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Dec 17, 2019

Managing Diet with an Ileostomy and During Chemo

This topic is about managing a healthy vegetarian diet when you have an ileostomy and are undergoing chemotherapy. It can be challenging to balance the need for nutritious foods with the risk of blockages, especially when you're trying to reintroduce vegetables and legumes into your diet. Here are some helpful tips and advice:

1. Everyone's diet needs are different, so it's a good idea to keep a food diary. This can help you track what you eat and how your body reacts. Remember, both food and medications can affect your digestion.

2. Begin with a low-residue diet and gradually introduce new foods one at a time in small amounts to see how your body tolerates them.

3. Chewing your food thoroughly, about 30-40 times per bite, can help prevent blockages. If you notice recognizable pieces of food in your output, it might mean you need to chew more.

4. Skins on foods like beans, corn, and pickles can cause issues. Lentils, especially red or yellow ones, are usually easier to digest since they don't have skins.

5. To reintroduce vegetables:
- Cook them well by boiling, steaming, or roasting until they are soft.
- Blend harder-to-digest vegetables into smoothies.
- For foods that can cause gas, like beans, try cooking them with ginger or cardamom. You can add sliced ginger, ginger-infused oil, or wrap ginger in cheesecloth and remove it before eating to get the benefits without the fiber.

6. Keep track of your daily fiber intake and follow the limits set by your doctor. Eating smaller meals throughout the day, rather than large ones, can also help.

7. After bowel surgery, many people start with low-residue foods. As you heal, you can slowly reintroduce foods with more fiber.

8. For more information and support, you can check out online resources like previous discussions on ostomy diets or join groups such as the "Vagenostomy" Facebook group for practical tips.
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