Ileostomy and your diet

Self-care

Your pouch should be sealed well enough to prevent any odor from leaking out. You may notice more odor when you empty your pouch after you eat certain foods. Some of these foods are onions, garlic, broccoli, asparagus, cabbage, fish, some cheeses, eggs, baked beans, Brussels sprouts, and alcohol.

Doing these things will keep down the odor:

• Eating parsley, yogurt, and buttermilk
• Keeping your ostomy devices clean
• Using special deodorants or adding vanilla oil or peppermint extract to your pouch before closing it. Ask your doctor or nurse about this.

Control gas, if it is a problem:

• Eat on a regular schedule.
• Eat slowly.
• Try not to swallow any air with your food.
• Do not chew gum or drink through a straw. Both will make you swallow air.
• Do not eat cucumbers, radishes, sweets, or melons.
• Do not drink beer or soda, or other carbonated drinks.

Try eating 5 or 6 small meals a day.

• This will help keep you from getting too hungry.
• Eat some solid foods before you drink anything if your stomach is empty. This may help decrease gurgling sounds.
• Drink 6 to 8 cups of fluids every day.
• Chew your food well.

It is OK to try new foods, but try only 1 at a time. That way, if you have any trouble, you will know which food caused the problem.

Unless you are underweight because of your surgery or any other illness, try not to gain weight. It is not healthy for you, and it may change how your ostomy works or fits.

When you feel sick to your stomach:

• Take small sips of water or tea.
• Eat a soda cracker or a saltine.

Some red foods may make you think you are bleeding.

• Tomato juice, cherry-flavored drinks, and cherry gelatin may make your stool reddish.
• Red peppers, pimientos, and beets may show up as small red pieces in your stool.
• If you have eaten these, you are most likely OK. But, call your doctor or nurse if the redness does not go away.

When to Call the Doctor

Call your doctor if

• Your stoma is swollen and is more than a half inch larger than normal.
• Your stoma is pulling in, below the skin level.
• Your stoma is bleeding more than normal.
• Your stoma has turned purple, black, or white.
• Your stoma is leaking often.
• You have to change the appliance every day or two.
• Your stoma does not seem to fit as well as it did before.
• You have a skin rash, or the skin around your stoma is raw.
• You have a discharge from the stoma that smells bad.
• Your skin around your stoma is bulging out.
• You have any kind of sore on the skin around your stoma.
• You have any signs of being dehydrated (there is not enough water in your body). Some signs are dry mouth, urinating less often, and feeling lightheaded or weak.
• You have diarrhea that is not going away.

Alternate Names

Standard ileostomy - diet; Brooke ileostomy - diet; Continent ileostomy - diet; Abdominal pouch - diet; End ileostomy - diet; Ostomy - diet

References

American Cancer Institute. Ileostomy guide. Last Revised: 03/17/2011. Accessed 07/08/2012.

Cima RR. Pemberton JH. Ileostomy, colostomy, and pouches. In: Feldman M. Friedman LS, Brandt LJ. Sleisenger & Fordtran’s Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2010:chap 113.

Fry RD, Mahmoud N, Maron DJ, Ross HM, Rombeau J. Colon and rectum. In: Townsend Jr. CM, Beauchamp RD, Evers BM, Mattox KL. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 50.

Update Date: 7/1/2012

Updated by: Joshua Kunin, MD, Consulting Colorectal Surgeon, Zichron Yaakov, Israel. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.