What are the nutrition therapy recommendations for someone with a colostomy? How would this be different if she had an ileostomy?
What will be an ideal response?
• At the beginning of the postoperative phase for patients with a colostomy the gradual incorporation of fruits/vegetables/whole grains is suggested. This begins will consuming only low-fiber options, initially.
• Soluble fibers (e.g. applesauce, bananas, rice) may help thicken the stools and prevent loose/watery stools
• Use of yogurt, parsley, and buttermilk may decrease gas and odor
• Foods that may cause gas (e.g. broccoli, eggs, asparagus), obstruction, or diarrhea should be avoided,initially
• Over time the bowel will adapt and begin to form more solid stools (this may take several months).
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• For patients with an ileostomy, fat malabsorption, lactose intolerance and fluid balance may be problematic. With more of the ileum removed, B12 malabsorption is more likely and supplementation may be needed.
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