Diet can be a very complex subject when it comes to living with a digestive disease. People who have an ostomy can also find that eating certain foods simply don’t work for them. I’ve written about ways in which we can substitute certain foods HERE, but in this post I’ll be explaining a bit more about how I tend to eat.
My diet is evolving, and it’s been a challenge to get back into eating normally after years of not being able to.
Table of Contents
Video
By playing the above video you agree to YouTube's Terms and Conditions and Privacy Policy
Breakfast
I don’t tend to be a guy who eats breakfast regularly, since I usually shift my meals to later in the day, but when I do eat breakfast it tends to be leftovers from the night before (I just finished a plate of leftover pasta as I write this… it’s 11am) or oatmeal.
I prefer to add frozen fruit to my oatmeal while it’s still hot. I do NOT add sugar to my oatmeal and will sometimes make it with a non-dairy milk. Likewise, I really enjoy “ancient grain” porridge too, although it tends to contain whole grains that don’t break down easily.
I’m not into commercial cereals, but when I do eat them, they tend to be the ones that are not sugar-coated (i.e. wheat squares, puffed rice, etc.).
Sometimes, I’ll make a tofu sandwich for breakfast, that simply involves slicing tofu and sticking it between two slices of bread. I’ll add nutritional yeast and mustard, then some ground pepper and salt. It’s filling, tastes good, is rather cheap to make, and is loaded with nutrients.
As with breakfast, I may have leftovers from the night before or a tofu sandwich.
Lunch
Lunch often falls between 2pm and 4pm, and I often have a bean salad most days
My bean salads are simple and are pretty much made using any combination of the following:
- Lentils, chickpeas or kidney beans (canned).
- Chopped cucumber, tomato, bell pepper, carrots, onion.
- Balsamic vinegar or red wine vinegar.
- Avocado or olive oil
Bean salads are nutritious and filling, but it did take a while to be able to consume the quantities I eat now, and these types of salads shouldn’t be attempted by new ileostomates until they’ve eased into eating fibrous foods.
I will sometimes also make either couscous or quinoa with mixed, chopped veg. It takes a bit longer to make this vs. bean salads, but either tastes great!
My favorite meal, which is second only to my late nigh “snack” , is dinner!
Dinner
Depending on the day, dinner can vary wildly. On weekdays, I tend to make either:
Rice one-pot meals:
Pasta Dishes:
My wife and kids may disagree, but I love “loaded” pasta with lots of veg (broccoli, carrots, green beans, etc.). For the most part, I can get away with adding these veggies to my sauce, but more often than not, we eat pasta with just plain tomato sauce (the salads that go with these pasta dishes make up for the lack of veg in the sauce!).
Chili:
I could eat chili all day, because it no only tastes great, but it’s super-easy to make, makes for great leftovers and is highly nutritious!
I tend to throw chili together without any real recipe, but it’ll usually be something like:
- 2-3 cans of beans (kidney beans are perfect).
- 2 cups of frozen mixed veg (“California blend” with carrots, cauliflower and broccoli) that’s been thawed under hot water.
- 2-3 large cans of whole or chopped tomatoes (include the liquid).
- 1 can of tomato paste (if the chili is too watery)
- We sometimes add textured vegetable protein (TVP) or textured soy protein, which gives the chili some “bite” and is a great replacement for ground beef.
- Spices will vary depending, but will almost always includes powered chili and cumin. I do add ground black pepper and salt most of the time.
- Optional: chopped onions that are sautéed before adding the rest of the ingredients.
Potatoes and Protein:
I love potatoes, and they’re one of my favorite “ostomy friendly” foods. I enjoy them with the skins on, but even peeled, they pack a lot of nutrition. For most large meals, I tend to cut up potatoes in wedges, throw them in a large bowl with spices (garlic powder, chilli powder, salt, pepper, all-purpose seasoning) and olive oil, toss and bake.
I’ll tend to bake or grill tofu when we have potatoes.
Stir-Fry:
Not something I eat a lot of these days, but I do enjoy making stir-fry with either rice or vermicelli. Tofu is almost always included, and I use a full package of frozen (and thawed) veggies. The nice thing about frozen veg, is that you can get them in a variety of mixtures, from “Asian blend” to “Japanese” to “Thai”, and you have zero food waste – you use every, single piece of veg in the package. Yay!
Nearly all of those will come with a salad, and I really, really, really love salad!
While my basic salad usually includes cucumber, celery, tomato, green onion and or bell pepper, I enjoy throwing avocado, chopped apples, hemp seeds or whole nuts/seeds in there too.
On Friday nights and on the weekend, we let loose and eat more “comfort food”:
Pizza:
I was never a fan of cheese and pepperoni, and our pizza tends to be fully loaded with veg. My wife and kids love to add non-dairy cheese (Daiya) on our pizza, but I’m fine with or without it. The stuff melts and tastes as you would expect it to (i.e. cheese), so anyone who likes cheese will probably like Daiya (I never really liked cheese and I don’t mind this).
