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Nov 24, 2017

Foods to Avoid with a Narrow Ileum: Can I Puree Them?

This topic is about a person who recently had ileostomy surgeries and is dealing with a narrow ileum. They used to enjoy eating a lot of vegetables and pulses and are now wondering if they can safely consume these foods by pureeing them, especially using a high-power blender. They are particularly interested in making mushroom and garlic soup. Here are some helpful insights and advice shared by others:

1. Pureeing and very soft cooking:
- Many people find that well-blended or well-cooked vegetables are easier on the small bowel and are generally better tolerated with an ileostomy.
- Using a high-speed blender, like a Ninja, can help achieve the smooth consistency needed.

2. Raw versus cooked produce:
- Most people avoid raw vegetables, but some manage small amounts of well-chewed salad items like lettuce, cucumber, shaved carrot, peeled tomato, and canned beets.
- Others can eat raw produce only if it is finely pureed, such as broccoli tops, carrots, and peeled organic apples.

3. Chewing and portion control:
- Even with pureed or soft foods, it's important to eat moderate portions and chew any non-pureed items thoroughly to reduce the risk of blockages.

4. Pulses, beans, and nuts:
- Refried beans without skins are generally tolerated, and lentils and other pulses are acceptable when fully blended.
- Whole nuts might be problematic, but nut butters like peanut or almond are safer alternatives. Some people gradually reintroduce small amounts of whole nuts.

5. Individual variation and caution:
- Everyone's tolerance is different, so it's important to introduce new or reintroduced foods slowly and watch for any undigested fragments in stoma output.
- Checking previous dietary discussions in the forum’s “Collections” section can provide more experiences and insights.

6. Supplemental ideas:
- Vegetable or fruit smoothies and fresh juices, preferably organic, can be a good way to get nutrients while keeping a low-fiber texture.
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