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.
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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.































Hi Veganostomy,I had my ileostomy 4 months ago (Aug 2018) and I’m ready to return to my Keto-Fasting lifestyle for weight loss. I’m not a vegan or vegetarian and don’t plan on it. My question is on fasting. I have been researching effects of fasting with an ostomy and found this study. In some ways it sounds like intermittent fasting may actually be a good thing. Is fasting part of your vegan lifestyle?-Linda
Could you send me the study as well?
P.S. Frozen spinach works great in the ‘pie’ recipe. Just thaw it ( microwave works well) and squeeze out all the water you can ( a colander is helpful), then mix with the other vegis and eggs and bake.
Hello Debbra,Welcome to the forum. I am really sorry to hear of your difficulties. Its all a real challenge for sure, and not being able to eat on top of all you have been through is really horrible.Lots of us are careful about what we eat because of the stoma. And you have the added challenge of your teeth. I also like to eat vegetables that are mostly cooked. I make lots of soup and I also bake a kind of crustless vegetable pie. The good thing about both of these preparations is that the vegies are cut small and cooked and you can get lots of flavor into them.If you have an immersion blender for the soups, so much the better. That way you can puree all or just part of it right in the cooking pot. It much easier to do that way than using a blender. Try smooth carrot soup or butternut squash etc. Anything can be used…good to add beans etc for protein…and pasta is hopefully easy or you to eat as well.For the pie thing, I just sauté whatever cut up vegetables I have on had. ( riced cauliflower works great here … its ground up and looks like rice..frozen or fresh).Add lots of cooked spinach, onion peppers etc..just cut it up into small bits and cook it. ( use lots of spices here too if you like.). Then cool the mixture a little bit ( so it doesn’t cook the egg mixture on contact) .Then and add it to some beaten eggs and whatever cheese you have that needs using ( if you use cheese). Stir it all up ( looks yuckky at this point)…pour into a pie pan or other baking dish, and bake for about 45 minutes at 375 or thereabouts. You can put grated cheese or bread crumbs on top. It looks really good when it comes out of the oven. I think it would be easy for you to eat too. Worth a try perhaps. You could experiment with different vegetables etc.I am sure you have tried all manner of fruit juices and smoothies .. good to add yogurt to them for protein. Can you eat soft french toast ( fried bread)? So all this advise is not vegan, but vegetarian at least. The only meat I eat on a regular basis is lox. Its really soft too, low calorie and very high in good fats and protein. I hope this helps, and like John said too, I hope there is some way to sort out your teeth.You seems to be coping with a very tough situation. I wish you all the beast.
I don’t have Crohn,s Disease. I was robbed and stabbed in my large bowl. Suffering for years, I finally had a colostomy and scar tissue was taken out. Still nothing the doctors gave me, medication wise wasn’t working. For year I suffered so long because the ER was my bathroom. Pain, and bloated like I was pregnant was my life.
Now I had a colostomy with ileostomy. I am five months post op.
My problem is I have no teeth on the bottom and just some on the top. I want to eat vegetables so badly but can’t chew. All I eat is eggs, bread,cheese, mash potatoes. I am tired of this diet. I can only eat smash foods and it just not the same. I don’t know if you would read this but this is not living. I wasn’t a Vegetarian , but I did all fresh vegetables brfore the surgery. My output is high and loose.
If you have any advice for me I would appreciate it
Hi Debbra, Digestion starts in the mouth with saliva and chewing, you could try adding rice and pasta with a sauce to make it more tasty. Veg like cauliflower would be easy to eat. Dental work is expensive, but have you looked into ways this could be sorted
I second this thought. Being able to chew well is going to be extremely important for digestion and preventing things like blockages.
I have an Ileostomy since February 6, 2017 and was told not to eat celery by my Stoma Nurse and that it is too stringy. Any suggestions? Same with Pineapple.
Thank you so much and yes, I stream my veggies in the steamer bags for convienience and the more veggies I eat, green beans and an Asian mix but no baby corns, I get more output.
Thank I you.
Hi Susan,
Celery eaten in large chunks can be “risky" because those strings do not break down in the gut. That said, if you cut them and chew well, they become “safer", but you still have to exercise some caution if you intend to eat a lot at one time.
Pineapple, if ripe, shouldn’t be too much trouble, but this again relies on how well you chew and how much you intend to eat at once.
Go slow, chew well, and see how things pass through :)
Hi Susan, I eat pineapple every day- I LOVE IT !!!!!!!!!!! I eat the chunks in the can, and waiting for the fresh ones to come out soon. But got to watch the fresh one tho–CHEW!! just enjoy.. celery? I chop that up well for salads, I even throw in a few nuts in my salads for a different go a round.. Fresh lettuce-etc- farms- the farmers near by–getting excited here in Ct. !! Fruit salads are nice too !! Summer is near!!! :-) Cant get enough of them..