Managing severe bloating after ostomy surgery can be quite challenging, especially just a week post-operation. If you're experiencing intense abdominal bloating, pain, and discomfort after eating, here are some practical tips to help you feel better:
1. Start with a low-residue or low-fiber diet:
- Opt for small, frequent meals that include chicken broth, plain chicken, mashed potatoes without skin, peeled apples, white rice, and a little cheese.
- Drink clear liquids and plenty of water, sipping slowly. Electrolyte drinks like Gatorade can also be helpful.
- Consider a commercial nutrition shake like Ensure Enlive for the first few weeks.
- In the second week, you can add protein bars. By the third week, try soft proteins like hamburgers, salmon, and chicken. Wait until about the fifth week before cautiously trying nuts or popcorn.
- Avoid vegetables, fried foods, soda, raw produce, and dense or fibrous items initially.
- Avoid using straws or chewing gum to limit the amount of air you swallow.
2. Follow the BRAT diet when symptoms flare up. This includes bananas, rice, applesauce, and toast. Stick to cooked fruits and vegetables until your tolerance improves.
3. Eat slowly and make sure to chew your food thoroughly. Remember the mantra: "chew, chew, chew."
4. Keep your meal portions modest, as overeating can often lead to post-op bloating.
5. Maintain a food journal to track what you eat and any symptoms you experience. This can help you identify foods that might be causing issues.
6. If your appetite is low, try simple and bland items like saltine crackers.
7. While protein shakes and smoothies can be helpful in the short term, they should not become a long-term staple due to their highly processed nature.
8. Seek educational and support resources:
- The United Ostomy Association of America (UOAA) website and local support groups can be valuable.
- Ostomy101.com offers information on diet, hydration, blockages, skin care, travel, products, and lifestyle tips.
By making these dietary adjustments, gradually reintroducing foods, and carefully monitoring your symptoms, you can help reduce bloating and discomfort in the early weeks after your surgery.
See full discusison