Achieving Proper Nutrition and Your Ostomy with Shield HealthCare


Hi, my name’s Amy Long Carrera and I’m a
corporate dietitian at Shield Healthcare. Today, we’re going
to talk about your ostomy, and food that may cause complications- such as gas, odor, constipation, and diarrhea. Gas can be caused by lots of things.
Anything from drinking through a straw to chewing gum, smoking, and foods as well. You’ve got the
ones that you would think about first like broccoli, cauliflower, cabbage… You’ve also got onions, garlic, leeks, beans, and carbonated beverages. Those are foods
you might want to limit if you have an ostomy because they
might cause gas. A couple of different things you can do to prevent gas is to cook your vegetables; you also want to make sure that you eat
smaller, more frequent meals. Going for long periods of time without
eating can actually cause more gas. You may also want to avoid chewing gum, smoking, or drinking through a straw
all those things can cause you to swallow air and increase gas production in your ostomy. Things like eggs, fish, and unfortunately alcohol can all produce odor in your ostomy bag. You may need to limit these foods.
Fortunately, there are foods that can actually help prevent odor
from happening in your ostomy. Cranberry juice is one; kefir, yogurts, and even parsley can help prevent odor in your ostomy bag. Another common problem that can happen
with your ostomy is constipation, or blockage. We want to be sure that we limit foods that might cause
constipation, or get stuck. Some common foods that can
make that problem worse would be: nuts or seeds, corn (it is difficult to digest), celery, and fruits with a peel, like apples. The most important thing to
prevent constipation with your ostomy is to drink plenty of water: at least
eight to ten glasses fluid per day. You may even need a little
more than that. On the other end of the spectrum, we’ve got diarrhea,
or loose bowel movements. You want to prevent those because you
don’t wanna lose too much fluid from your body through your ostomy. Some foods that might
actually help to thicken your stools would be white rice, white pasta, potatoes without the peel, smooth nut butters – you might want to hold off on chunky nut butters
because those can actually cause a blockage – and then also applesauce and bananas. All of
these foods can actually help to thicken your stool. Finally, if you have an ileostomy, you
might be at an increased risk for kidney stones. Your doctor may
tell you to avoid foods that are high in oxalates. Those can be nuts and seeds, green leafy vegetables like kale, chocolate, and instant coffee. These are all
high oxalate foods that might increase the risk of kidney stones. Of course, back to one of the most important things you can
do with your ostomy: drink at least eight to ten glasses of fluid per day stay hydrated. If you have an ileostomy, it may be harder
for your body to absorb fluid and to keep sodium and other minerals in
your gastrointestinal system. Your doctor may tell you to make an
electrolyte drink. Something that contains carbohydrate, sodium, potassium and maybe some other
electrolytes. I’m going to show you a couple different
recipes today. The first one starts with Pedialyte and chicken broth. That way, you get your carbohydrate,
your sodium, a little bit of potassium, and of course your
water. For this one, since we are using chicken broth, you might want to use an unflavored
Pedialyte. I’m just going to stir in our two ounces of chicken broth with
our six ounces of Pedialyte and we’re just going to mix that up. Then, we’ll pour it into a glass and you’ll sip on that throughout the day.
Our second recipe is using either Gatorade or grape juice, and some salt for your sodium. Although
sports drink do already contain sodium, they generally don’t contain enough for your
ileostomy. So I’ve got here my one and a half
cups of water. I’m going to pour that into a large pitcher there you’ve got your fluid for hydration. Then we’re going to measure out the same
amount of Gatorade or juice. We’re going to mix that right in with our water. And then for sodium, we add 3/4 of a teaspoon of salt. I’m going to mix that up. When the salt is dissolved you can pour that into a glass or a pitcher and sip on it
throughout the day. This should help you to retain more of your fluids and to stay hydrated, as well as decrease your ileostomy output
throughout the day.