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Jul 31, 2023

How Much Fiber is Too Much for Ostomates?

This topic is about finding a safe daily fiber limit for someone who has had a total colectomy and now lives with an ileostomy. The person sharing their experience has been living with an ileostomy for 50 years due to Crohn’s disease and recently faced a partial small-bowel obstruction after following a high-fiber diet as part of a weight-loss program. This situation has led them to question how much fiber they can safely consume daily.

Here are some helpful insights and advice shared by others:

1. The blockage might have been caused by not chewing food thoroughly or eating dense foods rather than the total amount of fiber consumed. It's important to chew food well.

2. Without a colon, insoluble fiber may not be as beneficial. It's better to focus on soluble fiber and ensure you stay well-hydrated.

3. Fiber tolerance varies greatly among individuals. Some can handle a lot of fiber, while others may experience blockages with just a small amount. Foods like lettuce, spinach, and berries might be easier to tolerate than cauliflower or Brussels sprouts.

4. Introduce new foods gradually and monitor how your body reacts. Sudden changes in diet can lead to issues.

5. Practical tips include cooking vegetables until they are soft, avoiding or removing very fibrous parts of foods, and drinking plenty of fluids to help fiber move through the system.

6. Be cautious of consuming too much fiber without enough hydration, as this can lead to a bezoar, which may require medical intervention.

7. One person was advised to limit fiber to 2 grams per serving and now follows a zero-fiber carnivore diet, which has eliminated digestive pain for them. This highlights the wide range of fiber tolerances.

8. Seeking professional guidance from a registered dietitian who understands ostomies can be beneficial. They can help adjust your eating plan, suggest appropriate fiber sources, and help maintain weight-loss benefits while minimizing the risk of blockages.
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