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How do you gain weight after an ileostomy?

Posted by whatnow2012, on Tue Sep 17, 2013 9:42 pm
Hi - I guess this is the correct forum to ask post this.  My husband has bilateral nephrostomies, a urostomy, and now an ileostomy. He hates Ensure, Boost, Special K breakfast drink, and Carnation Instant Breakfast. I've mixed them with ice cream and fruit and he just can't take stand the taste of them anymore. I've been trying to get him to drink two or three milkshakes each day - today was whole milk, vanilla ice cream, powdered milk, three mini 3 Musketeers bars, and 3 tbsp peanut butter. He liked it, but it's only a matter of time before he gives me a hard time about that too. I'm assuming some of you have been in the same situation where the weight falls off quickly but how have you managed to gain again and how long did it take you? I can't get him to do much of anything physical at all and I understand he's weak and tired but how do I help him?

Thanks to all
Reply by ron in mich, on Tue Sep 17, 2013 10:58 pm
hi whatnow when i had my surgery an ileo. i ate a lot of pasta with meat sauce, in the morning i ate oatmeal with toast and peanut butter also applesauce with the oatmeal it helped thicken my output, i got sick of ensure and malts to, you might try smoothies using his favorite fruits.  good luck ron in mich.
Reply by jenepooh, on Tue Sep 17, 2013 11:41 pm
Hi whatnow2012!

I'm sorry that you guys are dealing with rough times, but it does get better. I have an ileostomy and I can eat almost anything except for raw food and some other things... Ensure is a great way to help keep weight steady and maybe help add a few pounds here and there, but he should be able to eat other things. Like Ron in Mich stated, he had pasta with meat sauce, etc. I do, too. My noodles have to be completely cooked... not to the point of mushy necessarily, but definitely not al dente'. I have to keep hydrated too while eating and throughout the day... definitely helps making sure that things are moving like they should. Smoothies are good and can be made in any way. Applesauce is a best friend for sure for us. Wink Other things, too... kind of have to play around with it a bit to get a feel for how his body will respond.

Please let us know how it's going and any other questions, feel free to ask or talk to his Ostomy Nurse if he has one. It's not the end of the world and we're definitely here to help and support you both. (hugs)

Take care and God Bless!

-Jen Smile
Reply by MissMeganM, on Wed Sep 18, 2013 8:26 am
Hi whatnow, I had the same problem as your hubby after my surgery - I'm 5'7" and at my lowest I weighed 98 pounds.  A skeleton!  What I did to gain weight (because I too detest Boost and Ensure and all that grossness) is ate a diet high in protein.  I also added protein bars (the Met-RX) ones, protein shakes, and covered everything I ate in cream cheese, LOL.  Its been a year since my surgery and I have gained about 40 pounds.  It comes on slowly, but gradually he WILL fill back out, I promise
Reply by gutenberg, on Wed Sep 18, 2013 11:37 am
not sure if I can be of any help but I remember those drinks my wife bought for me and after about a half a can I said no more of this sh** and every time she left the house another can went down the sink. But I had lost a lot of weight and tried everything I could think of and after nine years the pounds started coming back on. The only things I could attribute this too was I always had a bowl of oatmeal, porridge, with brown sugar and 18% coffee cream, it was fast and easy to make. Next I got into stir fry with lots of onions, red, yellow and green peppers, lots of mushrooms and diced chicken, and at the same time I would make chicken fried rice with finely chopped peppers and onions and chicken with a little soya sauce and always made enough for a couple of days. I could eat this at supper and again around midnight have another dish, bless those microwaves, and a glass of milk with each meal. I had finally found something that I LOVED to eat, and in the last few years I went from 119 lbs to 155. Then a few months back I got sick and in twenty days lost 20lbs again but in the last few weeks I managed to reach the 150lb mark. I have an idea that all the onions were the biggest help as they have a lot of the same properties as Garlic, which I don't like, unless my daughter is doing the cooking and manages to hide the taste and I can really pig out on a lot of those stir fry dishes and it would be unusual If I didn't have a midnight snack on the leftovers and even have a piece of pie and get a decent night's sleep. I realize that for an ostimate this eating at night is frowned on but I always awake around 3:30 and five thirty anyway to empty my pouch so the eating at night doesn't affect me in the least. I must admit, I have no idea if this is what helped me gain weight but if it didn't I really enjoyed eating this immensely. Hope somebody can find a few of these items to help them gain a bit of weight, all the best, fellow ostimates, and have a good day today and a better one tomorrow, Ed
Reply by whatnow2012, on Wed Sep 18, 2013 11:45 am
Thank you all! I can't tell you how encouraging each of your notes has been.  At what point were you able to start adding different foods? Especially the protein bars as I imagine they might be difficult to digest. I know the golden rule here is "chew chew chew drink drink drink" but my husband was always a VERY fast eater and never really drank much at all - like a camel! I've made him pastina, and creamy soups and I've even made him meatballs and cooked them until they're really soft.

