Articles

Ostomy: Adapting to life after colostomy, ileostomy or urostomy

You can eat whatever you want if you have an ostomy

Have a favorite dish? If you've been given the OK from your doctor to resume your regular diet, eat what you like. If you have a colostomy or ileostomy, you'll find that various foods affect your digestive tract differently.

Just as some foods gave you gas before your surgery, you'll likely experience gas with certain foods now that you have an ostomy. While you may choose to eat gas-causing foods sparingly or only at times when the gas won't make you self-conscious — such as when you're at home, rather than at work — it doesn't mean you shouldn't ever eat gas-causing foods.

Certain foods are more likely to cause gas, diarrhea, constipation, incomplete digestion or urine odor. But which ones have these effects will depend on your body.

If you're unsure how foods will affect you, consider trying them at home, one at a time, before eating them in public. Knowing how each food affects your digestion means you'll spend less time worrying about the food's effects and more time having fun with friends.

It may help to chew your food thoroughly and drink plenty of water.

Common intestinal reactions to certain foods
Gas Asparagus, beans, beer, broccoli, Brussels sprouts, cabbage, carbonated beverages, cauliflower, onions, peas
Incomplete digestion Apple peels, cabbage, celery, coconut, corn, dried fruit, mushrooms, nuts, pineapple, popcorn, seeds, skins from fruits, skins from vegetables
Thickened stool Applesauce, bananas, cheese, pasta, rice, peanut butter (creamy), potato (without skin), tapioca
Thinned stool Fried foods, grape juice, high-sugar foods, prune juice, spicy foods
Increased odor Alcohol, asparagus, broccoli, dried beans, eggs, fish, garlic, onions, peas
Reduced odor Buttermilk, cranberry juice, parsley, yogurt
Source: Academy of Nutrition and Dietetics, United Ostomy Associations of America

If you have a urostomy, you might be concerned about urine odor. Certain foods can cause a stronger urine odor, but you can minimize that by drinking water or cranberry juice.

Controlling urine odor
Increases odor Asparagus, fish, garlic, onions
Decreases odor Eight to 10 glasses of water, cranberry juice or other noncaffeinated beverages daily
Source: United Ostomy Associations of America