In addition to your normal diet, you should look to include the following foods: Full fat milk and cheese. Double cream (add to soup, mashed potato and puddings) Snack on biscuits and cakes.
You must still include fibre in your diet. Choose some foods from the following list daily: Wholemeal bread. High fibre cereal e.g. Weetabix, porridge.
Foods to include in your diet
Low-fiber foods, such as: White bread, pasta, and rice. Bagels, rolls, and crackers made from white or refined flour. Cereals made from white or refined flour, such as Cream of Wheat®, Rice Chex™, and Rice Krispies®)
The low fibre versions are better tolerated so try white bread, breakfast cereals like rice krispies or cornflakes, white rice/pasta, and avoid skins on potatoes. These provide protein, vitamins and minerals which is essential for health and repair of body tissues.
One major issue to watch out for with a stoma is the laxative effect of some chocolates. The caffeine and fibre within the chocolate can increase the rate of motility (which is the contraction of the muscles in the digestive tract that encourage bowel movements).
Roast potatoes – enjoy as is. Yorkshire Pudding – enjoy as is. Roasted root vegetables e.g., parsnips and carrots, neeps and tatties: peel them, cook them until soft and enjoy with your favourite flavourings such as honey and spices.
Eat starch carbohydrates such as white bread, low fibre cereals like rice crispies or cornflakes, potatoes (no skins) and white rice/pasta for energy and to help thicken your colostomy output.
Raw vegetables, including salad e.g. lettuce, celery, raw bell-peppers and spring onions. Hard to digest vegetables, including beans like butter beans or green/runner beans, sweetcorn, peas, mushrooms, cabbage, brussel sprouts, spinach, kale and spring greens.
Foods that are reported to help thicken the stoma output include apple sauce, bananas, buttermilk, cheese, marshmallows, jelly babies, (boiled) milk, noodles, smooth creamy peanut butter, rice, tapioca pudding, toast, potatoes and yoghurt.
Skin irritation around your stoma is usually caused by leakage from your ostomy pouch and the output from your stoma getting underneath the adhesive and onto your skin. It is uncomfortable and can stop your pouch from working well. The skin around your stoma should look similar to the skin on the rest of your body.
You can eat whatever you want if you have an ostomy
If you have a colostomy or ileostomy, you'll find that various foods affect your digestive tract differently. Just as some foods gave you gas before your surgery, you'll likely experience gas with certain foods now that you have an ostomy.
It is important to increase your intake of calories, fat and protein to aid your body's healing process. In addition to your normal diet, you should look to include the following foods: Full fat milk and cheese.
Coffee and tea are fine, but as with anything else be aware of any reactions in your digestive system. Carbonated drinks in general can cause gas. Beer can cause the output from the ostomy to become more liquid. You can drink alcohol.
So watch out for how many mince pies or how much Christmas cake and Christmas pudding you are eating. Most people with a stoma can eat all these foods in moderation and as long as the food is chewed particularly well to aid the digestion process you should be fine.
Keeping hydrated is an important aspect of living with a stoma. For many people it is just making sure you are drinking plenty throughout the day. You should try to drink 6-8 glasses of water each day along with any other drinks such as tea or coffee.
Make sure your clothes are not too tight around the bag.
You may need to be careful that waistbands do not rest below the stoma restricting ability to drain into your pouch. Depending on stoma placement, you may feel more comfortable with high- or low-rise waistband items, like underwear, jeans, or activewear.
Ballooning occurs when your stoma bag blows up with wind. This is usually due to the filter becoming wet or blocked from stoma output. This can cause the bag to come away from the body. Please note: Stoma ballooning can happen with a colostomy or occasionally with an ileostomy.
Other foods that colostomy patients tolerate well are bananas, tapioca, sticky white rice, and white toast. Small quantities of lean animal proteins are also beneficial.
Some common complications of stoma include poor siting, parastomal hernia (PH), prolapse, retraction, ischemia/necrosis, peristomal dermatologic problems, mucocutaneous separation, and pyoderma gangrenosum. Each will be discussed separately in further detail.