Only avoid foods that repeatedly cause problems. If the stoma bag fits well, there should be no smell except when changing the bag. Cabbage, onions, cauliflower, broccoli, legumes, asparagus, peas, beans, artificial sweeteners and carbonated beverages may increase wind.
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.
A colostomy is a surgical opening in the abdomen where the large intestine (colon) is brought to the skin's surface. The opening in the colon at the skin is called a stoma. The stoma becomes where bowel movements and gas leave your body. Having a colostomy should not affect your ability to eat and digest food.
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.
A guide to foods not to eat when you have a colostomy bag
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.
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).
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.
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.
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.
Avoid applying products that contain alcohol as they can cause dry skin. Do not use skin products made with oil. They will make it difficult for the pouch to stay attached. If you have hair on the skin surrounding the ostomy, you may need to keep it shaved so the pouch will stick.
Coffee and tea are fine, but as with anything else be aware of any reactions in your digestive system. Carbonated drinks in general can cause gas. Beer can cause the output from the ostomy to become more liquid. You can drink alcohol.
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.
Keeping hydrated with an ileostomy, colostomy and urostomy
You should try to drink 6-8 glasses of water each day along with any other drinks such as tea or coffee.
Complete recovery from a colostomy may take up to 2 months. During this time, you will have limits on what you can eat while the colon heals. If the colostomy is temporary, you may need a reversal, or closure, surgery after the colon has healed. You usually have this surgery about 3 months later.
After a stoma, the bottom part of the bowel no longer has poo passing through it, but it still produces mucus. Dead cells from the lower bowel or rectum may be mixed in with the mucus. The mucus may leak out of the anus, or you may feel the urge to go to the toilet.
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.
Dietary tips when you have stoma:
Protein rich foods such as meat, fish, beans, lentils, eggs, cheese, milk, or yogurt. Carbohydrates (starchy foods) such as bread, potato, pasta, rice, and breakfast cereals.
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.
Eat 6 to 8 small meals or snacks daily, or every 2 to 3 hours. Include salty foods and snacks such as pretzels, saltine crackers, or potato chips to absorb water. of foods to limit). Avoid sugary beverages such as juice, lemonade, iced tea, or pop.
Foods to limit
High-fat milk and dairy products, such as: Whole milk. Regular ice cream or sherbet.
Non-fibrous cereals that do not contain nuts, seeds or fried fruit e.g. Rice Krispies®, Cocopops®, corn and frosted flake type cereals. Crackers without nuts, seeds or dried fruit chunks e.g. Digestives, cheese-flavoured crackers or 'Original Ryvita®'.
Ballooning occurs when your stoma bag blows up with wind. This is usually due to the filter becoming wet or blocked from stoma output. This can cause the bag to come away from the body. Please note: Stoma ballooning can happen with a colostomy or occasionally with an ileostomy.
Make sure your clothes are not too tight around the bag.
You may need to be careful that waistbands do not rest below the stoma restricting ability to drain into your pouch. Depending on stoma placement, you may feel more comfortable with high- or low-rise waistband items, like underwear, jeans, or activewear.