Your stoma output may take some time to settle down because your bowel is adjusting to the surgery. For the first 6-8 weeks, maintaining a low fiber diet allows your body to recover. After the first 6-8 weeks, you can slowly start to add in different foods one at a time.
Ileostomy output is liquid to mushy because it does not go through the large bowel. Water and salt are reabsorbed into the body via the large intestine. When you have an ileostomy, this does not occur. Therefore, you need to help your body reabsorb the water and salt by adjusting your diet. Ileostomy obstructions can occur when eating certain foods. It is essential to follow the following guidelines:
There is no need to change your diet; some food like fish and asparagus may change your urine smell. Ensure you drink eight glasses of water a day to prevent dehydration and infection by keeping the urine flowing unless advised not to by your physician.
Change in temperatures (heat) or when traveling to different countries, it is imperative to stay hydrated. Sometimes, the heat, diet changes, difficulty finding water, or even travelers' diarrhea can cause dehydration.
Nuts, popcorn, high fibrous foods (e.g., mango, celery, skins of foods, mushrooms, pineapple, raw vegetables, coconut, dried fruits and vegetables, sausages, or meats with casings)
Applesauce, bagels, bananas, bread, toast, cheese, crackers, marshmallows, oatmeal, peanut butter, jello, gelatin, potatoes, pretzels, rice, tapioca, yogurt
Alcohol, beer, wine, beans (baked), black licorice, caffeinated drinks, chocolate, fried food, prunes, prune juice, spicy food
Asparagus, brussel sprouts, cauliflower, cheese (strong), eggs, fish, garlic, mushrooms, onions
Apple skins, beans (baked, kidney, white), broccoli, brussels sprouts, cabbage, carbonated drinks, cauliflower, cucumber, eggs, mushrooms, beer, onions, peas, spinach
Asparagus, beets, food colouring, licorice, strawberries, tomato sauces, iron pills
No ostomy output and are vomiting
Ileostomy obstruction can be caused by foods, a hernia, or twisting of the bowel. Occasionally, when the rectus muscle is strengthened too much, narrowing the stoma opening can occur, leading to an obstruction. Not chewing or eating foods on the DO NOT EAT LIST can lead to an obstruction. e.g., mangoes, mushrooms, nuts, pineapple, grape tomatoes, and raw vegetables.
*** if this doesn't resolve in a few hours, you start vomiting, or the pain becomes intolerable, go to the nearest Emergency room.
No ileostomy output, and you are vomiting:
Colostomy obstruction is commonly due to constipation. It could also be due to a hernia or twisting of the bowel.
Pain, a slight decrease in output that leads to no output and a feeling of bloatedness and discomfort leading to pain, nausea, and vomiting.