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41,427 members
Dec 28, 2010

Can we eat salad? Need ideas!

The topic at hand is about navigating dietary choices, particularly eating salad and other raw foods, after having an ileostomy. This is a common concern for those who have undergone this surgery, as there are often warnings about potential digestive issues. Here are some insights and advice shared by others who have been through similar experiences:

1. Many people with an ileostomy find they can enjoy salads, raw vegetables, fruits, nuts, seeds, and even popcorn. The key is to introduce these foods slowly, one at a time, in small amounts. Chewing thoroughly and staying hydrated are essential practices.

2. Keeping a food diary can be helpful. It allows you to track which foods might thicken your output, cause gas, or lead to blockages. If you're cautious, start with softer lettuces like iceberg or romaine, and consider thinly slicing or grating vegetables. Smoothies and juices can also be a gentle way to reintroduce raw foods.

3. Blockages and gas are concerns, especially if you've had multiple surgeries or have a lot of scar tissue. However, many people tolerate fiber well after their first surgery. Eating smaller portions of high-fiber foods in the evening can help manage overnight pouch issues.

4. Lettuce often passes through the system nearly intact but rarely causes blockages if chewed well. Nuts, seeds, and popcorn are generally safe, but it's important to chew them to a "peanut-butter" consistency. Mushrooms can be tricky, so try chopping them finely or using them in pureed soups. Many people tolerate grapes, strawberries, apples, and other fruits with skins, but some foods like gummy bears or large amounts of mashed potatoes might cause issues for certain individuals.

5. When eating raw produce, avoid large portions on an empty stomach. Start with a few bites of other food first. Staying well-hydrated is crucial, and some find prune or grape juice helpful if their output feels too thick. Medications like Lomotil can also help manage excessive output.

6. It's important to question blanket dietary bans and consider personal experiences. Many healthcare professionals encourage a varied diet with the advice to "eat anything, just chew well." It's worth discussing any restrictions with your doctor or nurse to understand their reasoning.

7. Many long-term ileostomates enjoy a wide range of foods, including international cuisines, stir-fries, curries, and elaborate salads. The focus is on enjoying food and not letting unnecessary restrictions limit your quality of life.
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