A colostomy is an opening in your abdomen through which waste exits your body into an external pouch. You may have a colostomy if you have had part or all of your colon surgically removed due to illness. Drinking up to 3 quarts of water daily can keep your hydrated, but you most likely will need to adjust your diet as well, at least initially. Foods that did not bother you before your surgery can leave you feeling gassy and bloated when you have a colostomy.
Carbohydrates
Whole grains keep your digestive system regular, but when your digestive tract is partially removed, whole grains may upset your balance. The United Ostomy Associations of America -- UOAA -- suggests that colostomy patients eat refined carbohydrates --white breads, cereals and pastas -- for the first couple of months after your surgery. The refined nature of the foods gives your body time to heal. Wheat and corn are examples of grains that are insoluble fiber, which means your body cannot digest these items. After eight weeks of following a bland diet of refined carbs, begin to eat whole grains, including wheat and corn, in small amounts. Assess your condition; if you experience gas, cut back on your consumption and add these items back into your diet later.
Proteins
You can still eat your favorite form of protein with a colostomy. Lean meats, eggs and beans are all nutritious foods that provide you with the protein you need to stay healthy. People with colostomies cannot absorb large amounts of fat. Your cooking methods for meats may need to change to reflect this adjustment in your body. Broil or bake meats with minimal amounts of added fats. Instead of serving a roast or chicken with heavy gravies, offer the natural meat juices that are easier on the digestive system.
Fruits and Vegetables
Fruits and vegetables offer a wealth of nutrients, but in the first six to eight weeks after a colostomy, you may not be able to enjoy your favorites in the same tradition as before your surgery. Cooked produce, including mashed potatoes without the skins, pureed foods and peeled, baked fruits may be all your body can tolerate. As you continue to heal and adjust to life with a colostomy, you can add firmer fruits and vegetables, but you still need to peel your selections. Celery, nuts, mushrooms, cabbage and peppers may irritate your digestive tract, add to gas or increase stool odor. Consume these foods in moderation. According to the UOAA, dried fruits are not an appropriate diet staple for colostomy patients and should be avoided.
Fats and Dairy
Introduce fats and dairy products into your diet slowly and sparingly until you know how your body tolerates various foods post-colostomy. You may not have been lactose or fat intolerant before surgery, but these conditions are common in people with ostomies. Opt for healthy fats such as olive oil when cooking, and limit your intake of snack foods that contain high levels of saturated fats. Milk, cheese and yogurt are all appropriate food choices if you can tolerate dairy.
References
- United Ostomy Associations of America; Diet and Nutrition Guide; Michelle Pasia; 2011
- MayoClinic.com; Ostomy: Adapting to Life After Colostomy, Ileostomy or Urostomy; August 2009
- Jackson Siegelbaum Gastroenterology; Colostomy, Ileostomy, Rectal Pouch Diets; Frank W. Jackson
- Drugs.com: Colostomy Care



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