The diet of people who have undergone colostomy, ileostomy and urostomy is not so strict. Although you do not need to follow a very special diet, the most important thing is to eat healthy meals, which is the key to a balanced diet for all of us.
However, you should remember that every person is different. Depending on the gut flora of each individual, some foods that are suggested may not bother you and vice versa. Your doctor is definitely the best person to give you advice about your diet and you should contact him or her for any questions or whenever you feel discomfort.
We have put together some easy nutrition tips and tricks for every ostomy case, so you can enjoy a healthy and balanced diet without deprivation every day.
After the ostomy surgery I have lost my appetite. Is it normal?
Totally normal! During the first month after ostomy surgery, your appetite may be quite poor or you may experience loss of appetite. You may also have a strange sense of taste in food. As a result, some people may not eat or drink things they have always enjoyed. Do not worry though, it won’t last forever.
If you feel this way, the following simple dietary guidelines for ostomy patients can help:
In time you will be able to enjoy most, if not all of the foods you ate before surgery. Some people even started enjoying foods they had not eaten in years!
It is important to keep in mind that foods that may have caused gas before surgery will continue to have the same effect on your body after surgery.
What can I eat?
Having an ostomy does not mean that you should follow a specific diet, so eating should be a pleasure as before, but without exaggeration.
The best way to stay healthy, whether you have a stoma or not, is to eat right, wash food well and try to eat regularly, slowly and calmly.
Do I have to drink a lot of fluids?
The answer is a resounding yes, as already pointed out above. You should get used to drinking a lot of water throughout the day.
Colostomy - Ileostomy
The absence of the bowel, that until now was solely responsible for the absorption of fluids and their return to the body, gives way to the stoma and you should drink more water as your colon doesn’t absorb as much water as it should. To compensate for this, you should drink an average of at least 2.5 liters of water a day.
The daily water consumption of course depends on the type of colostomy or ileostomy you have and usually ranges between 1.5 and 2 liters.
In general, it would be good to avoid carbonated and alcoholic beverages as well as to drink liquids with a straw because they create gases.
Urostomy
Here the rule is again to drink plenty of water every day but you should stick with quantities between 1.5 to 2 liters.
This is especially important in the case of ileoderm urostomy, where urine may contain mucus and block the catheters.
Of course you can drink coffee, tea and juices in addition to water on a daily basis while you can include alcohol in your diet but in moderation.
What changes when there is heat in people with stoma and fluid intake
High temperatures play a special role in fluid intake in people with ostomy.
Especially those who have ileostomy are particularly prone to dehydration because it is constantly productive, but also due to the generally increased sweating. The heat therefore intensifies the frequent filling of the ileostomy bag.
However, you should be very careful and increase the amount of fluids you drink even if it seems difficult to avoid dehydration.
At the same time, it would be good to limit or even avoid drinks with added sugars, artificial colors and sweeteners.
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What should I do if I have diarrhea?
If you suffer from diarrhea caused by antibiotic therapy, anxiety, enteritis, food poisoning, chemotherapy or radiation, it is a good idea to reduce your intake of fruits and vegetables in your colostomy, ileostomy or ureterostomy diet.
What should I do if I have constipation?
If you suffer from constipation it is good to increase fluid intake as well as fruits and vegetables.