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Nov 06, 2021

Safe vs. Problematic Foods for Colostomy Patients

This topic is all about understanding which foods are safe and which might cause issues for someone who has recently had a colostomy. If you're new to this, it can be a bit daunting to figure out what you can eat without causing blockages or other problems. Here are some helpful tips and insights to guide you:

- Start small and chew well. If your bowels are otherwise healthy, you can usually return to a normal diet over time. Allow your bowel and stoma about 4 to 6 weeks to heal before trying challenging foods. Introduce new foods slowly, in small portions, and make sure to chew thoroughly.

- Foods that might be troublesome can vary from person to person, but some common ones include:
- High-fiber foods like raw lettuce, cabbage, raw vegetables, large mushrooms, corn, popcorn, and fruit or vegetable skins.
- Dense meats like steak if not well-chewed.
- Some sauces or very spicy condiments, especially if there's exposed skin around the stoma.
- Personal experiences have shown that foods like beer-battered mushrooms or hot chili paste can cause issues for some.

- Many colostomy patients tolerate these foods well:
- Cooked vegetables such as carrots, cauliflower, squash, and turnip.
- Skin-free meats, poultry, fish, pork, ground beef, and skinless hotdogs.
- Mashed or baked potatoes, white rice, pasta, and cooked tomatoes.
- Breakfast items like eggs, bacon, muffins, and certain cereals.

- Practical eating tips include:
- Remember to "chew, chew, chew" and cut food into small pieces.
- If you notice a food appears undigested in your pouch, consider reducing or avoiding it, or try processing it differently next time.
- Stool softeners can help if your output is very firm, but many people find they can stop using them once their output softens naturally.

- Recognizing and managing blockages:
- Minor obstructions often resolve with fluids, gentle movement, and time. However, if you experience severe pain, vomiting, or no output, seek emergency attention.
- Consult a gastroenterologist if you have other intestinal issues like strictures or inflammation.

- For appliance care and skin protection:
- Make sure the wafer opening matches your stoma's shape and size.
- If your skin is irritated, try using stoma powder and a no-sting skin prep.
- Compare different brands of barrier rings and request free samples before buying in bulk.
- Some people clean their pouch with a water rinse after each emptying to reduce odor and keep output moving freely.

- When it comes to supplies and purchasing:
- Many insurance plans cover supplies, but it's a good idea to compare prices from different suppliers and request samples from manufacturers.
- There's no single "best" discount company, so try different brands through free samples.

- For additional resources, you might find dietary guidance from Karyn Haley’s Gut Healing Starter Diet Plan helpful, or look into Barbara Olendzki’s research at UMass Medical School Nutrition Program.
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