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Jun 03, 2012

Fruit and Veggie Alternatives for Ileostomy Output Issues?

This topic is about managing the intake of fruits and vegetables to prevent issues with ileostomy output, such as blockages or high liquid output. If you have an ileostomy and love your salads and fruits but find they cause problems, here are some helpful tips and advice to enjoy them more comfortably:

1. General Approach:
- Start with small amounts of fruits and vegetables, chew them very well, and see how your body reacts before having more.
- Eat slowly, take smaller bites, and chew thoroughly to help reduce the risk of blockages.

2. Safer Choices and Preparation Tips:
- Lettuce: Iceberg lettuce and baby spinach are often easier to handle than other leafy greens.
- Oranges: Slice them thinly and remove the tough membrane. Some people chew for flavor and discard the pulp if they can't handle the fiber.
- Pineapple: Many find it causes blockages, so it might be best to avoid it.
- Mushrooms: Grate them finely to make them easier to digest.
- Celery: Remove the strings or cook and purée it into soup to reduce fiber.
- Be cautious with nuts, coconut, peas, sweet corn, tomato skins, and olives, as they can cause issues.
- Bananas: Eat them slowly throughout the day instead of all at once to manage output.
- Consider adding thinly sliced spring onions, cooked beetroot, radish, hard-boiled eggs, and proteins like chicken, fish, or meat to salads to help balance liquid output.

3. Tools and Methods to Reduce Fiber:
- Use a juicer to separate juice from pulp in fruits like oranges or grapefruit.
- Blend cooked vegetables or legumes and strain them to remove extra fiber.

4. Output-Management Tactics:
- Pair salads or fruits with protein to slow down digestion and reduce watery output.
- Eating 4–6 marshmallows can help thicken very liquid output.
- Empty your pouch before and after larger meals, and consider asking for smaller portions when dining out.

5. Additional Considerations:
- You might need to limit your daily fiber intake if you have adhesions or a narrowed intestine.
- Revisit foods you previously avoided; some people find they can expand their diet over time with careful testing.
- There were questions about what constitutes a "small stoma" and whether well-cooked, blended split-pea soup is tolerated, but answers were not provided in the discussion.
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