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Aug 17, 2025

Dietary Tips for Ileostomy: Success with Berries?

This topic is about exploring dietary options for those living with an ileostomy, specifically focusing on trying blackberries in a fruit crumble. The person sharing their experience has had an ileostomy for over four years and is now reintroducing more foods into their diet. They successfully tried blackberries in a crumble without any issues and are curious about others' experiences with blackberries and berries in general. Here are some helpful tips and insights shared by others:

1. General Approach
- It's often recommended to move away from permanent "foods-to-avoid" lists. Instead, try new foods in small portions, observe how your body reacts, and gradually increase the amount if all goes well.
- Chew your food thoroughly until it's almost like a pulp and stay well-hydrated to reduce the risk of blockages.

2. Berries (such as strawberries, raspberries, blackberries, cherries, apricots, mango, peaches, nectarines, grapes)
- Many people with an ileostomy can eat all types of berries, whether raw or cooked, without any problems.
- Cooking berries, like in a crumble, softens their skins and seeds, making them even safer to eat.
- Be mindful of over-indulging, as it can have a laxative effect. Moderation is key.
- Some individuals on a strict low-residue diet may need to avoid berries, even if they tolerated them in the past.

3. Fruits with Tougher Skins or Fibres
- It's advisable to peel fruits like apples, nectarines, and peaches, as apple peels can be particularly tough.
- When eating pineapple, remove the fibrous core.
- Mandarin orange segments in light syrup have been well-tolerated by several people.

4. Other "Problem" or Caution Foods
- Foods like corn on the cob, mushrooms, nuts, raw carrots, cauliflower (even when well-cooked), broccoli, and high-fibre drinks have caused blockages for some.
- Limiting the quantity and chewing these foods exceptionally well can help many people enjoy them safely.

5. Practical Tips to Avoid Blockages
- Keep portions small when trying new foods, so if any issues arise, they are less severe.
- Space out the intake of high-roughage foods and avoid eating them late in the evening to allow digestion to complete before bedtime.
- Some have found relief from minor blockages by taking hot baths or soaking in a hot tub.

These insights can help guide those with an ileostomy in making dietary choices that work best for them.
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