In Germany, an estimated 100,000 people live with an artificial bowel outlet (stoma or anus praeter). If the creation of a stoma is unavoidable, those affected must adjust to a completely new situation. Questions arise about the daily handling of the artificial outlet. Nutrition in particular plays a major role.
No stoma diet
How the time after surgery goes is quite different – depending on age and individual reaction, condition and type of surgery. The underlying disease and the section of bowel where the artificial outlet is located are of great importance.
After the acute healing phase has subsided, the basic rule is: there is no special stoma diet! People with an artificial outlet should eat a varied, wholesome mixed diet just like healthy people. This includes plenty of fruits and vegetables, whole grain cereals, low-fat dairy products, low-fat meat and fish.
Intolerances can vary greatly from person to person, so each stoma patient must find these out for themselves through observation. Keeping a diet and complaint log can help.
Tips for nutrition with a stoma
Also consider the following tips:
- Eat several small meals throughout the day instead of three large ones – five to six smaller portions have proven effective.
- Eat slowly and chew well.
- Drink enough – 1.5 to 2 liters of fluid per day.
Dietary tips for large intestine output
If the artificial outlet is located in the rear part of the colon, there is usually little restriction on digestion. Because the majority of all substances in food are already absorbed in the small intestine, no important nutrients are lost. Initially, the stool may still be liquid or soft, but after a short time it usually returns to normal.
Avoid constipation
Sometimes it also becomes too solid and constipation occurs. Also disturbing can be flatulence and the development of odors. Although these are not problems that affect health, they are perceived by sufferers as very unpleasant to those around them. Some foods are said to have special effects in this regard, but each person probably reacts differently to them.
Therefore, it is best to test it out for yourself. Here are a few tips:
- Flatulent foods: fresh fruits and vegetables, especially cabbage vegetables, peas, beans, mushrooms, leeks, garlic, milk, carbonated drinks.
- Odor-producing foods: onions, garlic, meat, eggs, asparagus.
- Stuffing foods: white bread, potatoes, dry cheese, celery, chocolate, raisins, red wine.
- Laxative foods: fresh fruits and vegetables, beer, coffee.
