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Oct 18, 2016

Need help linking blockages to food

This topic is about understanding and managing ileostomy blockages, particularly how they might be linked to certain foods. If you've experienced blockages, it can be helpful to know what signs to look for and how to adjust your diet to prevent them. Here are some practical tips and insights:

- To figure out how long it takes for food to pass through your system, try eating foods that are easy to spot in your output, like sweet corn or beetroot, and note the time it takes for them to appear in your pouch.

- Be aware of signs that might indicate a blockage, such as rolling, cyclical gas pains, a sudden stop or significant slowdown in output, vomiting, or swelling around the stoma. Swelling might also mean the opening in your wafer is too small.

- Some foods are often linked to blockages, including whole corn kernels, popcorn, nuts, tomato and pepper skins, raw or firm vegetables, fruit skins, coconut, high-fiber foods, large amounts of steak, thick fries, hero or sub rolls, al dente pasta, and undigested rice. People have different tolerances, so try these foods in small amounts to see how you react.

- To make fruits and vegetables safer to eat, cook them until soft, blend or purée them, and remove skins or peels. Opt for white bread, well-cooked white pasta, and ripe fruit without membranes.

- After surgery, start with a low-fiber, bland diet for 4 to 6 weeks, then gradually reintroduce foods one at a time. Chew your food thoroughly to reduce the risk of blockages and help you feel full sooner. Eat small, frequent meals and avoid overeating.

- To thicken your output, try foods like peanut butter, marshmallows, guava paste, and bananas. If your output is persistently watery, you might consider antidiarrheal medication like Imodium, but keep an eye on your hydration. To thin your output or encourage flow, increase your fluid intake, and only use mild laxatives if advised by a healthcare professional.

- Staying hydrated is crucial for those with an ileostomy and can help prevent blockages.

- Blockages can also be caused by adhesions or scar tissue. Talk to your surgeon about your options and regularly check your stoma size to ensure the wafer hole is the right size.

- There are resources and products that can help, such as an Ostomates Food Chart, which lists foods that might cause gas, odor, or blockages. Useful kitchen tools include blenders for making purées and smoothies. Supplements like Imodium and probiotics like Align can also be helpful.

- Remember, everyone’s tolerance to different foods is unique. Keeping a food and symptom diary can help you identify which foods are safe for you and which ones to avoid.
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