Diet guide for patients with colostomy

After surgery on the large intestine called a colostomy, patients will be advised to follow a certain diet. Food for patients with colostomy is not only to improve healing after surgery, but also to maintain the patient's health in the long run.

After colostomy surgery, the patient's ability to digest and absorb food is certainly not the same as before. As a result, patients with colostomy need a diet or special diet.
In addition to affecting the quantity, frequency and density of stool, diet modification for patients with colostomy also has a role to ensure adequate nutrition and adequate energy intake, prevent intestinal damage due to food digestion and prevent malnutrition that often occurs after colostomy surgery.
 
What is a colostomy?

The large intestine or large intestine is an organ that absorbs water from digestion. The remaining form of solid digestion will pass through the large intestine and rectum, and will be excreted through the anus as feces.

Colostomy is a surgical procedure designed to make openings or openings as a new drainage path for dirt and gas by connecting the large intestine to the abdominal wall and skin. Colostomies can be temporary or permanent.

Colostomies are usually performed on patients with bowel, rectal and anal problems due to various medical conditions, such as:
  • Colorectal cancer.
  • Intestinal disorders due to congenital diseases
  • Inflammatory bowel disease.
  • Diverculite
  • Intestinal lesions.
  • Severe intestinal infection.

Diet for patients with colostomy

For about 6-8 weeks after surgery, patients are advised to eat only low-fiber, tasteless foods. After that, the swelling in the intestine should improve and the patient can continue eating normally, of course slowly and with some adjustments.

The following recommendations are generally given by doctors regarding the diet of patients with colostomy:
  • Increase the frequency of eating up to 3-5 times a day with smaller portions. A small portion of food but is often more acceptable to the body and will reduce gas production.
  • Plan to eat at the same time every day to help the intestine adapt to conditions after colostomy and bowel movements.
  • Chew food slowly until well blended to prevent blockage in the intestine.
  • Don't use straw to drink, reduce the consumption of gum, and stop talking while eating to reduce gas in the digestive tract.
  • Enough fluids by drinking about 8 to 10 glasses of water a day, but not with food. Colostomy patients may lose more water because the absorption function of the large intestine will be reduced.
  • Record the types of food eaten, its treatment, and side effects such as diarrhea, constipation, bloating, or upset stomach. In addition to helping patients monitor their diet, this note will also help nutritionists choose the right type of food for patients.

Types of foods recommended


Here are the types of foods recommended for colostomy patients and how to consume them:
 
1. Milk and processed products

Some patients may experience lactose intolerance after colostomy. Therefore it is advisable to slowly consume milk or milk products, such as cheese and yogurt.

Limit consumption of whole milk or whole milk and processed milk, and replace it with skim or low fat milk. If you experience diarrhea after consuming cow's milk and its processed products, replace it with soy milk, almond milk, or lactose-free milk.

2. Protein-rich foods
Lean meat, fish, and skinless poultry meat are good sources of animal protein for patients after colostomy. Eggs can be eaten, but not too much, only one egg a day.

Nuts and mushrooms are good sources of vegetable protein, but be sure to eat them in small amounts and chew them until they are completely smooth, to avoid intestinal problems.
 
3. Low-fiber foods
Low-fiber foods, such as white bread and rice, are suitable for colostomy patients. While high-fiber foods such as brown rice, quinoa and whole-grain breads must be limited the first few weeks after surgery, they can be consumed gradually.
 
4. Vegetables
The recommended types of vegetables are skinless and seedless vegetables such as carrots, beans, peeled tomatoes, and lettuce. Vegetables must be added first until cooked.

Types of vegetables that should be avoided are onions, cauliflower, asparagus, broccoli, and cabbage, because they can increase gas production.
 
5. fruits

The right types of fruit for colostomy patients are bananas, watermelons, and melons. Apples, strawberries, blueberries and grapes can be eaten as long as the skin is peeled.
 
6. fat

It is recommended that patients with colostomy reduce their consumption of high-fat foods, such as fried foods or fatty meats, because they can cause stomach upsets.

Recommended fats are healthy fats derived from olive oil and fish oil.

Not only food, the type of drinks consumed by colostomy patients also need attention. In addition to water, patients with colostomy can also consume fruit and vegetable juices, depending on the types recommended above.

We recommend limiting drinks that contain caffeine, soda, or lots of sugar, because this can cause excess gas. To help meet the needs of electrolytes, patients with colostomy are advised to consume electrolyte drinks.

Some foods can cause digestive problems, such as excessive gas production, farts that cause nausea, diarrhea and constipation, but each patient responds differently to these foods.

Food for patients with colostomy requires adjustments. To get the types of plans and plans that suit your needs

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