Post-Ileostomy Diet Recommendations?

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Babydoll
Apr 07, 2018 9:59 pm

Hi everyone, I didn't think I would have so many problems before and after my ileostomy surgery. Question(s) I have today is what would anyone recommend me eating after ileostomy surgery, they told me liquids at first then move to solids and so on. I am having trouble keeping anything down since I believe they gave me too many medications that make me very loopy and not myself at all. These medications have made me sick and not wanting to eat and throw up the majority of the time. What do you all suggest I can eat or drink for now? I don't really want to go back to the hospital anymore.

Thank you all again,

Dee

Xerxes
Apr 07, 2018 10:38 pm

How long are you post-op? It does take a while to normalize. As they told you, start slowly. Perhaps something like Glucerna might work and then gradually work up to solid foods. Again, with the latter, be very careful with the types of solids and the amounts that you eat. Some can cause problems. In talking to people, I find that this is a personal thing, meaning that what one ileostomate can eat, another can't. Pretty much, it's trial and error. Don't panic. Everything will work out for you, just give it some time. Good luck!

X_

Posted by: freedancer

In both of my cases, I had no choice. It was surgery or be put 6 feet under! I thank God that He has been with me all these times. Without Him, I never would have known what to do and might not have gone to the hospital when I did. I don't know if you have had your surgery or not yet but I hope you will hang out on this website when you are done. I have learned a great deal through the people here and it is so great having others who have had the same thing done and been through what you are about to or have gone through. The only thing I have turned down is a reversal of the ileostomy. When the doctors did the emergency rebuilding of my original ileostomy this last February, I told them I did not want to go through this again. My doctor told me at that time that I was no longer a candidate for the reversal. In a way, I was very relieved. The last three years of my life have been a nightmare for me. I do not want to go through any of it again. If you wish to be rehooked up and they say you are a good choice for that, research it carefully. Every surgery I have ever had except for Old and New Maxine and the emergency surgery on my broken foot, I have spent weeks researching. I recently had my C5 C6 disk in my neck replaced with an artificial one. I went to my pre-op with 2 pages of questions for the doctor. I knew everything that they were going to do and could talk intelligently with them. I always try to research my adversaries! Don't cancel your surgery. It is nice not to have to suffer any longer with horrible pain. We all had to change a few things around when we had our surgeries but in the long run, most of us are glad we did it. I know I am. Good luck to you!

Angelicamarie
Apr 07, 2018 10:40 pm

Hi Babydoll, I have a colostomy, but I just googled what one that has an ileostomy should eat, have you talked to your stoma nurse? Google what one should eat after an ileostomy, because I'm not a medical person and by no means do I want to tell you wrong. You may have to call your doctor's office and tell them that you cannot hold the liquid down. I'm sure someone will jump in and perhaps be able to advise you better. Truly, I would call the doctor's office. Good luck! Angelicamarie

mild_mannered_super_hero
Apr 08, 2018 12:03 pm

Hello, I can remember back when I had chemo, a lot of things I normally ate caused nausea.... As an example, I love Diet Coke, but back then, one sip of one would make me instantly sick to my stomach. I think you will just have to eat some small portions of different things and see how you react. It may be something weird... Mine was a grilled cheese sandwich, it was the only thing I could eat for a while that didn't make me sick. Best wishes and prayers for you as you go through this recovery time. Stay strong. Mmsh

dadnabbit
Apr 08, 2018 12:23 pm
Very helpful

Babydoll, I have an ileostomy for almost four years now. I am very lucky that I can eat pretty much anything I want, but different foods cause the body to react differently. Some (like onions, broccoli, and cabbage) cause gas, some (like pasta, oatmeal, and sweet potatoes) cause very thick output, and some (like sugar-laden items and salad greens) cause very liquid output. The real trick to what you can eat is that EVERYTHING must be chewed very thoroughly. CHEW, CHEW, CHEW, and ALWAYS drink fluids with anything you eat. Ileostomates tend to dehydrate very easily and quickly. Many folks tend to stay away from things like nuts, popcorn, or regular corn, and items that normally are more difficult to digest. I eat everything but am careful about amounts and CHEWING THOROUGHLY. The colon is the organ that absorbs fluids from the foods we ingest, and without a colon (or even missing a part of a colon), our output will be more liquid than a formed stool. If you are suffering abdominal pain, are vomiting or running a temperature, you have the symptoms of a blockage or a partial blockage. Gentle massage and HOT liquids can help, like tea, but if you are vomiting with ANY intake, you really should seek medical help and advice. A blockage of more than 6-8 hours distends the remaining intestine and can cause punctures, sepsis, and permanent damage. It can kill you. Doctors will tell you that if you even might possibly have a blockage, seek help.

About medications, they will generally not make you vomit. Loopy, yes, but you should be able to take necessary meds without issue. BUT, pain meds will NOT help the pain of a blockage. Also, you will find that any time-released medications DO NOT work as they should as they don't have enough time in your system to be effective. So be sure that your PCP is aware and adjusts any regular medications that you are on to ones that are not coated or time-released.

Good luck and feel better.

Peace

Nancy

 

My Ostomy Journey: Keyla | Hollister

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NJ Bain
Apr 09, 2018 2:14 pm
Very helpful

Dee,

I concur with everything Nancy said. Chew your food up very, very well and stay hydrated. I've had an ileostomy for 23 years and you learn how certain foods affect you. Below is a link on how some foods can affect you. There are several online but this one is pretty short and simple.

Ostomy Food Chart

I can pretty much eat anything now like Nancy can, but you're pretty fresh out of surgery. It will take time for your body to adjust but you will get there. I was able to adjust pretty quickly to eating regularly. Just take your time. Stick with clear liquids or soft foods for a few weeks. Eat small portions. If you feel like you're going to get sick, try to hold a pillow tight against your abdomen as it will alleviate pain and keep you from busting your stitches. And as Nancy stated, if you have any pain or run a fever, get to the ER quickly. Hope this helps.

Bain

SusieSusie
Apr 12, 2018 8:26 pm

Try running scrambled eggs, that's the only thing I could eat. I too felt sick and would bring things back.

It takes time, it took me 5 months post-op and even now I can't eat some things, but it's hugely better than it was.

Slowly I added new foods, and I make my own vegetable soup which I liquidize and have with soft bread.

And chew! Like someone else said.

Lots of luck.

Susie

Past Member
Apr 13, 2018 11:18 pm

Eat slowly with smaller portions. I did exactly the opposite and wanted to die from the pain. I can still eat tuna but other fresh fish species cause intense stomach pain. Follow meals with tea or other fluids.

Past Member
Jul 11, 2018 11:42 am

Hello. Being in the military, we had to eat very fast. After I received my bag, I had to learn how to eat slower, take smaller bites, and chew longer. Meats, breads, and pasta digest great. Fruits and veggies do not. I also had to give up popcorn, peanuts, and seafood (the smell). Hang in there. We are all still alive. If Napoleon can have a war with an ostomy, and Eisenhower ran the White House with one, we can do almost anything!!!

Homie With A Stomie NS
Jul 08, 2022 10:39 pm

Hi hun, if you are still on liquids, try like an Ensure liquid drink or milkshake. Soft foods like poached eggs, soft toast, oatmeal, fish, mashed potatoes, etc. Food for us ileos is not easy to answer as we tolerate, digest, and pass differently. This will be your new journey of discovery - what agrees with you and an absolute nope, etc. Experiment with your food intake when you get there. Remember, chew, chew, chew, and chew some more. Remember, water is your friend and for the first three months, no nuts, seeds, fruit with skins, nor salads, etc. We are here for you, so ask away.