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May 25, 2023

First Steps to a Normal Diet 3 Weeks After Ileostomy

This topic is about the journey of transitioning from a bland post-operative diet to more regular foods after having ileostomy surgery. It shares the experiences and advice of someone who has gone through this process, offering encouragement and practical tips for others in a similar situation.

Here are some helpful insights and advice:

1. General Approach:
- Many people find they can eventually enjoy all the foods they loved before surgery. The key is to reintroduce foods slowly, in small amounts, and chew them thoroughly.
- Try adding one new food at a time to see how your body tolerates it and to avoid any blockages.

2. Nuts, Seeds, and Granola:
- These can be eaten if chewed very well, but whole nuts in large amounts can still pose a risk for blockages, so it's best to enjoy them in moderation.
- Softer nuts like cashews or nut butters are easier to digest. Be cautious with pumpkin seeds and hazelnuts.

3. Produce with Skins or Tough Fiber:
- Peel fruit skins and cut produce into small pieces to help them pass through your system more easily.
- Steam fibrous vegetables like broccoli thoroughly and avoid eating large portions in the evening to reduce gas.
- Bean sprouts and mushroom pieces can pass through almost whole, so chop them finely or limit the amount you eat.

4. Starchy Foods and Thickness Control:
- Foods like white rice, potatoes, bananas, and mashed potatoes can help thicken your output.
- Be careful with brown rice, as it can swell and cause blockages if not cooked very soft. One person experienced a painful blockage after eating firm brown rice with mushrooms.

5. Managing Output and Gas:
- Avoid heavy snacking late at night to prevent your bag from ballooning.
- Burping can help relieve abdominal gas pain when it occurs.

6. Proteins and Supplements:
- Adding protein powder to peanut butter, hot cereal, or coffee is an easy way to increase your protein intake, especially if your appetite is limited.

7. Beverages:
- Regular coffee is tolerated by several people.
- Alcoholic drinks can usually be reintroduced cautiously and in moderation once your overall diet is stable.

8. Individual Differences:
- The reasons for your ileostomy, such as sensitive gut conditions, may require personalized dietary adjustments.
- It's important to listen to your body and stay alert for any signs of blockage.
See full discusison
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