Showing posts with label ileostomy. Show all posts
Showing posts with label ileostomy. Show all posts

Monday, June 24, 2019

Dietary changes after an ileostomy

If you have an ileostomy this means that your feces don’t pass through the normal intestinal pathway. This affects the absorbed minerals and passing out of feces. This is why it is recommended by doctors to have a special and conscious diet after the ileostomy.

 During ileostomy, a hole is created in the abdominal wall. This gives a clue that the ileum and small intestine can pass out feces through this orifice.

As it is mentioned that the feces don’t need to pass through the rectum, this surgery can be helpful in case of inflamed or damaged intestines.

The pouch that a person wears on the stoma can be permanent or temporary.

This article is really helpful if you are looking for nutritive and dietary tips after an ileostomy.

But it must be insured to adapt these tips after consulting with your doctor.

The most reported issues after an ileostomy are diarrhea and high waste output.

It can also be harmful to be uneasy, awkward, or embarrassing. A person facing thin feces may have low levels of sodium in the body or it might be due to malnutrition.

This issue can be solved by using intravenous fluids or nutrients.

To avoid these issues a person is advised to eat food that can help him or her to thicken the feces. These food items are mentioned below:

  • Rice

  • Pasta

  • Cheese

  • Bananas

  • Applesauce

  • Smooth peanut butter

  • Yogurt

  • Marshmallows

If a person faces dehydration he must take electrolytic fluids. But, these drinks must not be taken more than 2 -3 times per day. And they should be sugar-free.



Some examples of fluids that can help you to maintain electrolytic balance are:

  • Sports drinks

  • Fruits juices

  • Veggies juices

  • Soup or broth

A patient should also notify the reason for diarrhea. It can be one of the followings:

  • A viral infection

  • Use of antibiotics

  • Food indigestion

  • Use of medicines

  • A bacterial infection

  • Radiotherapy

People with very high stool output should contact their doctor immediately.

Food items that help in thinning of feces

It is reported by Memorial Sloan Kettering Cancer Center that a patient may face constipation following an ileostomy if:

  • If using any specific painkiller

  • Taking any specific medicines for nausea

  • not consuming enough fibers

  • lack of enough exercise

  • not drinking enough water

It is suggested to ask your doctor about the number of fibers in the diet. Laxatives should not be used anyway.

Foods that are allowed are:

  • Products of bran

  • Oatmeal

  • Raisins

  • Well-cooked and peeled vegetables

  • Warm broth

  • The drinks that will help you loosen your feces are:

  • Lemon juice or water mixed with the lemon

  • Coffee

  • Prune juice

Foods that help to reduce odor

Some patients may notice that their ostomy bag gives a stinky smell when it is filled. The following food items will help you to lessen this issue of odor.

  

 

FOODS YOU SHOULD TAKE

FOODS YOU SHOULD AVOID

Yoghurt

Asparagus


Smaller but more frequent meals

Broccoli



Properly washed fruits and vegetables

Brussels sprouts

Plenty of water

Cabbage 

Place air fresheners such as gel, tablet or any other product in your ostomy bag

Eggs

And fatty foods


Garlic




 

 

Food items that will help you to gain weight

Food items that are taken orally are rich in calories and can help to gain weight, following an ileostomy. Some good examples are:

  • Boost

  • Instant breakfast

  • Ensure

  • Diabetic patients can use Glucerna

  • Nutritional shakes

  • Orgain Nutrition shakes

These all shakes can help you to gain weight very easily and without taking much time. But, still, a patient should take his doctor’s advice before starting these shakes.

If a person takes small meals, 2-3 times a day it can be more beneficial and good as well for gaining weight.

Food items that will help you to lose weight

If you want to lose weight, following surgery, then you need to burn a lot of calories and should avoid calories-rich food.

Since an ileostomy patient should be careful about the minerals and nutrients in the diet, that’s why he must be very careful while cutting off the dietary intake.

You should start any diet or exercise after consulting your doctor.



