One of the most frequent topics of conversation when I first meet a new ostomate is what can and should be eaten. In regards to just having an ostomy, one can eat pratically anything. Dietary restrictions will more likely be due to other disease processess such as Diabetes Mellitus which require carbohydrate control or cardiac conditions which require monitoring sodium and fat intake. As with any abdominal surgery, a new ostomate usually needs to "take it slow" when starting to eat post-op due to pain, swelling, and/or gas. Spicy, greasy, and fried foods usually are not tolerated initially. Raw fruits and vegetables and high fiber foods also can cause bloating and discomfort; these should be introduced back into the diet slowly. Adequate hydration and protein intake are essential for the healing process. I usually recommend new ostomates start out eating several small meals a day and introducing new foods slowly in order to determine what they can tolerate. If you have a colostomy or ileal conduit, you can generally eat whatever you want within the guidelines of your health conditions. If you have an ileostomy though, further precautions must be taken. At least 8-10 glasses of liquids are recommended daily; more if your ostomy output tends to be more watery. An ileostomy can become obstructed with pieces of food so either avoid or chew very well foods such as whole kernel corn, peas, and nuts. Foods such as cheese, white bread, potatoes, and bananas can help thicken output while sugary foods and caffeine can increase output.
Check out these great resources on this topic at the UOAA website:
Diet & Nutrition
Diet & Nutrition
Guide: In English
(21 pp, 119 KB) En Español
(22 pp, 99 KB) Guidebook, PDF format Ostomate’s Food
Reference Chart: In English
(1 pp, 29 kB) N/A Reference Card, PDF Ileostomy Blockage
Treatment Card: In English
(2 pp, 68 kB) N/A Reference Card, PDF
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