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May 30, 2022

Eating corn on the cob with a colostomy - experiences and advice?

This topic is about safely reintroducing certain foods after having a colostomy, especially when you're also undergoing treatments like chemotherapy and radiation. The focus is on foods like corn on the cob, salads, quinoa, and couscous, and understanding their digestion, potential blockage risks, and hydration needs. Here are some helpful insights and advice:

1. Corn, Popcorn & Similar Foods
- Many people with colostomies or ileostomies have no issues with corn on the cob, popcorn, sweet corn, or salads.
- It's normal for corn kernels to appear in your output.
- Start with small amounts, like half to one ear of corn, chew thoroughly, and drink plenty of fluids.
- Remember the golden rule: "chew, chew, chew & drink, drink, drink."
- If your stoma is narrow or recessed, consult your ostomy nurse before eating corn.
- A hot shower can help if you feel a blockage developing.

2. Salads, Quinoa, Couscous & Other Veggies
- Most people can tolerate salads, including raw lettuce and mixed greens, if they chew well and start with small portions.
- Some foods like kale, mushroom pieces, raw carrots, apple skins, nuts, and seeds can be harder to digest. Try small amounts or avoid them if you notice thick output.
- Consider alternatives like chopped baby corn, boiled or mashed parsnip, or homemade mushroom pâté.

3. Blockage / Obstruction Awareness
- Warning signs include very thick or no output, severe cramps, and green-bile vomiting.
- A partial blockage may cause thin or liquid output and bloating; a complete blockage requires immediate medical attention.
- Thick output can affect the pouch seal and cause leaks.

4. Hydration & Electrolytes
- Drinking extra fluids helps prevent blockages and flush out toxins, but adjust to what feels comfortable for you. Some manage well with about 1 liter per day.
- People with ileostomies generally need more fluids and sodium; high-salt foods or salt tablets can help if sodium levels drop.
- Alcohol can thin thick output; beer or wine might help with sluggish flow, but balance it with water to avoid dehydration.

5. General Eating Strategy
- Introduce new foods slowly and in small amounts—think of it as "dipping your toe in the pool."
- Gradually train your stoma; most people can expand their diet over time.
- Taking Beano (enzyme tablets) before eating legumes can reduce gas.
- Oatmeal and yogurt are well-tolerated sources of soluble fiber.

6. Long-Term Experiences
- Many people with long-term colostomies or ileostomies eat a wide variety of foods, including corn, pasta, popcorn, and salads, without issues.
- Individual experiences vary; what causes a blockage for one person might be fine for another.
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