Colostomy, Ileostomy, Rectal Pouch Diets
Surgery is often needed to treat certain conditions of the colon (large bowel). Sometimes the surgeon must make an opening on the abdominal wall through which intestinal waste (feces) can pass. This surgery is medically known as colostomy and ileostomy. The opening itself is called a stoma. A lightweight, disposable bag is then worn over the stoma. This condition may be permanent, or, in other cases, a temporary detour that can be reversed at a later time.
There are two forms of this surgery where a bag may not be needed. Sometimes a reservoir pouch can be created from the small intestine, forming a reservoir for the stool behind the stoma. A tube is put in place so the reservoir can be emptied when needed, usually once a day. This procedure is no longer very common. In another procedure, all of the colon is removed except for the last part of the rectum. A pouch ( Ileal-Anal Pouch) is created from the small intestine and it is attached to the rectum so liquid stool can pass normally through the anus (opening to the outside of the body) about 3 to 7 times a day.
After all of these surgeries, the stool consistency, amount, and frequency will depend on the type and amount of foods eaten. So, this diet is to help patients gain adequate control of their bowel movements.
Generally, colostomy and ileostomy patients can easily maintain a balanced diet to provide all the vitamins, minerals and calories needed for good health. In those cases where certain foods have to be restricted to control stool patterns or stool consistency, the physician may prescribe a vitamin-mineral supplement.
|Guidelines and Suggestions Foods that Are Poorly or Incompletely Digested and that May Block a Narrowed Stoma|
|Things that Cause Excess Swallowed Air and Then Gas
|Foods that Tend to Form Gas|
|Legumes||Most beans, especially dried beans and peas, baked beans, soy beans, lima beans|
|Vegetables||Cabbage, radishes, onions, broccoli, Brussels sprouts, cauliflower, cucumbers, sauerkraut, kohlrabi, rutabaga, turnips, asparagus, onions|
|Fruits||Prunes, apples, raisins, bananas, excessive amounts of fruit|
|Cereals, breads||Excessive wheat products, including breads and cereals. Check labels for specific grains.|
|Milk, milk products||Excessive milk, ice cream, cheese|
|Fatty foods||Excessive pan-fried or deep-fried foods, fatty meats; rich cream sauces and gravies; pastries|
|Odor-Reducing Foods and Medications|
|Cranberry juice||Charcoal tablets (check with physician )|
|Foods that Tend to Thicken Stool|
|Bananas||Creamy peanut butter|
|Breads||Starchy foods, such as potatoes|
|Foods that Tend to Cause Diarrhea|
|Apple juice||Prune juice|
|Grape juice||Highly seasoned foods, especially hot peppers|
|This Sample Diet Provides the Following|
|Protein||54 gm||Potassium||1,512 mg|
|Carbohydrates||151 gm||Fiber||9 gm|
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