I understand that this will take a while but I'm also wondering how much of what each of you went thru did you have to do on your own. I change the dressing on all four bags and flush the tubes on the nephrostomies when they need it. He has very high output from his ileostomy so we use a urostomy bag and attach it to an overnight bag so I empty and clean that about 4 times a day. He also had an abscess from a necrotic tumor with bladder cancer (he had a radical cystectomy in February) so he has an open wound in his abdomen that is healing but I change the dressing on that as well. He gets a Lovenox shot every day for the next few months because they found a clot in his leg during surgery so I give him that. He's also getting 1000cc of hydration twice a day and 1600cc of TPN every day. I flush those tubes before and after each infusion and connect/disconnect him from everything throughout the day. I have it scheduled so he has several hours during the day when the only thing he's connected to is the overnight bag for the ileostomy. During the day he empties his urostomy and nephrostomy bags but I do it at night.

We have no small children but I do have a full time job working from home about 14 hours/day. All I want him to do is eat slowly, chew, chew, chew, drink, drink, drink and move around a bit. However, he goes from the bed to the chair to another chair and back to bed with the occasional trips to the bathroom to empty his bags. Did each of you go thru this and was there someone there to help you? I've always been the positive one and I'm in it for the long haul but it's frustrating trying to find ways to motivate him. I want him to wake up excited for a new, beautiful day and be thankful for it. This is his favorite time of the year and we're missing it all. I can't even get him motivated enough to go sit out on the deck for a little while. I did mention that I might need to work with a counselor or join a support group at some point just so I could understand everything a little better but I got a snicker out of that so I'm putting it on the back burner. Hence, my long diatribe here - hopefully none of you will send me a bill

Thank you all for listening and I look forward to any suggestions you might have to help us get thru this.

Prayers,
Anna
Reply by gutenberg, on Wed Sep 18, 2013 12:41 pm
Whatnow 2012: Lady you deserve a medal for the way you take care of your husband, after reading so many stories on here about people getting divorced just because they couldn't handle one bag and so I congratulate you. I'm also a fast eater, have been all my life and when a local doctor fixed my intestines so I had no more blockages I don't even chew that much, especially if its something I like, take care and best of luck, Ed
Reply by whatnow2012, on Wed Sep 18, 2013 1:00 pm
Hi Ed,
How did they fix your intestines? My husband was in the hospital for two weeks at the beginning of August with a distended abdomen and they found that his small intestine had swollen to three inches. Sounds horrible but he has a very high pain tolerance so because of that whenever something is wrong it's always a bigger issue than it could have been. He came home for two weeks and was back in for another two weeks with the same problem and that's when he got the ileostomy. I love passing on encouraging words to him in the hopes that something will sink in and motivate him so I really appreciate the help each of you have been giving me