You should adopt the following habits if you want to lose weight:

Avoid skipping meals

Have less filled plate

Avoid alcohol consumption

  • Plan your meals beforehand

Food items you must avoid

Since every person is different so they may have different stool output and gas managing problems. But some foods that should be avoided by all patients are:

  • High-fat milk

  • High proteins and fat meat for example fried chicken 

  • Beans or legumes

  • High fiber veggies

  • Fruits with the skin

It is recommended to avoid seeds and skin of fruits and veggies after an ileostomy. The digestive system is not able to digest them and they pass through the intestine undigested and unchanged. It can be dangerous for ileostomy.

Supplements

If you have an ileostomy this means that your food doesn’t reach the colon that is why the important nutrients can’t be reabsorbed. This can cause a deficiency of important nutrients and minerals. That is why supplements are recommended by doctors for the compensation of those nutrients.

Supplements should be chewable so that they can be broken by the body and digested easily. For instance, chewing multivitamins and calcium supplements.

Nutrients deficiencies can be of the following types:

  • Calcium

  • Magnesium

  • Iron

  • B vitamins

  • Folic acid

  • Vitamin A,D,E,K

Some tips for a healthy life

Some important tips for wellbeing are:

Eating frequent but small meals: you should take small meals frequently instead of large quantity at once

Chew your food properly: This will help the food to be digested easily

No eating at night: Eating snacks or meal at night can cause your bag to fill and you would need to change it 

Limit the consumption of alcohol: Alcohol can cause inflammation, gas, and dehydration.

Summary

Every person reacts differently to different food items, following surgery. But most people take initiative with light and soft food and gradually moves to any other food.

You should take plenty of fluids and nutritive food to avoid weakness and any other complication, following ileostomy. For more clear suggestions you should visit your doctor.


Sunday, June 24, 2018

Everything about ileostomy

During an ileostomy, a permanent or temporary hole is created in the abdomen, called a stoma. A stoma is a passage from the ileum, the lowest part of the small intestine to the exterior of the abdomen. This allows all the waste material to leave the body via the stomach. The stool or pee is stored in a bag that a patient carries with him or her.

Small Intestine

The small intestine is also called the small bowel. It exists between the stomach and the large intestine. We know that the large intestine consists of the colon and rectum. The function of the small intestine is to reabsorb the nutrients in the blood vessels. Important nutrients are carbs, proteins, fats, etc. The food that is left behind and can’t be digested is moved to the colon. The water is absorbed by the waste b the colon and then it waits for another bowel movement.

Why an ileostomy is performed?


A colostomy is performed to eradicate the lower part of the intestine due to:

 This can be due to:

  • In case of the clogged or ruptured large intestine

  • Removal of any part of the large intestine

  • An infection caused by a damaged colon.

People with cancer in the ovaries, uterus cervix or prostate may have a colostomy. Also the patients with Crohn’s disease, pre-cancerous colon polyps can undergo colostomy.

It depends on the condition and reports of the patient. Most of the patients demand a colostomy just for a few weeks after cancer until the colon and rectum get fully recovered. But in some cases, it might be for a lifetime.

Main types of ileostomy

There are three main types of the ileostomy:

  • Standard ileostomy: This is termed Brooke ileostomy. In this process, the lower part of the small intestine is pulled from the right lower part of the abdomen and stitched to the outside of the skin. Then you need to wear a pouch over the stoma from where the stool passes outs.

  • Continent ileostomy: There is not a big difference between a continent and a standard ileostomy. During continent ileostomy, a surgeon creates a pouch inside the belly. This pouch is covered with valves on both of its sides. And prevent the urine flow back or leakage into the abdomen. A person needs to put a catheter into the stoma so that the urine could pass outside the body. The type of continent ileostomy depends on the pouch.

  • Ileo-anal reservoir: This can also be termed as a pelvic pouch or J-pouch. In this procedure, a bag is made from the small intestine and rectum. A surgeon connects this bag to the anus. Feces then pass through this pouch into the anus.

What to except about a surgery?

You will be given anesthesia. The whole procedure involves:

  • A surgical hole that results in a large cut in the abdomen.

  • A laparoscopic surgery, in which a less incisive or small cut is formed. This method lessens the pain and healing time.

