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Mar 04, 2025

Beans for Chili After Colostomy Surgery

This topic is about whether it's safe to add beans to chili for someone who is two months post-colostomy surgery. The main concern is to avoid any blockage while still satisfying a craving for chili. Here are some helpful insights and advice:

- Timing and healing stage:
- Many experienced ostomates suggest avoiding beans for the first three months to allow the bowel to heal. It's generally recommended to wait at least another month or two before trying them.
- Even with a colostomy, which is less restrictive than an ileostomy, introducing beans too early can still cause gas, pain, or blockage.

- Safer alternatives while healing:
- Consider making chili without beans to satisfy the craving.
- Use substitutes like green beans.
- Purée beans in a food processor or peel the skins to reduce the risk of blockage while keeping the flavor.
- Reheat chili with beans after it sits overnight, as softened beans may be easier to digest.

- When ready to reintroduce beans:
- Start with a very small amount and introduce only one new food at a time.
- Chew thoroughly, as this is repeatedly emphasized.
- Watch for any cramping, excess gas, or changes in output; if symptoms appear, stop and wait.
- Consult with a surgeon or dietitian before trying beans for the first time.

- Bean types and products that might be better tolerated:
- Brooks Chili Beans (blue can, Mild or Hot) are noted as softer than dry kidney beans.
- Canned "baked beans" in molasses, which have thin skins, may be easier to digest than dry beans.
- Mixing kidney and pinto beans and thoroughly reheating them worked for one person.

- Managing gas:
- Enzyme supplements like Beano (original) or Beanaid (CVS generic) can help. Taking two tablets with the first bite can greatly reduce gas.
- Expect more gas initially; it often decreases over time with enzyme use.

- General precautions:
- Spices can be challenging early on, so keep the chili mildly seasoned at first.
- Each person's tolerance is different, and it's better to be cautious.
- Introduce potential problem foods like beans, nuts, mushrooms, thick pickle skins, and popcorn later in the recovery process and in small amounts.
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