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Oct 23, 2019

Are Refried Beans Safe for Ostomy Patients?

The topic is about enjoying Mexican foods like refried beans and tortillas when you have an ostomy. Someone who grew up with these delicious dishes is wondering if they really need to avoid them, as advised by an ostomy nurse.

Here are some helpful insights and advice from others who have been in the same situation:

1. Many people with ostomies have enjoyed Mexican foods such as refried beans, tortillas, bean burritos, tamales, chili with beans, chilies, jalapeños, avocados, Spanish/Mexican rice, enchiladas, and ground-beef tacos for years without any issues.

2. It's a good idea to start with small portions and introduce one food item at a time. If you find you can tolerate it, you can gradually increase to normal servings.

3. Beans and spicy foods might cause extra gas, which can inflate your pouch. However, many find this to be just a minor inconvenience. Taking a gas-reducing enzyme like Beano before eating bean dishes can help.

4. To prevent blockages, be aware that the skins of whole beans can stick together. Make sure to chew your food very thoroughly. Poorly chewed skins or fibrous foods like peppers and carrots have caused partial blockages for some people.

5. Right after surgery, it's best to stick to a bland, low-residue diet. Once your bowel has healed, which can take a few weeks to a few months, you can slowly reintroduce your favorite foods.

6. Everyone's tolerance is different, so keep trying foods at intervals. If something bothers you, wait a few weeks and try it again.

7. If refried beans continue to be troublesome, consider substituting them with Spanish or Mexican rice in your burritos.

8. Be cautious with hot peppers or large pieces of fibrous vegetables like carrots, chopped green or red peppers, and popcorn, as these are common triggers for some people.

9. Medical professionals often give conservative advice to avoid liability. Use common sense and moderation when considering dietary changes.
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