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.































I might add, my Dr. told me to drink 2 oz. of fluids per pound we weight. I tried/trying deeply– but feel like my teeth r floating !!!!!!!!! That is a lot of fluids !!
Yikes, I don’t think that’s right – a person weighing 150lbs can’t drink 350oz (10 liters!!!) of fluids! They’d probably end up with a major electrolyte imbalance before they even got close.
I just succeeded in accessing the highlighted areas above. Thankyou…I took notes!
Hi Eric, Loved the video and the write up! Are the recipes you mention on the site? I was unable to access them. I have a question for you. I would like to contribute a recipe or two that I have always enjoyed. However, I do not want to slant away from the Vegan theme. I respect that you are vegan very much and appreciate your kindness to animals in the matter. But, I would like to ask why vegans do not use milk from cows and goats along with butter and cream, cheese…you get the picture I am sure. I don’t think this harms the animals in any way to be milking them, they kind of came with the udders. It confuses me when I want to share a recipe that I have thought of as vegan. I admit that I am “sort of" in “thought" vegan, but fail badly because I love fish. My guts are horribly sensitive to digesting red meats so I tend to avoid them. So, If I posted a recipe and put milk or butter down would this disqualify the recipe? I want to be respectful to you and what you are dong here. Also, how in the world do you get all the iron we need in a day?
Right now, due to malabsorption I am horridly anemic and just can not seem to change things no matter what. The anemia is being treated with Iron Infusions for now, but they are expensive at $131.50 an infusion with three teeny tiny bottles mixed with something else.My income of $1300.00 makes these difficult to afford. I would rather eat the iron then blast it thru my veins.
I love Tofu and fooled my hubby and kids into Tofu burgers one day but lost my recipe along the years but would love another great recipe like the one I had. How much Tofu is required in a day to get what we need in vitamins? It may just be my eyes, but I can not seem to find information on this anywhere…inexperience on the computer more likely.
Thank you for your time.
Sincerely,
Linda (L.K.)
I haven’t posted any recipes, mostly because I don’t follow recipes when I cook :) I love to improvise and see what happens.
You’re free to post recipes here, but please keep it plant-based (there are substitutes for pretty much any ingredient, so “veganize" a recipe if you like): https://www.veganostomy.ca/community/food-and-recipes/
I actually recovered from anemia by just eating more healthy meals and using a few tricks to increase absorption. I share a few of these tricks in this article: https://www.veganostomy.ca/enhancing-nutrient-absorption-tips/
I actually don’t eat a lot of tofu and never make my burgers with tofu! We love bean burgers here
I tend to make variations of this burger and my family loves them! https://happyherbivore.com/2011/01/hotelroom-burgers/
Thanks for posting your experience. I have never had trouble fasting short-term (16 hours) or long-term (days). I am looking forward to starting fasting again in 2019.When I was getting released from the hospital after surgery (8/24/18), the WOC nurse and the dietitian were both adamant about eating multiple times a day and eating a lot of carbs. I have been paleo/keto/growing my own food for years, but I figured that at least for the first few months I would follow their advice since they know more about the best way to heal after colon cancer surgery and getting used to having an illy. To tell you the truth, I think they are so stuck on SAD (Standard American Diet) that they can’t see the benefits of other ways of eating. -Linda
Eating multiple (small) meals a day helps to insure consistency with output. It also helps to prevent blockages and gas.
Carbs in general help to thicken up loose output, but whole-food carbs that contain fiber also helps our gut microbes, which in turn helps us :)
Totally agree with Erics post, eating small and often is a great way for an ostomate. and getting to know what foods thicken and make output loose solves a lot of problems.
What an interesting study, @p14175! The only times I intentionally fast is when I’m sick or when I travel – this can be 24h or multiple days.
I had to force myself into fasting when I was really sick because food hurt so much to eat, so I’m used to going 3, 4, 5 days without food. You kind of get used to not eating after the first day of feeling really hungry, but I don’t encourage that type of fasting.
When I do fast now, I can say that my output is dramatically decreased, which is why I find it handy for traveling.
I never fasted for weight loss, so I can’t comment on that.