I was fortunate to have received quite a bit of information about what foods to eat (and avoid) following my ileostomy surgery. The information was quite important because it was aimed to not only prevent dehydration but also to avoid potential blockages.
Because our stoma swells up after surgery, we can’t eat meals that would be hard to pass through that swollen stoma.
Knowing how to reduce the risk of blockages is important (saving you a trip from the ER!).
Disclaimer: Your doctor or stoma nurse should be able to provide recommendations during this initial healing period. The usual time on this post-op diet is 6 weeks, but your surgeon may require you to be on it longer (or shorter) depending on your progress. This post focuses on ileostomy post-operative care based on my own experience. Many of the foods and suggestions that are given would apply to colostomies too.
Video
Dietary Goals for the First 6 Weeks
- Maintain adequate hydration and electrolyte balance.
- Avoid foods that are likely to cause blockages. These are often high-fiber or high-residue foods.
- Avoid food/beverages that increase output too much.
- Learn to chew! Practice mindful eating.
- Eat smaller meals throughout the day.
- Keep nutrition high. Vitamins, minerals, and protein will help you heal.
- Eat enough to maintain a healthy weight (or to increase it if you’re underweight).
Food to Eat and Avoid
Here’s a list of common foods that are deemed “safe” to eat following surgery, as well as common foods that should be avoided during the healing phase. I’ve compiled this list from various sources, but I’ve tailored it in a way that substitutes animal products; this means that anyone will be able to make use if this list.
Beverages
Beverages:
- When it comes to avoiding blockages, just about every beverage is “safe”.
- A guide to keeping hydrated can be found HERE.
Beverages to AVOID:
- Some drinks may increase output (alcohol, certain fruit juices, coffee, cola, etc.) or produce more gas (carbonated drinks). Keep track of the ones that do, and avoid them.
- Alcohol should be avoided during this period, not only to help avoid dehydration but also because you may be taking pain meds which may interact negatively with alcoholic beverages.
Grains
Grain products to INCLUDE:
- Bread, including pita bread, flatbread, and wraps
- Pasta, noodles, vermicelli, couscous
- White rice
- Cereal (not whole grain), including oatmeal.
- Cookies, oatmeal cookies
- Crackers
Grain products to AVOID:
- Any products that have whole grains, seeds, dried fruit, bran or added fiber.
- Brown and wild rice
Fruits and Vegetables
Fruits and vegetables to INCLUDE:
- Vegetable juice (like V8) are excellent. Carrot juice and tomato juice on their own are great too.
- Apple sauce, well-cooked apples (without the skin).
- Canned fruits and veg (I found canned peaches, canned carrots, canned green beans and canned beets worked really well).
- Most smooth baby food (don’t laugh, this one can help a lot!).
- Bananas, plantains.
- Cooked veg are usually fine as long as they are soft (no skins, no seeds).
- Tomato sauce (without seeds).
- Potatoes without the skin (mashed, boiled, microwaved, steamed, baked).
- Sweet potatoes (without skin) and squash.
- Soups made from blended veg or broths.
- Avocados. Great to add over potatoes or as a spread.
- Fruit jelly.
Fruits and vegetables to AVOID:
Generally speaking, harder to digest fruits and veg are to be avoided during this stage:
- Asparagus, raw beans, raw carrots, broccoli, cabbage (incl. sauerkraut, tomatoes, celery, etc.)
- Corn and corn products.
- Mushrooms (all types, even if they are canned)
- Grapes, whole apple, pineapple, whole mango, etc.
- Dried fruits.
- Fruit jam (with seeds).
- Greens (spinach, lettuce, bok choy, kale).
- Skins of fruits and vegetables.
- Seeds in fruits and vegetables.
- Coconuts (even shredded).
Non-Dairy Products
Dairy alternatives:
- Non-dairy milk (soy, almond, hemp, coconut, rice, etc.).
- Non-dairy yogurt.
- Non-dairy cheese.
- Sorbet or non-dairy ice cream.
Protein-Rich Foods
Protein-rich foods to INCLUDE:
- Tofu.
- Seitan (wheat gluten); ease into this one if you haven’t had it before.
- Most mock meat products are safe, high in protein, fortified with vitamins and minerals and taste great.
- Smooth nut and seed butter (almond, peanut, sunflower seed, cashew, etc.).
- Hummus (avoid whole chickpeas).
- Many of the non-dairy products are high in protein.
Protein-rich foods to AVOID:
- Chunky nut/seed butter, whole nuts, and seeds.
- Legumes including Adzuki beans, black beans, chickpeas (garbanzo beans), kidney beans, lentils, lima beans, mung beans, whole soybeans (including edamame).
