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Mar 12, 2012

What foods can I eat after ostomy reversal?

The topic is about navigating dietary choices after an ostomy reversal. This is a time when your body is adjusting, and knowing what foods are safe to eat can be a bit tricky. Here’s a breakdown of advice and insights shared by others who have been through this experience:

- After surgery, it's often recommended to stick to foods that dissolve in water within an hour, focusing on soluble fiber and avoiding anything with a peel or shell.

- A typical daily diet might include:
- Breakfast: one egg, an English muffin, and a protein shake.
- Lunch/Dinner: options like spaghetti, pizza, chicken, pork chops, fish, white rice, mashed potatoes, and ground beef.

- Foods that some have successfully reintroduced include:
- Sushi, including avocado and dragon rolls.
- Potato chips, tortilla chips, and certain cookies (though avoiding those with coconut).
- Meats like beef, chicken, pork, and fish, as well as Indian dishes with rice.
- Cooked vegetables such as green beans, potatoes, and squash.
- Fruits like strawberries, bananas, and raspberries, though some avoid seeds.
- Softer nuts like pecans and cashews once healing progresses.
- Dairy products like natural bio-yogurt, especially with spicy foods.

- Foods to be cautious with or avoid:
- Items with thick peels or tough membranes, such as apples and oranges.
- Very seedy or fibrous foods like certain berries, seeded breads, and seeds.
- Coconut, pineapple, and papaya due to potential irritation.
- Very spicy foods should be consumed in small amounts and possibly with yogurt.

- General dietary approach:
- Some surgeons suggest no strict list, just starting with small, frequent meals.
- Gradually increase meal size over time.
- Chew food thoroughly, especially when reintroducing higher-fiber foods.

- Soluble and insoluble fiber:
- It's helpful to refer to online resources for lists of insoluble-fiber foods.
- Introduce new foods one at a time and monitor how your body reacts.

- Managing output and discomfort:
- Some use Metamucil capsules to bulk stools and reduce discomfort.
- A combination of medications like Lomotil, Tincture of Opium, and Metamucil can help slow transit time.
- Expect your body to adapt over 6-12 months, with bathroom frequency decreasing over time.

- Healing and individual differences:
- Some people return to an unrestricted diet within weeks, while others take months.
- Factors like the length of time with an ostomy, presence of the large intestine, and past complications can affect your progress.
- It's important to listen to your body and follow your surgeon's advice.
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