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.
It is normal for some food to pass through to the stoma unaltered. However, foods high in fibre may cause a blockage because they are difficult to digest when eaten in large quantities or not chewed well. Foods that may cause constipation or blockage: Vegetables with skins or stalks such as celery, peas or sweetcorn.
Avoid foods that commonly cause gas. These include beans, cabbage, onions, and spicy foods. Some foods can cause cramping or may be difficult to pass through an ostomy if they are not chewed well. These include nuts, popcorn, and corn.
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.
Choose fresh fruit juices in addition to water and hot tea. Sometimes carbonated drinks may help. Gently massage around your stoma to try to encourage the blockage to work its way out.
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.
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.
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).
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.
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.
You can bathe or shower with or without wearing your pouching system. Normal exposure to air or water will not harm or enter your stoma. If you're showering without your pouch, remove the skin barrier too. Try to create a routine that coincides with when you're due for a pouch change.
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.
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.
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.
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.
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.
Fizzy drinks will increase the amount of wind that you pass in your ileostomy or colostomy pouch. It is likely to make your stoma more vocal and can cause ballooning of the pouch. To reduce this avoid fizzy drinks or drink them in moderation.
Adjusting to a colostomy can be difficult at first, but it does not mean you cannot enjoy a full and active life. Colostomy equipment is discreet and secure, and you should be able to do most of the activities you enjoyed before.
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.
What CAN you eat? There are lots of low-residue desserts, including angel food cake, chocolate chip cookies, brownies, pumpkin pie, lemon bars, ice cream, pudding, canned fruit, etc.
Food options for people recovering from a colostomy include: non-fat or low-fat skimmed milk. lactose-free dairy products. yogurt.
Try several different body positions, such as a knee-chest position, or lie on the side of your stoma with knees bent, as it might help move the blockage forward. Massage the abdominal area and the area around your stoma. Most food blockages occur just below the stoma and this may help dislodge the blockage.
After ileoanal pouch surgery is complete, the temporary stoma is closed. Stool and gas will leave your body through your anus, as they did before surgery. At first, you will have more frequent bowel movements, up to 15 per day. You may have mild bowel control problems and may need to wake up from sleep to pass stool.
You may wish to keep your clothing loose for the first couple of weeks, because your tummy may feel uncomfortable. But the good news is that in a few weeks, you should be able to wear your usual clothes. Wearing tight-fitting clothes will not affect your stoma.