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Aug 08, 2024

Eating Solids After Colostomy Reversal - When Is It Safe?

When you've just had a colostomy reversal, it's natural to wonder when you can start enjoying solid foods again and how to safely transition back to your regular diet. Here are some helpful tips and advice to guide you through this process:

1. Always follow your surgeon’s specific post-operative instructions. If anything is unclear, don't hesitate to reach out to your surgical team for personalized advice.

2. Generally, hospitals suggest the following after discharge:
- Begin with small, regular meals.
- Steer clear of spicy or heavily seasoned foods for the first 1 to 2 weeks.
- Gradually reintroduce your normal diet as your body allows.

3. To support healing and minimize the risk of infection, consider maintaining a cautious diet and limiting your exposure to crowds for about four weeks.

4. Protect your abdominal incision to prevent a hernia. When you need to sneeze or cough, hold a firm pillow against your stomach, and try to avoid straining.

5. Start reintroducing foods at home where you have easy access to a bathroom. Avoid trying new foods when you're out and about. After a reversal, your food tolerances might change. Some people develop sensitivities to foods like nuts or beans, while others might find they can handle foods like kale or cauliflower, which are typically considered "gassy."

6. Be prepared for some unpredictability with gas and bowel control:
- It's wise to be cautious with gas, as accidental leakage (often humorously referred to as "sharting") is common in the early stages.
- Sometimes, you might pass mucus instead of gas, so be ready for unexpected outputs.
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