Nutrition Guidelines for Ileostomy

Document technical information

Format pdf
Size 139.9 kB
First found May 22, 2018

Document content analysis

Category Also themed
Language
English
Type
not defined
Concepts
no text concepts found

Persons

Organizations

Places

Transcript

Patient & Family Guide
2016
Nutrition
Guidelines for
Ileostomy
www.nshealth.ca
Nutrition Guidelines for
Ileostomy
These guidelines will help you stay healthy and
feel more comfortable after ileostomy surgery.
1. Eat your meals at regular times. Smaller
meals more often may be better tolerated
than large meals.
2. Take small mouthfuls and chew foods well to
help prevent a blockage.
3. Drink at least 2-2.5 litres (8-10 cups) of
liquids that do not have caffeine or alcohol
(such as water, milk, unsweetened juice,
decaf coffee, or decaf tea).
1
To prevent a blockage:
Do not eat the following foods for 4 weeks after
surgery:
›› Baked beans
›› Peels and skins
(such as apple,
›› Bean sprouts
grape, potato)
›› Bell peppers
›› Pickles
›› Bran
›› Pineapple
›› Broccoli
›› Popcorn
›› Brussels sprouts
›› Raisins
›› Cabbage
›› Raw fruit (except
›› Celery
bananas)
›› Coconut
›› Relish
›› Corn
›› Seeds (large
›› Dried fruit
ones such as
›› Granola
watermelon,
cucumber,
›› Marmalade
sunflower, flax)
›› Meat with casings
›› Shrimp
(wieners, bologna,
sausage)
›› Spinach
›› Mushrooms
›› Vegetables (raw)
›› Nuts
›› Whole grain
breads, cereals,
›› Olives
pasta
›› Peas
2
• After 4 weeks, add small servings (1/2 cup)
of these foods back into your diet, one at
a time. Do not try more than one new food
each day. This will help you figure out if these
foods agree with you. Cramps, diarrhea, or a
swollen stoma are signs that your body is not
tolerating the new food.
• Bit by bit, increase serving size as tolerated.
• Tolerance to foods usually gets better over
time.
To control gas:
Cut down on or avoid drinking pop, chewing
gum, eating too fast, skipping meals, sucking
on hard candy, or drinking with a straw.
The following foods may cause gas:
›› Apples (with peel)
›› Melons
›› Bell peppers
›› Onions
›› Broccoli
›› Peas and beans
(dried)
›› Brussels sprouts
›› Pickles
›› Cabbage
›› Turnips
›› Cauliflower
›› Vegetables (raw)
›› Corn
›› Carbonated (fizzy)
›› Garlic
drinks
3
If you have high ostomy output (more than
1-1.5 litres a day):
Eat less:
›› Prunes
›› Figs
›› Bran
›› Spicy or high-fat
foods
›› Chocolate
›› Caffeine
›› Sweet drinks, pop,
grape juice, prune
juice, alcohol
Eat more foods which may thicken your stool
(poop):
›› Applesauce
›› Pasta
›› Bananas
›› Peanut butter
(smooth)
›› Boiled barley
›› Potatoes (without
›› Boiled rice
skin)
›› Cheese
›› Soda crackers
›› Oatmeal
›› Tapioca
Eat high potassium foods:
›› Bananas
›› Milk
›› Juice (tomato and
›› Potatoes (white or
orange)
sweet)
›› Meat, fish, and
›› Squash
poultry
4
Increase your liquids to more than 2.5 litres
(10 cups) each day.
If your stoma output is more than 1-1.5 litres
(4-6 cups) per day, you may need to drink an oral
rehydration solution (ORS). Try to sip on an ORS
throughout the day in place of other liquids,
such as water and juice. Aim for at least 1 litre
(4 cups) of ORS, as part of your daily liquids.
You can buy commercial ORS products such as
Gastrolyte® or Pedialyte ® from most drugstores,
or you can make your own using one of the
recipes below.
Homemade ORS recipes:
Combine all ingredients and mix until dissolved.
Sugar and salt water
