Patient/caregiver was educated on dietary recommendations for individuals with ileostomy as follows
- Eating multiple smaller meals, especially during the first 6-8 weeks of initiating on ileostomy can be helpful versus having three bigger meals. Larger portions in one sitting can lead to abdominal discomfort and pain. Multiple meals with smaller portions could be better tolerated. Individuals can slowly graduate to eating regular three big meals, over a period of time, as tolerated.
- Individuals on ileostomy must avoid or minimize consumption of foods that are increasingly gas-forming. Increased gas production can result in bloating, diarrhea, and severe abdominal discomfort. High fiber foods in general are also increasingly gas-forming. So, these individuals must avoid or minimize consumption of vegetables, such as, beans, artichoke, turnip greens, lentils, green peas, broccoli, brussels sprouts, cabbage, and onions. Exercise control on consumption of whole grains, such as brown rice, oatmeal, and whole wheat. Avoid or exercise caution with fiber rich fruits, such as, apples, banana, mango, pineapple, and strawberries. The golden rule for these individuals regarding any fruit in general is peel the skin off. Foods rich in starch/carbs, such as, potatoes and pasta can also be excessively gas-forming and so, must be limited on consumption. Skin peeled potatoes can be a healthier option for these individuals. Left undigested, the milk sugar lactose can also lead to the increased production of gas and contribute to bloating, abdominal pain, and discomfort. Individuals on ileostomy must avoid or exercise caution with whole milk and other products of whole milk, such as, cheese and yogurt. Picking milk and dairy products that are lactose-free can be a healthier option for individuals on ileostomy.
- Individuals on ileostomy, especially during the first 6-8 weeks of initiation on ileostomy, should slowly increase consumption of protein. Increased consumption of whole meat, eggs, and fish can help quicker healing and repair of damaged bowel tissues.