- Tempeh.
Fats and Oils
While these are usually foods to avoid for optimal health, they can be a source of much-needed calories during recovery and can help make bland foods more palatable.
- Vegan margarine.
- Vegan mayo.
- Oils are considered “safe” for new ileostomates, but olive and flax oil are the healthiest of the bunch.
- Coconut oil can be used to cook with, or as a spread on bread.
Other Foods and Supplements
Other foods and supplements that may be INCLUDED:
- Protein powder may offer some benefits if you aren’t able to eat enough during the day. For my recovery, I went with THIS product.
- Your doctor may recommend a multivitamin during the recovery phase; when choosing one, be sure that it’s not a slow-release version, or it may pass through your system without being fully absorbed. More info HERE.
- Most condiments, like ketchup, vinegar or mustard are safe.
- While candies are generally safe, they are empty calories.
- Potato chips are usually well tolerated and can provide both sodium and calories, but will also help slow down your output.
Other foods and supplements to AVOID:
- Avoid condiments and garnishes with seeds or chunks (certain mustard, relish, olives, some salsa, etc.)
- Popcorn and corn chips should be avoided.
- Artificial sweeteners may increase output, so keep an eye out when consuming “sugar-free” or “low-calorie” products.
Pro Tips
- If you have access to a Registered Dietitian that understands the challenges of having an ostomy (or IBD), you’ll be able to get a personalized meal plan through them. Here is an article I wrote about how to find a dietitian HERE.
- Try to have a variety of foods to make sure that you’re balancing nutrients.
- Keep a food diary to monitor effects of certain food or drink, then adjust your diet accordingly.
- Keep snack foods close by if you aren’t feeling well enough to cook or you don’t have any help following surgery.
- Log your food intake so you can track calories and nutrients. I’ve used and still recommend CRON-o-meter.
- If pouch odor is a concern for you, I’ve put together a handy guide on controlling it HERE.
- When you’ve received the OK to start a normal diet, try new foods slowly so you can test to make sure they are passing through your stoma without trouble. Most people will be able to continue eating healthfully with only a few (if any) limitations.
- The following foods and beverages can cause a dramatic change in your output’s consistency. You’ll likely be able to catch the culprit within hours of consuming them:
- Coffee or tea
- Sport drinks
- Soda/Pop/Soft drinks (both diet and regular )
- Fruit juices
- Chocolate
- Certain fruits (for me it’s cherries)
- Artificial sweeteners
- Alcoholic beverages (especially wine)
- Fried foods
- Hot/spicy foods
- Non-vegan foods like dairy (or other lactose-containing food, if lactose intolerant)
Further Reading
- Done your recovery? See what’s on the menu past your initial six weeks HERE.
- To see what I was eating shortly after my surgery (along with nutritional profiles of those meals), please refer to THIS from approx. 2 weeks post-op, and THIS post from approx. 3.5 weeks post-op.
- For more ideas on what foods to eat when eating is difficult, check out THIS article.
- For ways to enhance nutrient absorption, consider reading THIS article.
QUESTION: Do you have any tips to share?
Leave a Reply
51 Comments on "Ostomy Diet: What to Eat in the First Six Weeks (w/ video)"
Amen Kerby, well put… it takes time to learn and test things. I am from the generation whete the doctor was “god”. Its taken a long ti.e to learn they don’t know everything . The good ones are The ones who listen to us.
What a Goofball I’m.. Lol
Oh heck. Duh??? I’m embarrassed.
My side says February 4th 2018 ..yours also.
I believe it’s April 2nd. Right?
I just noticed the dates are off. It’s showing Feb 4th.. My how time flies. Lol
You have it back wards my friend……….. :-)
Not sure what you mean? I was talking about the date showing on our replies? M oh necsays 2 – 4th yours did to. Maybe it’s on my side. I will check.
Your doing good Kerby !!!!!!!!!!! It takes a good year to get us straightened out–but we get there right? Our pouching systems, eating regular foods again. We know our bodies best.sending you healthy wishes. M.
Thank you.. :)
We all know that certain foods will give trouble and are advised to avoid. It sounds daft but for me Lettuce has always been a major problem. All of the advice and replies on VO are advise and experience of a seasoned ostomate and its clearly stated that its not medical advise. I had seen dozens of cases where that has been stated to questions.
Wonderful thankyou very helpful
Hey Connor.
Sorry to hear about the less-than-ideal situation!
Protein shakes are perfectly fine, especially after surgery. I was drinking them for a while after I had my operation because I wasn’t able to eat as many calories as I needed, so protein was supplemented through the use of powder.
