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Oct 11, 2023

Eating Oatmeal with an Ileostomy - Safe or Risky?

The topic at hand is about whether it's safe for someone with an ileostomy to eat oatmeal. After surgery, some people are advised to avoid certain foods, like oatmeal, due to the risk of blockages. However, many miss these foods and wonder if they can safely reintroduce them into their diet. Here are some insights and advice from others who have faced similar questions:

- Many people with ileostomies have successfully eaten oatmeal, including steel-cut, rolled, and instant varieties, without issues. The key is to cook it until it's very soft, start with small portions, chew thoroughly, and gradually increase the amount if tolerated.

- When trying new foods, it's best to do so in moderation. Introduce one new food at a time in small amounts, and if it feels okay, you can slowly increase the portion.

- Chewing is crucial, especially for foods like nuts, mushrooms, and lettuce. Some foods that might cause blockages for one person may not for another, so it's important to experiment cautiously.

- Peanut butter and almond flour are generally safe because they don't contain whole nut pieces. Whole nuts can be safe for some if eaten in limited amounts and chewed to a "peanut-butter" consistency.

- If a mild blockage occurs, some people find relief through gentle abdominal massage and increased fluid intake. Staying well-hydrated helps keep the output loose and aids in passing residue.

- Chronic ileostomies can lead to the loss of important electrolytes like sodium, potassium, and magnesium, which can pose long-term health risks. Many people use products like Trace Minerals, Pedialyte, and diluted sports drinks to help with hydration and electrolyte replacement.

- Cream of wheat is a good alternative to oatmeal and is generally well-tolerated. Other foods like popcorn, cashews, and salads can be acceptable for some, provided they are well-chewed and accompanied by plenty of fluids.

- Some people find it helpful to eat a large bowl of porridge or oatmeal on days when they change their appliance, as it can create a low-output window for bag-off showers.

- It's important to maintain a high fluid intake, with some people drinking up to a gallon a day using water, juices, or even moderate amounts of beer.

- Many long-time ileostomates emphasize that the fear of food can be more limiting than the stoma itself. With careful testing, most people can expand their diet beyond the initial "do not eat" lists.
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