This surgery may have the following risks:

  • Internal intestinal or stomal bleeding

  • Harm to neighboring organs

  • Any kind of infection difficulty in reabsorption of nutrients

  • Intestinal obstruction due to any damaged tissue

How to take care of an ileostomy?

  • Emptying your ileostomy bag: You must empty your colostomy bag many times every day. It will be not under your control to pass waste the waste out in the pouch. It is recommended to empty the pouch when half of its part is filled.

Ileostomy bags have two main types:

  • single-piece pouch adheres to the skin barrier directly.

  • Double-piece pouches, having a separate skin barrier and bag that can be removed from the body.

The skin that covers the nearby areas around a stoma is termed ad peristomal skin. There might be bleeding from this skin and it always gives a red shade, that is fine. But be careful that it doesn’t bleed for a long time.

Skin Care:

The most important fact is that you must ensure that your pouch is linked with stoma properly. It might bring discomfort to the skin if not attached properly. This area needs to be neat and clean, it must be dried completely. There are chances to get an infection, so if you feel any changes in the stoma, please see your doctor immediately.

Using Catheter: In case of consistent urostomy, you need to drain urine with help of a catheter, many times a day. This should be done timely otherwise it will cause infection.

Main Concerns:

High feces output: It is observed that for few days after the surgery some patients have more stool production. As soon as the body of the patient gets used to colostomy and stoma it will get back to normal. But this should be just for a few days, in other cases, you must see your doctor. Continuous and too much feces can lead to dehydration. And you will end up with low electrolytic balance in your body.

Gas managing: The gas also needs to be released out of the pouch. It depends on your pouch. Some pouches are more well organized which helps you to avoid bursting or remove of the bag off the stoma.

The type of colostomy you had and the diet decides the amount of gas stored in a pouch. Food with more carbs and proteins such as alcohol, milk, onion can produce more gas. Avoid chewing gum or drinking via a straw it may lead to the swallowing of air in the colon. Your doctor can better help you with this issue.


The whole capsule is seen in stool: 
When you notice the whole capsule or tablet in your pouch that indicated that the medicines were not completely absorbed in the body. Your doctor may help you to assist this issue by prescribing any liquid medication.

Stoma Obstruction: Sometimes happens that you feel pain in the stomach or any kind of discomfort in the belly. This is due to blockage of the stoma, which has occurred due to any piece of food or any necrotic tissue stuck in the stoma.

You can overcome this issue by drinking more water and you may also remove it at home. It also demands massaging sometimes. If you still face these issues, you must look for your doctor.


Everything about Colostomy

A colostomy is an operation that allows the colon or a large intestine to open through an abdomen. It can be either permanent or transitory. It is mostly performed in cases of IBD or any injury. This opening is called a stoma. It is a route from the large intestine to the exterior of the belly. This allows all the waste material to leave the body via the stomach. The stool or pee is stored in a bag that a patient carries with him or her.

Large intestine:

Colon and rectum collectively made large intestine. It is linked with the small intestine. All the important nutrients are digested by the small intestine and then absorbed into the bloodstream. Important nutrients are carbs, proteins, fats, etc. The food that is left behind and can’t be digested is moved to the colon. The water is absorbed by the waste b the colon and then it waits for another bowel movement.


Why a Colostomy is performed?

A colostomy is performed to eradicate the lower part of the intestine due to:

 This can be due to:

  • In case of the clogged or ruptured large intestine

  • Removal of any part of the large intestine

  • An infection caused by a damaged colon.

People with cancer in the ovaries, uterus cervix or prostate may have a colostomy. Also the patients with Crohn’s disease, pre-cancerous colon polyps can undergo colostomy.



How much time a Colostomy demands?

It depends on the condition and reports of the patient. Most of the patients demand a colostomy just for a few weeks after cancer until the colon and rectum get fully recovered. But in some cases, it might be for a lifetime.

Main types of Colostomy:

Every type is termed according to the region of the colon being involved:

  • Sigmoid Colostomy: The most occurring form of colostomy. It resides in the lower or bottom part of the large intestine. The waste is moved to the rectum by the sigmoid colon. The feces or waste produced by the sigmoid colon is more hard or congealed than other ones.