Burgers and Fries:
My wife makes the bean burgers, and I nearly always include fries with them, but it’ll switch between frozen fries and home fries depending on how many potatoes we have at any given time.
We do sometimes buy commercial veggie burgers, but not very often since bean burgers taste amazing and are super-cheap to make.
Fries With Fake Meat:
My kids and I love fries (either from frozen or home fries) and on “fries night” we tend to add some mock meat to the meal. We’ve been partial to the brand Gardein, as they make some pretty awesome Chioptle Lime “Crispy Fingers” among other things!
Lasagna:
This one doesn’t happen often, but when it does, it’s EPIC. I love lasagna, and have been known to devour more than what my wife and kids can eat combined. My wife makes this, and she’ll regularly use Daiya as a non-dairy cheese.
Wraps:
Who can resist a good wrap? Not me, apparently! Fresh veg with grilled, marinated tofu? Yes please!
Snacks
Fruit is often my go-to snack, and depending on the season, it tends to be apples or bananas. My favorite apple, by far, is the Pink Lady variety!
In the summer, I tend to favor berries, nectarines, oranges and mangoes. My daughter likes to make smoothies, so I’ll usually have one or two smoothies a day (with lots of blended frozen fruits like berries, peaches and pineapple)
I don’t like sugary junk, and while I love potato chips (crisps in the UK), I might have some maybe once a month.
Popcorn has also been a snack I enjoy, and it causes zero issues with my ileostomy. We buy plain popcorn and top it with nutritional yeast, seasoned salt and a dab of melted vegan margarine or olive oil.
Treats:
My wife and daughter enjoy baking, so the only time I really have “treats” is when they make muffins, cookies, cinnamon rolls or pancakes. Because prednisone has caused me to have sensitive teeth (thanks, Prednisone!!), sugary treats really bother me. That said, when I do eat one of their treats, it’ll be before they add any icing.
Late Night “snack” (a.k.a. “isn’t it too late to be eating THAT much?”):
Whether it’s because I stay up late, or because I have a disordered eating pattern, I tend to have late night MEALS (not snacks). This can be anything from several sandwiches, very large salads (I’m talking 5+ pounds of veg!) or several pounds of microwaved potatoes (topped with avocado or salsa). Don’t judge me!
Aaaand We’re Done
I hope that gives you a glimpse at the things I tend to eat. I try to focus on whole foods whenever possible, and make nearly all my meals.
My dietary journey through Crohn’s disease, and now my ostomy has caused me to focus on nutrition, but also to respect the fact that every meal should be treasured.
Info: If you’re interested in eating this way, I’ve listed some of my favorite resources on going vegan HERE.































I have had an ileostomy for a little over 20 years. My eating has been all over the place! I am a chef and it makes it very difficult for me to behave myself. I am considering the benefits of going vegan, but I have some issues. I love veg of all types but whenever I eat them, I have issues with high output and subsequently become dehydrated. The same happens with beans and legumes. I am also gluten intolerant and lactose intolerant. I would appreciate any help from anyone out there and some tips to transition to a healthier diet.
Hey Janet,
First thing that comes to mind would be to keep a food diary and see if any specific veg or even type of bean/legume causes you to have high output.
Keep in mind that increasing the volume of bulky, fiber-rich foods will increase the volume of output you have (this is actually a good, although inconvenient, thing).
For me, I may have that kind of reaction to certain foods, like raw spinach will act as a laxative for me, but cooked spinach is fine; lentils cause loose output while chickpeas thicken things up for me.
Because you also have a few food intolerances, I would love for you to speak with a registered dietitian to come up with a meal plan that works for you – they’ll likely ask about that food diary, so if you do plan on seeing one, try to get a week or two of the diary done :)
This article may help you:
https://www.veganostomy.ca/finding-registered-dietitian-ibdostomy-tips/
Feel free to add more details or share your experience after you’ve experimented for a bit.
I’m glad about this page as far as the information goes..my problem is being unable to eat much of anything, and it seems whatever I eat causes a blockage, and my tummy bulges out and is so painful but because I’m so hungry I just keep eating so I just keep blocking all the time. I do have an Ileostomy (AUG 2017) and apart from the leaks, and burning around my stoma my problem is food. I love salads, but bread seems to be a no, no, it doesn’t like me. I love everything to be plant based, and earthy. I am saddened about not eating a lot of foods, e.g. Nuts, whole seeds, grains etc, though I do eat tinned Beans the Macro type. Maybe I should just live on smoothies. I can’t have full plant based smoothies and I’d be living in the toilet all day, so those are not suitable. I love all foods but I refuse to eat mushy vegetables, so gross, I want wholesome healthy foods! What would you suggest I eat. I am weight conscious like most people, and processed foods are not the way to go for me as they are full of fat and sugar, and one just gains too much weight…I guess what I am trying to say is I’m not a Junk food eater…I don’t know what to do anymore, I’m lost, and feel so down since the surgery…I’ve been hospitalised twice now with blockages…
Hi Nancye,
You’re still a new ostomate, so don’t be disappointed by any restrictions you have right now.
