Postby MissMolly » Mon Jul 10, 2017 5:02 pm
Axq99:
A loop ileostomy is more prone to food bolus blockages due to its position high up the digestive tract, where food types may need to exit the small aperature of the stoma before being fully digested and broken down.
Things to avoid:
1. Stringy and fibrous foods.
This includes foods such as asparagus, celery, Chinese vegetables, water chestnuts, fennel, artichoke, onion rings. and pineapple.
The fibrous filaments can coagulate and clump together like a knitted ball of yarn in the intestinal tract.
2. Citrus Foods with membranes.
The membrane covering of oranges, grapefruit, etc.
You can eat citrus foods that are sectioned and the membrane removed.
3. Large sized nuts and legumes
Whole nuts should be avoided. Ex. While walnuts, pecans.
You can eat nuts that have been ground or diced into minute pieces that you would sprinkle in a dish.
Nuts can feel like shrapnel exiting a narrow stoma.
Large legumes can be problematic (ex. Edamante, large black beans would be a risky selection). Small, soft navy beans might be OK As in a soup or crock-pot dish. Keep portion size of any legume choice small due to overt laxative effect.
4. Coconut
Coconut has a unique propensity to ball-up and form a large bolus in the intestinal tract.
You can safely eat ONE maracroon cookie, well chewed and chased down with a glass of water/tea. I would not endorse eating more than one macaroon at a time.
5. Popcorn
It is the husks and I popped kernels that are problematic culprits with a loop ileostomy.
You can eat a small 1/2 cup of popcorn carefully selected to remove all husks and I popped kernels if you genuinely love popcorn and miss its taste.
Better options: Pirates Booty (an air puffed corn snack sold at Whole Foods and other natural grocers) or huskless popcorn.
Keep your eating on the lite side for the next 1-2 days, as your intestinal lumen is likely inflamed and swollen due to the trauma of the fibrous onions. Chew, chew, chew. Drink plenty of liquids.
Often after a SBO I will use the Cuisinart for 1-2 days to pulverize my food to make the process of digestion easier. I have placed everything from Lasagna to an oatmeal cookie in a Cuisinart to soften good consistencies.
Honestly, you responded admirably to your first SBO. You are to be commended. You did all of the right things and in the right order.
Make no mistake, a SBO is a freightening encounter. The pain is excruciating and the liquid output that makes it way around the partial ibstruction comes out with the speed of a torpedo as the body works furiously to unblock the buildup.
Here's raising a glass of grape juice to you !
- Karen -
Dear friend to Bella Piazza, former Colon Club member (NWGirl).
I have a permanent ileostomy and offer advice on living with an ostomy - in loving remembrance of Bella
I am on Palliative Care for broad endocrine failure + Addison's disease + osteonecrosis of both hips/jaw + immunosuppression. I live a simple life due to frail health.