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Dec 15, 2023

Holiday Meals on a New Diet - Need Advice!

The topic is about navigating holiday meals with a new ileostomy, specifically focusing on what foods might be safe to eat during Christmas dinner. The person is 10 weeks post-operation and is understandably cautious about trying new foods. Here are some helpful tips and insights shared by others who have been in a similar situation:

1. General approach:
- Everyone's tolerance for different foods varies, so it's important to use trial-and-error.
- Introduce one new food at a time, in small portions, and wait a day to see how it affects you.
- Chew your food thoroughly and drink plenty of water or fluids.

2. Foods commonly avoided early on:
- Raw vegetables; opt for well-cooked ones until you're more healed.
- Fruit skins, like those on apples, should be peeled.
- High-fiber, tough, or bulky items such as nuts, corn, popcorn, raisins, marshmallows, lettuce, tomatoes, onions, pickles, kimchi, and sprouts.
- Spicy or very hot condiments, as they can be as uncomfortable coming out as they are going in.
- Heavy, doughy foods like pizza can cause blockages if not eaten slowly.
- Alcohol, carbonated drinks, and very sugary foods are best avoided initially.

3. Re-introducing foods:
- Around 10 weeks post-op, many people start expanding their diet and eventually tolerate most foods.
- Start slowly with items like a small, well-chewed slice of pizza or a salad.
- Over time, some regain tolerance for foods like tomatoes, onions, pickles, and lettuce.

4. Foods reported as easy to digest:
- Cantaloupe, banana, seedless watermelon, and pineapple slices.
- Well-cooked carrots, potatoes, and butternut squash.
- Cheese, cottage cheese, Greek yogurt, and eggs.
- Meats and fish such as ham, turkey, beef steak, shrimp, salmon, and halibut.
- Pasta, rice, and soups.
- Chocolate in moderate amounts.
- Smoothies can be a good way to include fruits and vegetables.
- Consider a protein/vitamin shake like Ensure Enlive each morning.

5. Beverages:
- Orange juice is well-tolerated by some, but grape or pineapple juice might cause watery output.
- Coffee can be fine for some people.
- Staying hydrated is important to help prevent blockages.

6. Problem foods/experiences:
- A medium bag of butter-free popcorn caused two days of thick, hard-to-empty output for one person.
- Eating two slices of pizza led to a partial blockage and a hospital stay for another.

7. Equipment tip:
- Using a two-piece Hollister pouch can make it easier to swap bags if thick output clogs the pouch.

8. Normal sensations:
- Stomach growling and gurgling are common and usually not a cause for concern.

These insights can help you enjoy your holiday meals with a bit more confidence and comfort.
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