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Jun 22, 2024

Tomato Sandwich Concerns for Ileostomy Patients

Topic Explanation
The discussion revolves around the concerns of ileostomy patients regarding the consumption of tomatoes, specifically in the form of a sandwich. The original poster, who has had an ileostomy for 8 months, is seeking advice and personal experiences from others about whether eating tomatoes has caused any issues such as blockages or other digestive problems.

Advice and Insights from Replies
1. Tomato Residue in Output:
- Some participants noted that consuming tomatoes can lead to visible red residue in the stoma output, which should not be a cause for alarm.

2. Individual Tolerance Variability:
- Several replies emphasized that tolerance to tomatoes can vary widely among individuals with ileostomies. The common advice is to try eating tomatoes in small amounts to see how one's body reacts.

3. Chewing Thoroughly:
- It is advised to chew tomatoes thoroughly to prevent potential blockages, especially due to the skins which are harder to digest. This was highlighted by multiple participants as a crucial step in safely consuming tomatoes.

4. Skin and Seeds:
- Some participants suggested peeling the skins off tomatoes before eating to reduce the risk of blockage. Concerns were also raised about the seeds, but no consensus was reached on whether they pose a significant risk.

5. Personal Experiences:
- Many contributors shared their personal experiences, with the majority indicating that they have been able to consume tomatoes without issues. Some have been eating tomatoes for years, including in sandwiches, without adverse effects.

6. Consultation with Health Professionals:
- One reply mentioned that a healthcare consultant advised removing tomato skins to avoid digestion issues, suggesting that consulting with medical professionals can provide personalized guidance.

7. General Advice on Eating Post-Ileostomy:
- General advice shared includes the importance of trying different foods cautiously, monitoring one's own reactions, and continuing to enjoy a variety of foods by ensuring they are well-chewed.
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