on your healing tissues after your surgery. If you want to resume weight lifting, talk to your doctor or ostomy nurse about a binder or hernia prevention belt to support your abdomen while you lift. Sit-ups and crunches can be uncomfortable with an ostomy bag, also called a stoma bag.
Other foods that colostomy patients tolerate well are bananas, tapioca, sticky white rice, and white toast. Small quantities of lean animal proteins are also beneficial.
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.
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.
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)
If you allow it to get too full, the weight of the stool may pull the pouch away from the skin. A person with an ileostomy will need to empty the pouch about five or six times in a 24-hour period. If you have a colostomy, you will need to empty the pouch two or three times in a 24-hour period.
Can a colostomy bag qualify for disability benefits? Yes. As a general rule, if you have a colostomy bag that makes it difficult to work, you'll qualify as disabled. If your colostomy bag is functioning well or if you expect to have it reversed within the year, you probably won't qualify.
A colostomy is an operation to divert 1 end of the colon (part of the bowel) through an opening in the tummy. The opening is called a stoma. A pouch can be placed over the stoma to collect your poo (stools). A colostomy can be permanent or temporary.
Many people worry that their colostomy will give off a smell that others will notice. All modern appliances have air filters with charcoal in them, which neutralises the smell. Most people will be aware of the smell of their colostomy because it's their own body.
Many ostomates worry about odour. If the stoma bag fits well there should be no smell except when changing it. If you do notice a smell from your bag, you should check it as there may be a leak under the flange and the bag will need changing.