Nutritional Implications of an Ileostomy

An ileostomy is a surgery in which the small intestine is attached to the abdominal wall through a hole called a stoma in order to bypass the large intestine, either permanently or temporarily. You don't normally have to follow a special diet for an ileostomy, but there are some diet changes that can make managing it easier.

Water

• The most common nutritional implication of an ileostomy is dehydration. To avoid this, it is important to drink at least 8 to 12 cups of fluid a day.

Managing Gas

• Gas may occur with an ileostomy. In order to reduce this, avoid chewing gum, drinking through a straw, consuming carbonated beverages and eating vegetables such as broccoli, cabbage, onions brussels sprouts and beans.

Managing Odor

• Odor is rare with an ileostomy, but it may occur. If you notice an increase in odor, avoid foods that normally would produce it, such as broccoli, cabbage, brussels sprouts and eggs.

Managing Diarrhea

• Loose stool is common after an ileostomy, especially for the first week. Some foods may help thicken the stool, including applesauce, cheese, peanut butter and white bread. If diarrhea is excessive, you may lose extra potassium and sodium. If this happens, drink an electrolyte-containing beverage such as Gatorade or Pedialyte.

Avoiding Blockage

• The ileostomy stoma is small and may become blocked. To prevent this, avoid foods high in insoluble fiber such as corn, celery and apple peels, and chew your food well.

Nutrient Deficiency

• If part of your ileum (the lower part of small intestine) is removed, you may have problems absorbing vitamin B12. If this is the case, monthly B12 shots or a daily sublingual B12 supplement will help prevent at deficiency.