This topic is all about finding snack ideas and eating strategies for someone with an ileostomy who needs to follow a restricted-fiber diet. The goal is to find snacks that are both safe and satisfying, especially since raw fruits and vegetables can pass through the ileostomy too quickly. Here are some helpful suggestions and insights:
- Quick, low-fiber snacks that are generally well-tolerated include:
1. Dry cereals like Captain Crunch, granola, or any favorite boxed cereal.
2. Cereal bars or granola bars.
3. Peanut-butter crackers, rice cakes with peanut butter, or thick peanut-butter and jelly sandwiches on white bread.
4. Hard-boiled or scrambled eggs, and cooked meats such as bacon, turkey breast, or other lean meats.
5. Cheese slices or cubes.
6. Peeled apple wedges dipped in strawberry or blueberry yogurt.
7. Bananas, with many preferring them slightly green or yellow for a firmer texture and less sugar.
8. Fruit smoothies with skins and seeds removed.
- To make typical "problem foods" safer:
1. Grind nuts before adding them to food or recipes.
2. Cook vegetables until they are soft, then mash or blend them into sauces or gravies.
3. Blend fruit into smoothies instead of eating it whole.
- Eating technique and portion tips:
1. "Grazing," or eating small, frequent portions, can help control hunger and may reduce output volume.
2. Introduce new foods in small amounts and chew everything thoroughly.
3. Be cautious with stringy, seedy, or tough items like apple skin, orange pith, pineapple fiber, sweet corn, and mushroom skins, as these can cause blockages for some.
- Managing output and hydration:
1. Drink plenty of water, as thirst can sometimes feel like hunger.
2. Some people take Imodium (loperamide) daily, under medical advice, to thicken and slow output.
3. Extra salt, vitamins, and minerals are important because an ileostomy can reduce absorption.
- If experiencing pain, cramps, or high output:
1. Persistent cramps, pain, or suspected scar-tissue issues should prompt a call to the surgeon or stoma nurse, as intestinal blockages can be serious.
2. Bentyl (dicyclomine) and anti-nausea or pain medications are mentioned for managing cramps, but medical supervision is advised.
- General encouragement:
1. Many long-term ileostomates report eventually tolerating most foods in moderation once they test them carefully.
2. The most repeated recommendations are to "chew, chew, chew" and practice moderation.
See full discusison