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Sep 25, 2019

Need advice on colostomy diet after bowel surgery

This topic is about finding the right dietary guidance after having major bowel surgery and a stoma relocation. The person who shared their experience is recovering from surgery, has limited mobility, and is using a wound-vac to help with healing. They were discharged from the hospital without specific dietary instructions and are seeking advice on what to eat post-surgery.

Here are some helpful insights and advice:

1. After surgery, it's common to follow a "new ostomy" transition diet for about 4-6 weeks. This is often recommended by surgeons or dietitians, even if you've had a stoma revision or bowel resection. It's best to consult your gastroenterologist or colorectal surgeon for personalized advice on timelines and dietary restrictions.

2. Initially, a low-residue diet is often advised. This means eating foods that are low in fiber, such as yogurts, applesauce, and plain pasta, for the first 1-2 weeks. This helps reduce the workload on your healing colon.

3. After the initial phase, you can start gradually reintroducing foods like salads, fruits, vegetables, and whole grains, one at a time. Pay attention to how your body tolerates these foods and avoid anything that causes pain or blockage. Popcorn is often mentioned as something to avoid, especially if you have a peristomal hernia.

4. Some people find relief by following the SIBO (Small Intestinal Bacterial Overgrowth) diet, which is largely dairy-free and focuses on low-fermentable foods. You can find more information about this diet by searching online for "SIBO diet."

5. For more educational resources, you can explore the forum's COLLECTIONS → PREMIUM CONTENT → “Food, diet and eating habits with an Ostomy” section, which offers extensive discussions and meal ideas.

6. Regarding the wound-vac, one person shared that it significantly helped with incision healing. While it might be inconvenient, it can lead to good results.
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