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Jan 13, 2024

Eating Beans with an Ileostomy - Is It Safe?

The topic is about eating beans after having an ileostomy, which is a surgical procedure that creates an opening in the abdomen to allow waste to exit the body. A person with a new ileostomy, who has nicknamed their stoma "Oliver," is curious about whether eating beans is safe or could cause problems. Here are some helpful tips and insights shared by others with similar experiences:

1. Start Slowly
- It's generally advised to introduce beans gradually. Try small amounts of one type of bean at a time and see how your body reacts.

2. Cooking and Preparation Tips
- Cook beans thoroughly, using methods like pressure cooking or slow cooking, to soften their skins and make them easier to digest.
- Soak dried beans before cooking. Mashing them or using refried beans, especially refried pinto beans, can help reduce the presence of intact skins.
- Canned refried beans, which don't have skins, were recommended by a surgeon for someone early after surgery.
- Chew your food well and drink plenty of fluids to help move food through your system more smoothly.

3. Which Beans Tend to Work or Cause Issues
- Green, runner, or French-style beans are often tolerated if cooked very well, though some avoid them due to their insoluble fiber.
- Canned beans, kidney beans, and butter beans are generally well-tolerated when soaked and cooked properly, but they might thicken the output.
- Dried beans and canned baked beans can cause excess gas for some, while others have no issues.
- Pinto and black beans are usually tolerated, though they can cause gas. Some find pinto beans easier to digest than black beans.
- Lentils and peas, similar to preserved beans, may create gas for some people.

4. Gas Management Strategies
- Be prepared for increased gas and vent your pouch as needed.
- To prevent nighttime "bag blow-ups," some people prefer eating beans at lunchtime, while others make routine bathroom trips at night to release gas.

5. General Patterns Reported
- Experiences vary widely. Some people have eaten all types of beans for over 30 years without any problems, while others choose to avoid certain varieties.
- Beans can thicken ileostomy output, which might be beneficial or not, depending on personal preference.
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