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 have been seeing a dietitian for the past few months to try to regain some control over my output. She suggested tapioca or chia seeds to thicken output. I have found them helpful. So I now mix chia seeds with chocolate soy beverage and leave it to soak for about 30 minutes, then mix it with some tapioca pudding and yogurt, fruit, and nuts for breakfast. I found that I need to go easy on the chia seeds because of the fibre content. Fibre makes my output quite loose.
Laurie
Hi Sally – Welcome. I have a colostomy, am not vegan or a keto eater, so my situation is different from yours (but we are osto-mates!) – I heard, and have found, that applesauce can thicken output, and so applesauce is part of managing my output. It does contain sugar; I usually buy the kind with no sugar added (but not a sugar substitute – yech), and although I haven’t done it in quite awhile it is easy to make your own. I avoid raw carrot, all spinach, celery, and am careful with peelings.
The creativity involved in managing/changing diet can be kind of fun – I would like to eat cleaner, and although cooking tofu is a mystery to me the pictures of Eric’s tofurkey feast make me hungry, and I will start experimenting with it one of these days.
Best of luck to you – I have had my stoma for almost four years and it’s worked pretty well.
LL
Wonderful website, thank you.
I had an emergency ileostomy last year 2021, my colon stopped working completely. Over five years of bowel problems seeing five gastroenterologists, three colorectal surgeons, some privately, I was in despair of ever getting help or even being listened to.
Thankfully I eventually was, I was so pleased to have the surgery, a loop ileostomy, all my anxiety and stress melted away. For the first few weeks it was all excellent, though I found the high carb diet dreadful, difficult, I quickly put on weight, felt sluggish, no energy, started to experience aches and pains I’d never had before.
I’ve been keto for over eight years, I do not eat meat though I eat fish, and loads of low carb veggies. Keto helped me recover from ME/CFS very quickly, I felt amazing on a low carb diet. I also used to Fast regularly, it helped my body have the energy to look at itself and heal itself when it could, very successfully. Even my colon started to work again after a Fast, sadly this only lasted a few days, then it ceased working again.
I’d be over the moon to get back to keto, low carb diet, I very rarely ate refined carbs – sugar or anything made with flour or from grains, I’d like to get back to keto though am struggling with how to make and keep my stoma output like porridge, not being a meat eater I will not eat pig gelatine, I’ve tried Agar Agar, vegan gelatine with very limited results.
I wondered if anyone was keto with ileostomy, did not eat meat, and how they managed their stoma output, also anyone who Fasted, this was a very important part of my life.
Thank you so much.
Hi Sally,
Is our output currently loose/liquid?
Generally speaking, carbs will thicken output quite easily, although I’m sure there are bulking products like psyllium that might thicken things up, although, I wouldn’t generally recommend using something like that long-term unless its cleared by your doctor.
Hello Sally & a very delayed but big Welcome to VO. I apologize for the delay in getting to your questions. I have done some reading on the Keto diet to try & understand a bit about it for you. I can understand your frustration. Eight years on a diet that worked for you & being told to eat so differently had to be very upsetting.
If you haven’t already you may want to ask to speak to a dietitian with knowledge of Ostomies & the keto diet. Its the ostomy part more then the Keto diet you may run into issues with in finding help so be prepared to educate a little about the speed you pass foods through & what your trying to avoid with your output from your ostomy & what you want to accomplish.
After my ostomy, I packed on 40 pounds in one month!! It wasn’t anything I was eating differently it was my Thyroid Gland & Type 2 Diabetes & Anemia. Maybe if you haven’t, see your Doctor ask him to test for Thyroid function. I did start to loose some weight following a visit to the dietitian about diabetes but not enough for my liking or for the clothes that no longer fit. lol!
I missed the raw veggies & salads & foods I once enjoyed so much that helped me maintain a steady healthy weight!! After binge watching many of Erics videos I was aware of two things that really hit a note with me. Put my fork down between bites & though I already thought I chewed my food well, I didn’t chew it as well as he had talked about.
My 1st meal eating the way Eric suggested took me over an hour to eat but I chewed & chewed until I had hardly a thing to press between my teeth. It still takes me a long time to eat but I admit I enjoy my food a lot more & am now eating from the list of forbidden foods. This is where I tell you my kids had dubbed me Queen of Blockages so I was determined to beat that title down. I don’t dare say I’ve succeeded because it’ll happen if I do! Lol! But so far so good. lol!
However it wasn’t just chewing & putting my fork down that helped. I had to learn to “cut my food differently" cooked or raw & to “cook it differently" also. I can share all that with you if your interested & if I’m getting to what you need help with . But Sally all this has allowed me to eat a big plate of Salads again and those raw veggies I enjoyed so much as well as a host of other foods I used to enjoy. But I had to make what may seem like silly changes & these changes have helped tremendously.
This is long already but if you think this will help let me know what you have tried & whats the most offending foods for you or what you would love to eat food wise & what’s holding you back. Have you kept a food diary of sorts to figure out what works & what doesn’t? Food journals are very helpful in figuring out so many issues with skin too.
I hope this is helpful for you. Again I apologize for the time it took to get a reply. When this happens its usually due to a very busy week for everyone. I hope you have a good day.
Linda
Is cabbage ok to eat?
Hi Carol,
As with all food, I believe it has more to do with how you prepare and consume meals rather than the meal itself.
I eat cabbage quite often without trouble.
Some tips on eating after surgery can be found here:
https://www.veganostomy.ca/ostomy-diet-what-to-eat-first-six-weeks/
https://www.veganostomy.ca/ostomy-diet-beyond-recovery/
A recipe is a list of ingredients to me, adding what I feel like that day. I recently thru together smashed chickpeas, finely chopped onion, salt and pepper, a sprinkle of garlic powder and a dab of Dijon mustard and some mayo. Put it in a pita pocket, added some slices of avocado and thin slices of chopped asparagus. Was it ever good. I was not impressed with how the pita “did not" stay together, and because bread causes me so much gas, I use crackers now. I just loved the addition of the asparagus, it gave it that crisp green taste. I have served it to friends who eat differently and they loved it. Because I had cooked some salmon up I added some homemade tartar sauce, chopped onion to that and put that on the crackers on top of the beans. Pickles are always a must to me. So good. I am going to try your bean burger recipe. I have never had a bean burger but I love all kinds of beans. You cook the same way I do Eric. This way you can give and take however you like it.