I have a permanent ileosotmy and pop in from time to time to offer advice on ostomies.
My own opinion is that it is wise to be cautious with some particular foods with a loop or end ileostomy. The diameter of the working stoma is small, about 1”, and is anchored in place with stitches. This limits the expandability of the stoma if digested food material should form a sizeable “clump” or bolus as it tries to exit the stoma.
Foods to consume with a degree of caution:
A. Citrus fruits. It is the fibrous membrane coverings that can wreck havoc as the membrane material can bind together in the digestive tract. It is best to section away the fibrous membranes that section oranges and grapefruits, for example.
B. Foods high in insoluble fiber. Insoluble fiber is the fiber that is not easily broken down by chewing nor by the action of digestive enzymes. Foods to avoid or to eat in only a small quantity would include pineapple, celery, mushrooms, pop corn/pop corn husks, asparagus, kale, edamemte, coconut.
The wafer of an ostomy pouching system adheres/bonds to the skin through a heat-activate reaction between the composite of a wafer and the skin. Body heat is the mechanism that bonds a wafer to the skin (wafers are a composite of pectin, elastic polymers, and a hydrocolloid matrix).
Pre-heating a wafer using a hand-held hairdryer or heating pad is a good way to enhance the adhesion of a wafer to the skin. Likewise, a heating pad can be used after application of the wafer to the skin to enhance or secure the adhesion/bond.
There are oodles and oodles of ostomy products to choose from. It your father is bothered by continued leaks, it can be helpful to have a 1:1 consultation with an ostomy nurse to pursue different manufacturer products. Finding the best ostomy pouching system for any one person is an individual process of requesting samples and trial and error. It is well worth the time andeffort. Finding the optimal ostomy pouching system provides psychological peace of mind and minimizes the occurrence of leaks and distress.
Feel free to visit the United Ostomy Association of America website. The UOAA offers a wide range of informative PDFs on ostomy care and living with an ostomy, as well as contact information for each of the product manufacturers to request samples. http://www.uoaa.org
The UOAA forum has one member who is an occupational therapist by profession (online name OTDave). He often offers advice to people who have hand dexterity issues or rheumatoid arthritis that affects the fingers/hand.
Best wishes to your father in his healing and recovery,
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.