It took me well over a year to be comfortable enough to start eating whole foods, and I was still having blockages and partial blockages along the way.
I would suggest starting with the basics – if that means smoothies, then let that be. Move onto heavily cooked veg, nut butters, blended bean soups and see how that works out for you.
Then move onto raw, but peeled/deseeded fruits and veg in small quantities – always chew as much as possible.
Food diaries can help, but pacing yourself is the most important.
This article will give you more ideas: https://www.veganostomy.ca/ostomy-diet-beyond-recovery/
HI ERIC;
LET ME GET THIS OUT OF THE WAY FIRST. I WILL BE 74 YEARS OLD THIS COMING NEW YEARS DAY & MY EYES SEE “CAPS" MUCH EASIER THAN “LOWER CASE". I AM NOT YELLING AT ANY BODY BY TYPING IN CAPS.
I HAD MY ILEOSTOMY IN MARCH OF 1983. JUST LIKE YOU I FOUND OUT THAT AS TIME HAS PASSED I CAN EAT THINGS NOW THAT USED TO CAUSE BLOCKAGES. IT IS MORE IMPORTANT AS TO HOW WELL I CHEW MY FOOD THEN WHAT I EAT. SMALL AMOUNTS ARE ALSO BETTER FOR ME. OVER THE YEARS I HAVE HAD 6 BLOCKAGES THAT PUT ME INTO THE HOSPITAL. ALL OF THEM FINALLY DID PASS. I HAVE HAD DOUBLE THAT AMOUNT OF BLOCKAGES THAT I JUST SUFFERED AT HOME WITH UNTIL THEY PASSED.
ABOUT 6 YEARS AGO I SAW DR NEAL BARNARD ON OUR LOCAL PBS TV STATION, SO I BOUGHT HIS BOOK “21 DAY WEIGHT LOSS KICK START". THIS BOOK WAS TO HELP ME WITH MY HIGH BLOOD PRESSURE/ CHOLESTEROL. AS I GOT TO THE BACK OF THE BOOK I FOUND OUT IT WAS A VEGAN DIET AND I HAVE BEEN EATING VEGAN EVER SINCE THEN.
I MAKE SHAKES IN THE MORNING FOR THE WIFE & MYSELF. THEY CONTAIN ALMOND MILK,NUTS,BANANA,STRAWBERRIES, BLUE BERRIES, WHEY & CRUSHED ICE.
KEEP UP THE GOOD WORK ERIC.
THANKS FOR SHARING, CHUCK!
I’M A FAN OF DR. BARNARD, AND I’M GLAD TO HEAR THAT YOU’RE DOING WELL!!
Hi Eric? Thank you so much for all of your info and your website. I’ve had an iliostomy now for only 8 weeks. I had a question about everyone and all the websites saying not to eat berries. Is it because of the seeds or is it because there is something in the berries themselves that cause problems? I just purchased a vitamix blender that pulverizes all the seeds into almost nothing so it’s very smooth. I was just wondering if it would be ok to make a smoothie with berries in it? I know you seem to handle berries. Could you please let me know why berries are such a no no? Thanks so much for your help.
Nat ?
=) Hey Natalie, thanks for your comment!
I don’t have a problem with berries, and I enjoy them quite often (from frozen, in smoothies mostly), but I think some people might find the seeds to be an issue. The vitamix is a great investment! We have a blentec and have at LEAST one smoothie a day, but I love making stuff like hummus in it too.
If you’re starting out with berries, just have a little and see how it works for you.
Take care!
Eric
Wow, Eric! I am amazed at the amount of fiber you are able to tolerate. I practically obstruct just thinking about it! I used to get painful obstructions from intestinal strictures pre-op. Had hoped to have more latitude with the ileostomy, and i do have a _bit_ more, but not much (6 mo post op). Have had several partial obstructions so far on foods that i thought would be okay. There may be some cumulative effect that i am still figuring out… (Your post on blockages suggests that as well.) Have managed so far to treat them at home, but the most recent almost sent me to the ER. Still coming out of it now, so your post really caught my attention! Best wishes to you.
Thanks for your commend, Liza!
I find that blockages (partial or full) have more to do with HOW I eat, and not necessarily WHAT I eat, but I do find my digestion to be improving more and more and things that use to cause more partial blockages aren’t an issue. I do still have to monitor my fluid intake, chew, eat smaller meals (I struggle with this one!), but I’m definitely not worried so much about blockages these days.
But many ostomates might still find that raw foods are tough to pass through without problems, so finding alternatives would be better (cooking veg, peeling fruits/veg, canned beans instead of dry, etc.).