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Feb 24, 2019

Ileostomy and Food Options - Digestion Issues & Weight Loss

This topic is about the challenges of reintroducing foods into the diet after chemotherapy for someone with an ileostomy. The person is currently limited to bland, starchy foods due to a metallic taste from treatment and is looking for advice on which foods might be safe to try. They are also concerned about preventing further weight loss. Here are some helpful insights and advice:

1. Introduce new foods slowly and in small amounts. Pay attention to how your body reacts before increasing the portion size, as tolerance can vary and change over time.

2. Be cautious with foods that are known to cause problems, such as stringy or high-fiber items like celery, raw onions, bean sprouts, spaghetti squash strands, popcorn, nuts, corn, and Honey Nut Cheerios. These can lead to blockages or severe gas.

3. To reduce the risk of blockages, try these preparation tips:
- Cut meats and produce into small pieces, remove tough stems and seeds, and peel fruits.
- Cook greens, squash, and other vegetables thoroughly, and discard any stringy parts.
- Chew your food well and drink plenty of fluids while eating.

4. When it comes to meat and protein:
- Some people with an ileostomy can tolerate all meats if they are cut into small pieces, but others may still have trouble with beef and pork. Fish and shellfish are often easier to digest.
- If you can't get enough nutrition orally, doctors can prescribe TPN (total parenteral nutrition) for temporary high-calorie, high-protein support.

5. Eating smaller, more frequent meals can be easier to manage than larger servings.

6. For weight gain, consider slow-cooker stews with very soft ingredients, avoiding fibrous vegetables. Calorie-dense but low-fiber foods like cheese, baked beans, and well-cooked starches can also help.

7. Some have found relief from chemo-related neuropathy with Vitamin B6 supplements.

8. Fats and fried foods are generally not well tolerated, so many choose to limit or avoid them.

9. A clean, plant-forward diet with well-cooked vegetables and minimal processed items can help reduce ostomy odor for those who can tolerate vegetables.

10. Switching to newer two-piece pouch systems may make it easier to manage your ostomy when trying new foods.
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