Prayers,
Anna
Reply by gutenberg, on Wed Sep 18, 2013 1:28 pm
Hi Anna, I'm sorry I can't fully answer your question but we'll give it a try. After having many blockages, much more painful than the operations themselves, one of the local surgeons told me he could fix this problem for me and I said to go for it. From what I gather what he told my family he removed most of my ilium and replaced it so it would not get kinks and cause blockages, and it was a complete success, never had a blockage since.
With all the surgeries I've had in the past and the screw-ups I encountered I only wish he had done those operations, he certainly couldn't have done worse. Someday I'll get a copy of that operation he did and be able to give a better answer, Take care, Ed
Reply by whatnow2012, on Wed Sep 18, 2013 1:33 pm
Thanks very much Ed.  I'd be interested in knowing what was done just in case it's something that can help my husband.

And in response to your comment about me deserving a medal for doing so much for my husband, none of this is his fault and I couldn't imagine myself not doing everything I could to help him thru this.  On the other hand, if he were to cheat on me I wouldn't even wait for the ink to dry on the divorce papers and I'd be gone in a shot Smile

Prayers,
Anna
Reply by whatnow2012, on Wed Sep 18, 2013 3:12 pm
Hi Jen - How long was it before you started eating regular food? Did you have to wait for approval from your doctor or did you just gradually move from liquids to semi-solid and then up from there?

Prayers,
Anna
Reply by whatnow2012, on Wed Sep 18, 2013 3:14 pm
Hi MissMeganM - How long was it before you started eating regular food? Did you have to wait for approval from your doctor or did you just gradually move from liquids to semi-solid and then up from there? I asked Jen the same question. I'm not sure how this forum submits replies so I apologize for a duplicate.

Prayers,
Anna
Reply by MissMeganM, on Wed Sep 18, 2013 3:37 pm
I was eating regular food when I was still in the hospital....they let me eat after my NG tube came out.  For the first couple days after the NG tube was out I drank broth and juice and ate sherbet and yogurt.  At first I was really paranoid to eat because I was afraid to get blockages, but I found out that I didn't need to be as worried about it as I was.  You are right when you say CHEW and DRINK, and if you have any doubts about whether or not you can handle a food, all you do is eat a little bit of it and wait for it to come out and see what it looks like.  I stay away from the big no-nos - like I don't eat raw celery, I don't eat mushrooms or corn on the cob, nuts, or popcorn - but I eat everything else.   He would want to stay on a low residue diet for several weeks following ileostomy surgery, but after that he should be fine (unless the doc says otherwise).

I can tell you that chair to bathroom to chair is pretty average for activity after this kind of surgery.  I'm relatively young - I was 35 when it happened - and I was wiped for a couple months.  I had help daily in the beginning, because I have 3 children and I could not care for them.  I couldn't clean the house or wash their clothes or cook their meals.  After 3 or 4 weeks, I could do light housekeeping and make grilled cheese and soup, and it got better from there.  After being home for a month was when I first left the house to go pick up a few groceries and after only a half hour of driving that wheelchair cart around I was so fatigued I couldn't do anything the next day.  

I went back to work 8 weeks after my surgery.  I was pretty weak and still really thin then, but I have a sit-down job so it worked out, lol.  I recovered over the winter and this summer I went to the beach and swimming with the kids almost every weekend, took my kayak out (by myself!) and went wilderness camping
Reply by whatnow2012, on Wed Sep 18, 2013 11:19 pm
Thank you very much MissMeganM - I feel better about the activity level now. I'm impressed with how quickly you rebounded after your surgery.  After my hubby had his bladder removed he spent about 22 hours a day horizontal. It was very difficult for him but little by little his energy returned although definitely not 100%. Then before we knew it he needed radiation and chemo so that sapped him again. He was starting to feel better and now this. I just keep hoping and praying he starts to gain weight soon because I know it will not only improve his physical health but his mental well-being as well.

