This topic explores the possibility of maintaining a vegetarian or vegan diet while living with an ileostomy. The main concern is how to meet protein needs, as many high-protein plant foods are also high in fiber, which can be challenging for those with an ileostomy. Here are some helpful tips and insights shared by others who have navigated this journey:

1. Consider low-fiber, vegetarian-friendly protein and energy sources such as yogurt, cheese, rice, and well-cooked or peeled sweet potatoes and regular potatoes. Most vegetables are fine, but be cautious with celery, tomato skins, and corn, as corn often passes undigested.

2. Soy products like tofu, soya "meats," and other textured soy items can be excellent meat substitutes. It's important to cook vegetables thoroughly and introduce new foods gradually to see how your body reacts.

3. Juicing or blending vegetables with fruit can help you get the nutrients you need without the bulk of excess fiber.

4. Fish can be a good protein source if you're open to a pescatarian diet. It's generally easier on an ileostomy than red meat. You can also combine fish with dairy or eggs if you're not strictly vegan.

5. Nuts and seeds can be included in your diet if you chew them very thoroughly or soak them overnight. Soaking helps soften the fiber and improve digestion. Sunflower seeds are specifically mentioned as a good option.

6. Combining different plant foods can help you get complete proteins and may also reduce gas.

7. Individual experiences vary widely:
- One long-term vegetarian found no additional problems after their ostomy.
- A former vegan experienced anemia and returned to eating meat, which highlights the importance of monitoring iron and B-12 levels.
- A current vegan has had success by eliminating all dairy and relying on soaked nuts, seeds, and soy products. However, they find an all-raw diet challenging in winter and prefer hot soups.

These insights can help guide you in finding a diet that works for you while managing an ileostomy.