This topic is about a husband seeking advice on how to support his wife, who is struggling with appetite and weight gain after an emergency ostomy surgery. She has been through a tough time, including a long hospital stay and significant weight loss, and is now dealing with nausea and depression. Here are some suggestions and insights that might help:
1. Seek Medical Review
- It's important to have a medical check-up to rule out any hidden issues like infections or obstructions. A CT scan and bloodwork might be necessary.
- Consider using resources like the Ileostomy Blockage guide from the United Ostomy Associations of America.
2. Expect a Gradual Return of Appetite
- It's common to lose appetite after major surgery. It might take a few weeks to a few months for normal eating habits to return.
- High stoma output is typical early on and should stabilize over time.
3. Start With Calorie-Dense, Easy-to-Swallow Foods
- Foods like ice cream, milkshakes, pineapple juice, cheesecake, protein bars, and even fast food can help stimulate appetite.
- Encourage thorough chewing and sipping liquids to help with swallowing.
4. Small, Frequent Feedings
- Instead of sticking to three large meals, try offering small amounts of food throughout the day.
5. Oral Nutrition Supplements
- High-protein drinks like Ensure, Boost, or Premier Protein shakes can be beneficial. Some people find one brand easier to digest than others.
- If nausea is an issue, sipping slowly and opting for chilled drinks might help.
6. Maintain Hydration
- Ensure she stays hydrated with water, electrolyte solutions, and other fluids, especially with high ileostomy output.
7. Psychological Support
- Encourage a positive outlook and use humor to lighten the mood during challenging moments.
- Remind her that appetite and weight usually improve as healing continues.
8. Practical Tips
- Use a clothespin or mask to manage odors when changing the appliance.
- Keep track of her weight, fluid intake, and stoma output to share with healthcare providers.
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