Best of luck to you!
This video was very helpful. I am 4 weeks post-op with ileostomy. The diet has been challenging. In addition to ulcerative colitis, I also have Celiac disease. Luckily, I did meet with a registered dietitian, but the more information the better. Looking forward to better days ahead.
Glad you have a registered dietitian to help. Best of luck to you!
What do diabetics (Type 1) eat? The diet advice is contrary to a diabetic diet. White bread, rice and noodles as well as canned fruit etc. is not good for me.
Hi Bettina,
I would firstly advise that you work with a dietitian who can narrow down a list of ostomy-friendly foods that are also part of a diabetes diet.
I know that among those eating plant-based diets, there are many who are managing their type-1 diabetes eating similar foods to the ones mentioned in my article.
This might provide some additional information and includes a sample menu (which can be modified to be more ostomy-friendly) : http://www.pcrm.org/sites/default/files/pdfs/health/Type-1-diabetes-fact-sheet.pdf
Thank you for this website!
Everytime I think of another problem somewhere you have an answer.
I am gluten free and a new ostomate.
Glad I could help, Yvonne :)
HI Anna,
I’ve replied to your other post as I think there might be some questions that need answering before coming up with a plan.
When it comes to diet and food options, I always recommend keeping a food diary and testing new foods (in small quantities) so you can expand your diet with foods that work for you.
I would lay off the juicing, as it tends to have a laxative effect for many people (including me). Are you OK with smoothies? Preferably ones that aren’t as thick?
Definitely try simple recipes to start and don’t be afraid to keep them on the loose end. Bananas can act as a thickener, but no so much when they are fully ripened (yellow with black spots).
If you don’t like water for your liquid base, try almond milk rather than soy milk as it’s more runny.
Thanks so much.
Sorry to clarify but what do you mean ‘on the loose end’? I don’t know what to put into smoothies when i’m not supposed to have fiber? I use super ripe bananas…I’m a little worried the protein powder is thickening my output…is there anything I can put in a smoothie that wont??
Strawberry/raspberry seeds from a half cup of mixed fruit should not be a problem for anyone – You should see the number of berries I eat at a time ;)
But you can also just use frozen mango, or blueberries, which shouldn’t be problematic at all.
You could try juicing, but some people find it creates too much of a laxative effect.
OK so I saw your medical disclaimer just now, yay! But please try to be more sensitive to what people say their doctors are telling them. If you are not on that person’s medical team, disclaimer or no, you really should not be overriding their orders. Thanks, friend. I applaud and admire your strength and your dedication to a plant-based diet even when it’s this hard.
PPS I love how cranky my avatar looks. FITTING. 😂
I had colostomy surgery in July. I’ve been battling with constipation since I’ve come home. I didn’t have anyone discuss what I could eat and what to avoid before leaving the hospital. Its been a nightmare!! I just happened on your web page and I want to thank you for all the info. I now know what to avoid.
Thanks so much!
Pam Bell
Best of luck to you, Pam! Glad you found the site!
Ana, thank you so much! I did the radiation and oral chemo (28 treatments) before the surgery, and now, 32 days post surgery am doing another 8 rounds of just the oral chemo. You for sure answered my question and that is what I am finding too. THank you very much. I feel relieved just to have a place to go ask a question! Have a great day and hugs to you, David
Hi David,
Yes, the lack of information is exactly why I felt the need to create this site. I’m glad that you’re finding it helpful.
Eggs will increase odor, as will most foods with high sulfur content like cabbage, broccoli, etc.
I had an iliostomy 3 weeks ago and found your site just so helpful!! OSTOMY nurses are few and far between. I have adjusted pretty well and I found that the food is pretty much an “ease into” basis. Thank you!
Welcome to the club, Stevie! Glad to hear that you’ve adjusted well!
It’s a shame that you had to run around looking for information! I’m glad you finally found it and I hope you’re able to adjust well.
Brand new ileostomate here. Thanks for this! Very helpful info. Been feeling overwhelmed with what and when to eat/drink. I’d like to eat as healthy as possible during this healing time and you have great tips here. Thanks!!
Glad I could help!
Wow, thank you so much! This is the most comprehensive list of eating on a vegan low fibre/low residue diet I’ve come across so far! Thanks so much for sharing!
I’m glad to hear that you’ve been able to figure out your tummy issues! I’ve had to scale back on some of the “12 grain” breads, as I find there’s simply too much that’s not being digested!
I am trying to put together some low-fiber recipes, but that’s been a bit of a challenge, as I don’t usually follow recipes to begin with!
Wishing you all the best!
Eric