Prayers,
Anna
Reply by MissMeganM, on Thu Sep 19, 2013 9:32 am
You're welcome Anna   It takes awhile; but his strength will start to creep back slowly.  The most important thing is to not overdo it and make sure you're taking all your vitamins, medications that were prescribed, resting, and getting adequate electrolyte intake.  For me, I couldn't get better fast enough.  I remember being home for not even a week when my youngest had come down with bronchitis (she was 4).  She coughed so hard she threw up in the hallway and I wanted to jump up and go to her and take care of her and I couldn't.  I just sat there and bawled in frustration and helplessness while her father tended to her.  It was the worst feeling.  So I understand how frustrating it is to not be able to do the things you want to do.  But if he's patient, it will come in time
Reply by whatnow2012, on Thu Sep 19, 2013 1:37 pm
Thanks MMM - What kind of vitamins do you take and how in the heck do they stay in your system? Don't they just come right out of your ileostomy? My husband was taking a lot of vitamins once we found out he had bladder cancer but he had to stop during chemo. I believe the vitamins had a lot to do with him rebounding in the past as quickly as he did. However, he hasn't been able to take anything and I don't even give him a multivitamin because they're so big I don't know if they'll have enough time to break down before getting washed into his stoma and then get stuck there! The only prescribed med is a blood thinner. Did your surgeon prescribe specific vitamins at your follow-up? We have an appointment tomorrow and he has chemo on Monday and I'm starting to panic at how this is going.

Thanks much and prayers,
Anna
Reply by ron in mich, on Thu Sep 19, 2013 10:25 pm
hi anna as for vitamins i use chewable type or the gummie type, or the more expensive liquid which work great in the begining when you need all the nutrition you can get.
Reply by MissMeganM, on Fri Sep 20, 2013 12:53 pm
Anna, I have to get vitamin B12 injections - I just can't absorb it through the small intestine anymore.  I take a chewable multi and a regular iron supplement, and vitamin D supplement that is a gelcap.  The only medications you have to be careful with when it comes to an ileostomy is enteric coated meds (they come out whole, it's happened to me LOL) and time released meds.  Otherwise he should be fine
Reply by ron in mich, on Sat Sep 21, 2013 12:20 am
hi megan yeah didnt you hate to see those vitamins come out whole, for me it was quite a while ago but i thought what the hell am i taking these for, but now there,s chewables and gummies and such.
Reply by gutenberg, on Sat Sep 21, 2013 4:40 am
Hi folks, I had my surgeries in 2003 and it wasn't until about 18 months ago I started to put on a few pounds, went from 120 to 157  in a very short time, of course I had to be buying new pants every few months or so but it was worth it, now just to hang onto it. I never took any kind of supplements but still dont know the reason for the weight gain, so good luck to all, Ed
Reply by MissMeganM, on Mon Sep 23, 2013 8:45 am
LOL Ron, the doc wanted me to take an aspirin a day and I told him the enteric coated aspirin he had ordered for me wasn't doing a damn thing.  He asked me how I knew, lol.  I said, because it's in my pouch every morning!!!!  HAHA!
Reply by gutenberg, on Tue Sep 24, 2013 12:42 pm
Hi MMM, I know what you mean, I was given a slow acting pain pill and used to see it in my pouch, it finally made sense to my doctor and no more of that crap. But to get back to the aspirin if it is really necessary for you, as it is for me, if you crush it up you will find the benefit, although you may not feel it but nevertheless it is normally good for you, ED

PS: warning, I just read you should NOT crush the enteric coated asprin


Last edited by gutenberg on Tue Sep 24, 2013 7:15 pm; edited 1 time in total
Reply by MissMeganM, on Tue Sep 24, 2013 2:37 pm
Thanks Ed Smile  I just started taking a chewable aspirin instead and no more pouch pills LOL
Reply by jenepooh, on Tue Sep 24, 2013 9:39 pm
          

whatnow2012
                                                                                                                                       

: Wed Sep 18, 2013 2:12 pm

   Post subject:

Hi Jen - How long was it before you started eating regular food? Did you have to wait for approval from your doctor or did you just gradually move from liquids to semi-solid and then up from there?

