Meet & talk to fellow OstoMates Support | Friendship | Relationships 21,260 members

Absorbing Nutrition

Talk to people who understand you Sign up today - for many, our community has been a life-changing experience.
Wed Jun 28, 2017 2:40 pm

I often wonder how much nutrition I would keep in my system from the spinach smoothies I consume every morning. They are very liquid and seem to exit quickly via the pouch.  Any insight would be apprecaited.  Thanks.  Penguins7

Thu Jun 29, 2017 10:49 am



  As a fellow ileostomate, I would guess that you're not getting a lot of nutritional value from the smoothies but I'm sure it doesn't hurt to get some nutrition from them.  Spinach smoothies to my knowledge, are a great source of vitamin K and C.  I believe that vitamin K is mostly absorbed by the large intestine.

  But our bodies do adjust to missing a large intestine.  I woudn't stop drinking the smoothies.  I would probably eat something along with it that slows down your output like graham crackers or cereal.  And maybe drink one twice a day just to be sure your body is absorbing as much nutrition as possible.  Just my 2 cents.


Thu Jun 29, 2017 7:43 pm

Hi Penquins!

I have been wondering the very same thing and have done some research and asked a few doctors. The general concensis is that the nutrients are primarily absorbed in the small intestine, so theoretically we (ileos) should be fine. Coated and time released medications may be a problem. I was advised to, like Bain mentioned, have smaller portions - more often. Also, it's better if you sip rather than drink the smoothie, water or any liquid. I always have 2 or 3 drinks going, interchanging water with Propel (for the electrolytes) and sometimes cranberry juice.

Bain also suggested slowing the output with crackers or cereal. I've tried a little of everything but have found that pretzels (which I don't care for) and applesauce works the best. Another pointer was, of course, imodium or metimucel -- up to a tablespoon in 4 ounces of water... opposite of what is prescribed for consipation. Now a week or so after my questions to the doctor, she did a blood panel and all vitamis levels were spot on!! It actually surprised me because I feel SOOOoooo exhausted.

Oh, one thought to consider is how spinach usually effects you, such as a laxative. I found that out the hard way... I went on a 5 day camping trip where a tub of red licorice was always out. I was wondering why I was having outrageous output, then DUH. I quit munching the licorice and everything went back to normal.

Now I am trying to find out how the Vegus Nerve is effected because of interrupting the digestive system :)

I'm sure you'll find your sweet spot... everyone is different.

Here's to good health! Vicki


Mon Jul 03, 2017 9:54 pm

My doctor told me that almost all of digestion occurs in the small intestine, and the colon's job is mostly to remove liquid to "package" the remains for exit.  So unless you are also missing some small intestine, you are most likely processing all you need.  That might not be all of the nutrition in the smoothie, because if it represents more than your body actually needs, your body will just exit the excess.


It is amazing how quickly food can exit your system sometimes.  In the case of the smoothie, it could be that it contains way more of certain nutrients than your body needs, so your body just moves it along quickly.

Wed Jul 05, 2017 8:26 am

Bigal,  Thanks for your note and i will definitely keep drinking the spinach smoothies.  Popeye would be proud of me!  Stay well.  Penguins7

Wed Jul 05, 2017 8:28 am

Hello NJ,  Thanks for your note and i will continue with the smoothies.  Great idea with something to slow output.  Stay well.  Penguins7

Wed Jul 05, 2017 8:31 am

Hello Vicki,  Thanks so much for your counsel on this subject.  Interesting info that nutrients are absorbed thruogh the small intestine as mine is still in place.  I travel a lo ton airplanes and the pretzels are a great idea to slow output.  Keep plowing forward!  Penguins7

Mon Aug 27, 2018 8:43 am

I myself am having trouble with my ileostomy and absorbtion , actually past year have lost a ton of weight become malnourished  , seems everyrging i do i have a issue, i do have major problems with scar tissue in my abdomen due to endometriosis from a very early age , so looking on advice for anything to blend , i just had a horrific Ct scan done still extremely sore , im sure you all know the baruim ez ctscan drink ,rectal contrast, iv contrast be getting results rhis week, have went from someone who drank 1/2 cases water a week to not being thirsty/ hungry at all so in hospital alot for dehydration iv banna bag vitamins and fluids , they think im having a fistula to the rectal stump possibly to the ureters anyone ever had this post 10 year old ileostomy  please any thing is helpful looking for friends any age 1/100 , im in my 50's ... a Texas girl 1st time on here ....

* Please, do not post contact information like email, Facebook or Twitter accounts, or phone number. These will be removed by the Administrator.
All times are GMT - 4 Hours
Currently online: 11    
1 members & 10 visitors
panguy (m)