• ¾-1 tsp salt
• 2-3 Tbsp sugar
• 1 L (4 cups) water
• Calorie-free
flavouring (such as
Crystal Light®)
Gatorade ® G2
• 4 cups Gatorade® G2
• ½ tsp salt
Regular Gatorade®
drink
• 1 ½ cups Gatorade®
• 2 ½ cups water
• ¾ tsp salt
Tomato juice
• 2 ½ cups tomato
juice
• 1 ½ cups water
5
Guide to choosing food for the first 4 weeks:
Best choices
Avoid
Fruit
• Canned or
• Prune juice
cooked fruit such
• Apples, apricots,
as applesauce,
berries, cranberries,
peaches, pears,
currants, cherries,
mandarin oranges
dates, figs, grapes,
• Fruit juices (except
grapefruit, melons,
prune juice)
nectarines, oranges,
• Puréed fruit (without prunes, fresh
peaches, fresh pears,
seeds or skins)
pineapple
• Ripe bananas
• All raw fruit (except
bananas)
• Dried fruit
6
Best choices
Vegetables
• Tender cooked
or canned: beets,
carrots, green
or yellow beans,
parsnips, puréed or
canned tomatoes,
tomato paste or
sauce, squash,
avocados
• Puréed vegetables
• Tomato and
vegetable juices
• Potatoes (white or
sweet) without skin
Avoid
• All raw vegetables
including salads and
coleslaw
• Artichokes,
asparagus,
beet greens,
broccoli, Brussels
sprouts, cabbage,
cauliflower,
mushrooms, onions,
green peppers, peas,
fresh tomatoes,
turnips, sauerkraut,
spinach, zucchini
• Potato skins
7
Best choices
Grain products
• White, light rye, or
refined breads, rolls
or bagels; waffles,
pancakes, biscuits,
soda crackers,
graham crackers,
pretzels, Melba toast
• Cooked cereals:
oatmeal, Cream of
Wheat®, cornmeal
• Dry cereals with 2
grams of fibre or less
per serving (e.g.,
Cornflakes®, Rice
Krispies®, Cheerios®)
• White pasta
• White rice
Avoid
• Whole wheat,
multigrain, or dark
rye breads, bagels,
rolls, or crackers
• Grain products with
added bran, seeds,
nuts, or coconut
• Fibre-enriched white
grain products such
as “smart” pastas
and breads
• Brown or wild rice
• Cereals with bran,
dried fruits, or nuts
• Cereals with high
fibre
• Granola cereal
• Whole grain pasta
8
Best choices
Milk and alternatives
• Milk
• Plain cheese
• Cottage cheese
• Smooth yogurt,
yogurt with fruits
from the ‘Best
choices’ Fruit list on
page 6
• Well-cooked, tender
meats, fish, and
poultry
• Soft-cooked eggs
• Smooth peanut
butter
• Tofu
Other
• Smooth condiments
Avoid
• Cheese or yogurt
with seeds or nuts
• Nuts, seeds, chunky
peanut butter
• Baked beans, dried
peas, lentils
• Fried eggs
•
•
•
•
•
•
9
Coconut
Marmalade
Olives
Pickles
Popcorn
Relish
Notes:
Looking for more health information?
This pamphlet and all our active patient pamphlets are searchable here:
http://bit.ly/NSHApamphlets
Contact your local public library for books, videos, magazines, and other resources.
For more information go to http://library.novascotia.ca
Nova Scotia Health Authority promotes a smoke-free, vape-free, and scent-free environment.
Please do not use perfumed products. Thank you!
Nova Scotia Health Authority
www.nshealth.ca
Prepared by: Food & Nutrition Services ©
Designed by: Nova Scotia Health Authority, Central Zone Patient Education Team
Printed by: Dalhousie University Print Centre
The information in this brochure is for informational and educational purposes only.
The information is not intended to be and does not constitute healthcare or medical advice.
If you have any questions, please ask your healthcare provider.
LC85-0554 Updated August 2016
The information in this pamphlet is to be updated every 3 years or as needed.
×

Report this document