Prayers,
Anna


They told me originally to start and the liquid stage... that was in the hospital... and then I went to soft foods by the time I got to go home. Because of all the surgeries that I've had, I am only working with some small intestine and my ileostomy, so I'm supposed to be really careful all the time. I've gotten used to drinking a lot of water, especially when I eat. I love salads, but have to drink a lot of water with those, too...etc etc. Same with spaghetti... etc. It's really going to depend on him and his body..mainly his body which WILL let him know if he's overdone it. As far as eating slow... lol... that took practice. I've gotten to where I will sing something like Old MacDonald or count to 20, etc in order to know that I've chewed my food like I should.

Now, there are times where I will eat too fast still. I'll admit it. We all do it. I usually lay down after something like that so things can move better.. Again it depends. I try hard to not do that these days...especially since I fought my way through a blockage here at home instead of going back to the hospital because I can't stand the NG tube....again. (sighs)

At any rate.. it will depend on how his body can tolerate things. Take it slow. There is no rush, no hurry, nada. If he ever wants to talk, let us know. We're always here... Sorry for the delay in response btw... I didn't get the notice this time. Go figure lol.

Good luck!! xx Oh and very nice to meet you, Anna! 3
Past Member
Reply by Past Member, on Tue Sep 24, 2013 10:36 pm
It didn't take me too long. I personally don't care for Ensure but one day I decided to freeze it and in no time flat I put all my weight back on and then some. Why freezing it changed the way it tastes I'm not sure, but I just sit there with a spoon and enjoy every moment of it. Try it. Hopefully it might work !
Reply by livinnandlearnin, on Tue Sep 24, 2013 11:01 pm
I hate all of those supplement drinks too!  Yuck!  I had a complete colectomy with ileostomy in 2010 and then my Crohn's got into my esophagus (which is very rare) and I had to have my esophagus removed in 2012.  I had to wait a year before having reconstructive surgery this past Spring so I was on a feeding tube that entire year--18 hours a day.  Even with the feeding tube all those hours, I was only about 97 lbs.  I looked awful so once I had reconstruction and could start eating again, I was anxious to gain weight but they stressed to me how important it was to make every bite count as far as nutrition was concerned.  So I know where you're coming from!  Since then I have managed to put on weight and I am now about 115, the most I have weighed in years.  There's no real secret to it.  I eat small meals every couple of hours.  It's much easier to digest small amounts.  I try to focus on protein and nutrient-rich foods but sometimes I just eat high calorie foods like brownies and ice cream.  One note though, dairy foods can be very hard to digest and it sounds like you are using a lot of milk-based products.  Ensure is the only supplement I am aware of that is not milk-based and by making milkshakes out of them, you are adding even more dairy.  It's high in calories and has lots of protein but personally my gut would be in knots if I drank that with an regularity.  You don't have to be lactose I tolerant to have trouble digesting dairy.  It is difficult to digest all on its own.  Your husband just needs to always be eating.  And as far as vitamins with the ileostomy, it's also better to dose them multiple times a day.  Not all of it will get digested but dosing 3 or 4 times a day will I improve the amount that gets absorbed.  If he has a real issue with malabsorption, he may have to go to injectables, but that would be his doctor's call.  Hope this helps!
Reply by duzluvxist, on Tue Sep 24, 2013 11:54 pm
Hi Anna , I have had my ileostomy for 31 yrs now. I had my surgery when I was 16 hrs old.  I realize that age does affect a persons ability to recover quicker but I wanted to share some knowledge I've acquired.  I read earlier you were curious if a surgery some people were talking about to relieve blockages would help your husband. I had the procedure done 10 yrs ago.  The surgeon actually takes the small intestine and removes any scar tissue that may be causing strictures (tightening) in the bowel.  That is what causes a blockage to occur..when fibrous food is not chewed well it can catch on that stricture and it becomes like a dam keeping most everything from passing this usually causes the bowel to start dumping large amounts of fluid through the ostomy in an attempt to push it through.  I found this surgery worked for me for a few years but be causes of the way my body heals and scars I'm back with the same issue. Everyone heals differently so it may work for most people.  