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Sep 07, 2010

Adjusting to Life with a Colostomy at 71

This topic is about adjusting to life with a colostomy after transitioning from an ileostomy, particularly focusing on diet, output, and overall care. The person sharing their experience is 71 years old and has undergone several surgeries due to an abdominal infection. They are seeking advice on managing their new colostomy, especially since they haven't received much dietary guidance from their surgeon. Here are some insights and advice shared by others:

1. **Dietary Considerations**
- Start slowly with new foods, chew thoroughly, and drink plenty of fluids. Use trial and error to identify foods that may cause issues, and avoid them if necessary.
- Many people with colostomies eat a wide variety of foods, including salads, nuts, popcorn, and grapes.

2. **Foods to Watch Out For**
- Skinned and cased meats like hot dogs and link sausages can stick to the stoma opening.
- Corn kernels might scratch the bowel wall, so keep portions small.
- Large amounts of cashews, dried apricots, or plum skins have caused blockages for some.
- Pasta and pancakes may thicken or block output for some, while others find pasta or rice thins output. Staying hydrated can help reduce the risk of blockages.

3. **Managing Output and Odor**
- Hollister M9 deodorizer drops can help control fish-related odors in the pouch.
- Over-the-counter Imodium (loperamide) can be used to slow or regulate colostomy output. Some find success with one tablet per day.

4. **Hydration and Blockage Prevention**
- Drink extra fluids when consuming rice, pasta, or other thickening foods.
- Be alert for signs of blockage, such as pain, bloating, or prolonged watery output. Chewing food well can help reduce the risk.

5. **Seeking Professional Support**
- Find a certified WOCN (Wound/Ostomy/Continence Nurse) through local hospitals or community services for personalized advice.
- Consider changing physicians if your current surgeon provides minimal guidance, as knowledgeable support is important.

6. **Staying Active**
- Many people in their 60s and 70s remain active by following these dietary principles and paying attention to hydration and chewing. Taking supplements does not necessarily limit activity.
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