  • Transverse Colostomy: It passes over the upper part of the abdomen. The water from the waste is reabsorbed by only a small portion of the colon, that is why the stool is soft in this region.

Three different versions of this colostomy are below:

  • A loop colostomy: In this colostomy, a stoma is which helps the stool to leave the body. In this situation, the rectum is in touch with the colon. That is why there is a possibility that a patient can eliminate waste via the rectum.

  • A single-barrel colostomy: This type involves openings of the rectum and anal, and a colon is removed below till the colostomy. This is a lifetime colostomy.

  • A double-barrel colostomy:  In this type, two separate stomas are formed because the colon is divided into 2 endings. One stoma allows the feces to leave the body and the other one allows the mucus to pass out. This is the rarest type of colostomy.

  • Descending colostomy: In this situation, the waste is carried by descending colon down to the left side of the abdomen. The waste produced in this area is mostly hard and firm.

  • Ascending colostomy: this colon moves from the beginning of the large intestine to the right side of the body. The left part of the colon still works in this process. That’s why a small amount of water is reabsorbed from the waste. This is the reason that stool in this region is in liquid form. An ileostomy can be the better option for this area of the colon.

Right before the surgery, you will be given anesthesia. The surgeon will connect one end of the colon to the stoma, so that patient can see it clearly and take care of it. Then at the last colostomy bag is placed at the stoma.

What happens during a surgery?

The operation may involve:

  • A hole as a result of the deep cut in the abdomen

  • Less protruding small cuts, such as laparoscopic operation. This lessens the pain and healing time.

Surgery may involve the following dangers:

  • Internal bleeding in the colon

  • Harm or damage to neighboring organs

  • Any kind of infection

  • Stomal bleeding

Recovery:

A patient can complete getting recover in almost 2 months but he gets discharged from hospital after I week of the surgery. For this whole time, you must be careful about your diet and activities



If your colostomy is temporary then you need conclusive surgery after the colon is recovered. This post-surgery occurs after 3 months.

Care:

  • Emptying your colostomy bag: You must empty your colostomy bag many times every day. It will be not under your control to pass waste the waste out in the pouch. It is recommended to empty the pouch when half of its part is filled.

Colostomy bags have two main types:

  • A single-piece pouch adheres to the skin barrier directly.

  • Double-piece pouches, having a separate skin barrier and bag that can be removed from the body.

The skin that covers the nearby areas around a stoma is termed ad peristomal skin. There might be bleeding from this skin and it always gives a red shade, that is fine. But be careful that it doesn’t bleed for a long time.

Skin Care:

The most important fact is that you must ensure that your pouch is linked with stoma properly. It might bring discomfort to the skin if not attached properly. This area needs to be neat and clean, it must be dried completely. There are chances to get an infection, so if you feel any changes in stoma, please see your doctor immediately.

Main Concerns:

High feces output: It is observed that for few days after the surgery some patients have more stool production. As soon as the body of the patient gets used to colostomy and stoma it will get back to normal. But this should be just for a few days, in other cases, you must see your doctor. Continuous and too much feces can lead to dehydration. And you will end up with low electrolytic balance in your body.

Gas managing: The gas also needs to be released out of the pouch. It depends on your pouch. Some pouches are more well organized which helps you to avoid bursting or remove of the bag off the stoma.

The type of colostomy you had and the diet decides the amount of gas stored in a pouch. Food with more carbs and proteins such as alcohol, milk, onion can produce more gas. Avoid chewing gum or drinking via a straw it may lead to the swallowing of air in the colon. Your doctor can better help you with this issue.

Whole capsule seen in stool: When you notice the whole capsule or tablet in your pouch that indicated that the medicines were not completely absorbed in the body. Your doctor may help you to assist this issue by prescribing any liquid medication.

Stoma Obstruction: Sometimes happens that you feel pain in the stomach or any kind of discomfort in the belly. This is due to blockage of the stoma, which has occurred due to any piece of food or any necrotic tissue stuck in the stoma.

You can overcome this issue by drinking more water and you may also remove it at home. It also demands massaging sometimes. If you still face these issues, you must look for your doctor.