AND SOLUTIONS GUARANTEE A+
✔✔Absorptive agents don't correct diarrhea by assist in coping with problem. _____
may be used to correct diarrhea or _____ to decrease output. - ✔✔Increased fiber
(Metamucil/Citrucel); Antidiarrheal
✔✔Ileostomy & Colostomy (Bowel Surgery)
General Guidelines - ✔✔-Usually after surgery you start out with a low- fiber/low-residue
diet. The reason is that surgery causes the bowel to swell. This swelling reduces in
about six to eight weeks, then a regular diet can be resumed, adding specific foods one
at a time to judge their effects. (This is where a food journal may be helpful.)
-For the first year of recovery from surgery (especially if you had a long history with your
disease), you may need to take a multi-vitamin supplement. The vitamins could vary
from a one-a-day type to a higher dosage type (stress tab) to replenish the nutrients that
were lost or needed to rebuild your nutritional state.
Eat a variety of foods based on the food groups. Each food group provides a
combination of key nutrients for optimum bodily function. Follow individual preferences
considering food requirements, tolerances and any restrictions. If you are unable to
tolerate fruits, vegetables or meats, you may need to take a daily multi-vitamin
supplement.
-Add new foods gradually to your diet to determine its effect on your ostomy
management. Add a new food every three days to have a more accurate check on
tolerance points. Keeping a food journal is helpful.
-Eat at regular intervals. Skipping meals increases the incidence of watery stools and
atus (gas). Avoid fasting and skipping meals. A few people benefit from eating six
smaller meals. The total of the six feedings should equal three regular meals.
-Balance dietary fiber. Fiber (roughage) includes all food substances that digestive
enzymes cannot break down (indigestible food residue). Fiber adds bulk to the stool. Its
purpose is aiding the transportation of stool along the intestinal tract for elimination.
-Lactose intolerance is common. If you notice gas, abdominal bloating, increase in liquid
output or diarrhea ten minutes to several hours a
✔✔(Short Bowel Syndrome) - ✔✔A condition where sections of the small intestine have
been removed or by-passed due to disease, surgical complications or injury. The
shortened length of the small intestine can create problems with digestion, absorption
and ostomy management. Consult with your physician and/or ostomy nurse for
prescribed medications to slow motility if diarrhea is a problem
, ✔✔What is meant by "low-residue" diet? - ✔✔Low-residue refers to a dietary regime
which eliminates bulk-forming, hard-to-digest or high-fiber foods.
On this plan, you'll stay away from:
Seeds, nuts, or coconut, including those found in bread, cereal, desserts, and candy
Whole-grain products, including breads, cereals, crackers, pasta, rice, and kasha
Raw or dried fruits, like prunes, berries, raisins, figs, and pineapple
Most raw vegetables
Certain cooked vegetables, including peas, broccoli, winter squash, Brussels sprouts,
cabbage, corn (and cornbread), onions, cauliflower, potatoes with skin, and baked
beans
Beans, lentils, or tofu
Tough meats with gristle, and smoked or cured deli meats
Cheese with seeds, nuts, or fruit
Crunchy peanut butter, jam, marmalade, or preserves
Pickles, olives, relish, sauerkraut, and horseradish
Popcorn
Fruit juices with pulp or seeds, prune juice, or pear nectar
✔✔Will spicy foods cause any damage to my stoma? - ✔✔If you can tolerate spicy
foods through your digestive system, the output through your stoma should not cause
any harm. The stoma is formed from the lining of the bowel and it is tough and can
tolerate those spicy foods.
✔✔After ostomy surgery, I have gained excess weight. What happened? What types of
food should I eat? - ✔✔The relaxation of dietary restrictions, freedom from debilitating
illness and malabsorption promotes a rapid gain in weight. Follow the same weight
reduction diet as recommended by nutritionists and dietitians. Eating smaller quantities
of a well- balanced diet and increasing water/ fluid intake will assist with weight
reduction.
✔✔Can sugar free foods containing mannitol, sorbitol, isomalt or xylitol have a bad
effect on my gut? - ✔✔Yes. The effect is probably the same for people with or without
an ostomy. These are sugar alcohols used instead of or in addition to nutra-sweet and
saccharin. The sugar alcohols can cause gas, bloating, abdominal pain and/or diarrhea.
✔✔Will my ileostomy continue to produce output even if I do not eat? - ✔✔Yes, the
small intestine will continue to produce gas and digestive juices. An empty digestive
tract seems to produce excessive gas. Eat small meals to keep something in
the gut. Peristalsis happens!
✔✔In the past, certain foods caused me some trouble with digestion. How will they
affect me since my ostomy surgery? - ✔✔Check them out. You may find that some of
those same foods will continue to be troublesome and others may not.