Also, I found if I ate things that had cheese in it really helped me with gaining weight..also, I know ensure taste like a big vitamin but if you get it real cold and add some ice and put it in a blender it tastes a lot better. Try to stay away from caffeine since this stimulates the peristalsis (waves) in the bowel which can cause diarrhea and shorten the amt. of time nutrients can be absorbed and I have found diarrhea is hard to get under control with an ileostomy.  Sounds like he is getting enough fluids from what you stated. 2000 cc total of saline and 1600 of TPN.  I'm also wondering if maybe you are doing too much for him..sometimes when we help others too much they tend to not have a reason to not help themselves due to depression etc.  I work in the medical field and I see this a lot.  You have the greatest intention but it can actually hinder him.  He should be able to empty his own bags and this may build some self confidence.  I know when I first had my surgery I didn't want anything to do with it...it was so foreign and didn't feel like it was really a part of me but my family had me do it myself and it gave me some pride that I could take care of myself.  I hope I haven't insulted you but just one persons view and I may be way off.  He may need to talk to a doctor about antidepressants because who wouldn't be depressed with everything he had been through and some of those medications actually stimulate appetite as a side affect.  I did stay in the house and lived from chair to bed for about three months then slowly took small trips out of the house and it was really hard at first because of the weakness...it just wasn't enjoyable but I kept pushing myself a little further each time.  I think you are a great motivation for him.  I think you are incredible and he is fortunate to have such a caring and loving wife.  Take care ,  Tim
Reply by dcrazy, on Wed Sep 25, 2013 2:00 am
Hi Anna, sorry to hear. Your situation is kind of unique, being there is multiple parts. Really duz did a good job with his answer. Really I would say liquid vitamins would probably be easier to absorb. Sometimes it's not how much is consumed as per absorbed, if that makes sense. Ensure- I am not a fan of, except for it's non-lactose component. This is why I was wanting to write a blog on fitness, then injured my shoulder now it's getting better. Ensure IMO can help, but it's a small part. I have heard of people getting sick by drinking too much of it, myself was included in this. Fish is by nature a natural anti-inflammatory. It's high protein. Putting olive oil on fish can add calories and flavor. Yogurt? Yes. However, too much can cause some liquid. So i'd say a cup a day. Applesauce yes. Bananas yes. These will help with absorbing. Realistically there can be so much played into this so let me hit this from angles okay. From an absorbing stand point the foods I mentioned are good. They are healthy foods as well. Other safe foods( being most do ok with ) is chicken, rice, and potatoes.
   Let's hit this from another angle. The human body has a homeostasis( where it likes to stay ). When it gets use to losing/gaining....it thrives off it. Take for example a healthy, yet over weight women. She exercises, but is discontent. So then she crash diets....when she eats normal again, her body gains weight. Then you hear her say," I just gain the weight back."..or..." I can't lose weight ." Well see in that example, her homeostasis is use to being her weight, so her body wants to be that weight. Follow? So when I use to train ppl I pay attention to homeostasis and metabolism. So really if the body is swinging around, the homeostasis is raffled. So it's great to start maintaining, then gaining. So the body has a platform to build from.
     Anxiety/depression? What is really going on....well adrenaline is the hormone that speeds up heart rate by definition, clinically. So when someone has anxiety( smaller ppl usually lose weight, while heavier bigger bone tend to gain ) their heart rate speeds up. Well, so does their breathing, maybe oxygen slightly deprives from brain causing " dizziness." Lets take this up a notch. Well, if the heart is faster and breathing....well so will the G.I system as duz was referring to. Actually it can speed up 3-5x faster. See why anxiety and these type of surgeries don't get along? So, by lowering any anxiety( don't focus on it, or it may cause more ) can help with absorbing as well? Also, anti-depression pills, yes as duz referred to can have a weight gain like effect. I took some off label for zzzz while bulking for weight lifting. I went to the docs a few months later and he couldn't recognize me. He kept looking for me, and I was not far lol. I packed on muscle and weight. All through the practices I believe. Recovery, diet, and micro tearing and stimulating the CNS( central nervous system ) but not overloading the CNS.- Many lifters over stimulate the nervous system by lifting to long or to much work load. I don't expect him to be lifting, so I will stay away from that.

