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Mar 26, 2024

Vegan Ostomates - Tips and Experiences with Fiber Challenges

This topic is about managing a vegan diet when you have an ileostomy, particularly dealing with the challenges that fiber can present. Here are some practical tips and insights shared by others who have faced similar situations:

1. Start small and chew thoroughly:
- Introduce new fruits, vegetables, grains, or beans in small portions, about ¼-cup at a time, and make sure to chew them thoroughly until they are mushy.
- Drink plenty of liquids to help food move through the stoma and reduce the risk of blockages.

2. Understand the difference between soluble and insoluble fiber:
- Insoluble fiber, found in many raw vegetables, skins, and some whole grains, is more likely to cause blockages.
- Soluble fiber, like oats and psyllium, can help thicken output and improve how your appliance works.

3. Consider psyllium products for controlled fiber intake:
- Products like Metamucil and Fibogel provide soluble fiber without the bulk of whole foods. Some people mix these with water to help regulate output, starting with small doses.

4. Use puréed or well-cooked vegetables:
- Pressure-cooked or blender-puréed soups allow you to consume high-nutrition vegetables with minimal insoluble residue.
- A suggested recipe includes peeled carrots, sweet potatoes, spinach, and onion sautéed in olive oil with spices, cooked in an Instant Pot, blended, and finished with balsamic glaze.

5. Explore online resources:
- Websites like veganostomy.ca offer detailed articles, recipes, and forums specifically for vegan ostomy life.

6. Manage vitamins and minerals:
- Prioritize getting nutrients from food sources first and consider supplements only after lab testing and consulting with a doctor.
- Check for any interactions between supplements and medications by searching for "contra-indications" and seeking professional advice.

7. Seek professional support:
- If possible, consult a registered dietitian who has experience with ostomies to help tailor your fiber and nutrient intake.

8. Be cautious with supplements:
- In the U.S., supplements are loosely regulated, so it's important to verify their quality.
- Remember that every ostomate is different, so some trial and error may be necessary to find what works best for you.
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