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Mar 26, 2013

Stoma Complications and Diet Tips After Ileostomy

This topic is about dealing with complications and dietary adjustments after having an ileostomy, which is a surgical procedure often performed due to severe ulcerative colitis. Here are some insights and advice shared by others who have been through similar experiences:

- The person is about two and a half weeks post-surgery and is dealing with an infected abdominal incision and a suspected separation around the stoma. A nurse has recommended using a seaweed-based dressing called Kaltostat to help with healing during appliance changes.

- There is a concern about stool leakage into the gap around the stoma and whether it might be a condition called pyoderma gangrenosum.

- When it comes to diet, the person is eager to reintroduce certain foods and is looking for feedback on:
1. Smoked salmon, shrimp, prawns, and lobster.
2. Mexican dishes like guacamole, sour cream, and tortillas, while avoiding chunky salsa for now.
3. Vegetables, with carrots being well-tolerated so far, and seeking other options that might be gentle on the system.

- They are also looking for reliable resources or websites that offer guidance on diets suitable for those with an ileostomy.

- An update mentions considering waiting 6 to 12 weeks before trying shellfish, showing a cautious approach to reintroducing certain foods.

Here are some general pieces of advice and insights shared:

1. Allow more time for the abdomen to heal before making any firm decisions about diet tolerance, as the early post-operative period can vary greatly from person to person.

2. Many people with a well-settled ileostomy find they can eventually eat almost anything, but it's important to test foods individually to see what works for you.

3. Be cautious with certain foods like fresh coconut and large quantities of nuts, as they have caused blockages or trouble for some individuals.

4. Positive experiences include being able to enjoy fish and shellfish, including lobster, without issues once healing has progressed. Some have also tolerated alcohol, like rum, without problems after recovery, allowing them to enjoy life more fully once stable.
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