Now pure diet: Understanding.....Take the opposite of the heavy girl with homeostasis I gave earlier. Turn it around, a guy who is trying to gain weight, but having trouble. You need to add 500 calories a day, so 3500 a week 500x7=3,500 to gain 1lb a week by traditional dieting guidelines. However, higher the absorbing rate, slow the metabolism with reduced anxiety or correct depression and it can be less. However, they add in what's called injury factor. So another 200-300 calories. Now this is just for your pure understanding( this is a healthy person ). However, lets up it a notch. So you want the person to maintain, then gain. However,the body might not feel hungry or be able to eat because of the new found raffled homeostasis and the stomach not use to eating as much, and yes anxiety can play a factor. So slow and steady. Like I said a simple adding olive oil to fish can increase 100 calories and get some extra fat in. Adding yogurt to a small lunch can add 100 calories and small protein. I can give you a mock diet and you can take it for what you want, no caffiene. No milk, no pork, no ham. Again a moq:

Breakfast:
Toast two slices- yes with the burnt part( it can help with enzymes ).
Anything else tolerated( fruit ), oatmeal, etc

Lunch:
Sandwhich, all natural peanut butter and jelly or turkey( close to the bone )..closer to the bone less preservatves.
All natural potato chips
One cup yogurt
1/2 Banana- cutting off those ends lol.
Something snackish, little debbie
String Cheese(all natural, organic )

Dinner:
2fish fillets, with garlic and olive oil( eliminate garlic if it's not tolerated )
2.5 servings of rice, all natural
3 potatoes

Snack 4: Ensure

Snack 5: Pretzels, etc, etc- stay within 200-500 calories, don't overload at night.

Protein sources I like.
- Whey protein acts quick in the body, but also shoots out the body. Egg white protein powder, is more slowly digesting, it's probably all natural....I like Egg white protein!!!!!! Maybe see if adding half the serving size of egg white powder, stir it in an ensure, vanilla is probably better b/c of the egg white flavor. Now you got yourself a High octane drink. Filled with vitamins and amino acids.

Last thoughts: What I wrote is from an opinion I could be off via the conditions.Also, you can scale down anything like instead of two fillets fish 1. Instead of fish, chicken? Etc. The diet was a mock diet to help gain. Also, I'd say liquid multi vitamin over pill, for absorbing- ask the doc( or show him this ). Also, a the egg white protein might help so you can reduce ensures and get a better drink by mixing it wit an ensure. I hope this helps or anyone else. You can always feel free to keep in contact on fb...name is Rick Bitty...if you have anymore questions if you find this helps. Feel free to contact me here to. Gl you seem like a good person standing next to him through everything. Oh I forgot...G2 seemed to sit well with me. Also propel. However, flavors like strawberry, peach...didn't. Also I see some have the same problems with those fruits strawberry and peach. Also, for blockage problems, maybe some fiber. I hope this helps.
Reply by itchy22, on Wed Sep 25, 2013 3:11 am
Hi there. After my stint in the hospital, I lost 35lbs. I'm now back to my usual 225. All I did was spend some quality time at McDs or A&W or Burger King and Kentucky Fried Chicken. It works every time.
Reply by jjj0922, on Wed Sep 25, 2013 7:22 am
I sure wish I had that problem. Of course I dropped an immediate 25 lbs. from the surgery and recovery. However, after about 6 months I started gaining weight and now I weigh 40 lbs. more than I did BEFORE the surgery. In the reading I've done and from the Ostomy Club meetings I attend monthly it has been said that an ileostomy is cause for weight gain so I'm confused? I wish I did have the problem of trying to gain weight. Sad

John
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