Food Irritant Solutions – Part 2
The below table highlights some of the irritants that are known to cause common stoma problems and suggests some alternatives. In this part we are focusing on vegetables, low residue vegetables, condiments, drinks and miscellaneous items.
Foods Not to Eat with an Ileostomy or Colostomy
| Food groups | Foods to avoid or reduce | Foods to include |
|---|---|---|
| Starchy carbohydrate-containing foods/ingredients
(includes bread, potatoes, cereals etc.) |
Wholemeal, granary or bread and rolls tdat contain nuts, seeds and dried fruit chunks. tdis is the same for bread-like products like chapati, naan etc.
Wholegrain/brown, wild or under cooked rice. Bulgar wheat, couscous, buckwheat and similar grains. Potato, yam, cassava and taro that aren’t peeled or soft. Weetabix®, Shredded Wheat®, oat- or wheat-bran type cereals (e.g. Bran Flakes), porridge, muesli, granola and other higher fibre cereals. Crackers that have nuts, seeds and dried fruit chunks e.g. ‘Ryvita fruit crunch®’. |
White or ‘best of both’ type breads or rolls. This is the same for bread-like products like chapati, naan etc. Tacos, tortillas.
White rice, pasta, polenta and noodles. Potatoes (white and sweet), without the skin. Yam, cassava and taro well-cooked without the skins. Non-fibrous cereals that do not contain nuts, seeds or fried fruit e.g. Rice Krispies®, Cocopops®, corn and frosted flake type cereals. Crackers without nuts, seeds or dried fruit chunks e.g. Digestives, cheese-flavoured crackers or ‘Original Ryvita®’. |
| Meat, Poultry, Fish and Vegetarian Protein foods | Steak, gristle-containing, tough or very dry meat, poultry or fish, skins e.g. chicken or fish skin, bones, pulses and lentils (includes chickpeas and beans) and houmous/hummus. | Well-cooked, non-dry and skinless meat, poultry or fish e.g. pork-chop, chicken or fish fillet, mince. Eggs (in any form) e.g. boiled or scotch-eggs.
Tinned fish where the bones are easily chewable. Tofu, tempeh, textured vegetable protein, mycoprotein e.g. Quorn. Battered, pastry-covered or bread-crumbed meats, poultry, fish and other protein sources. |
| Dairy and its alternatives | Yoghurt or cheeses with nuts, seeds, dried fruit and granola-like cereals. | Yoghurts or cheeses without nuts, seeds and dried fruit. Yoghurts with fruit pulp e.g. Muller® fruit corner. All types of milk, including cows and other animals as well as plant based milks e.g. soya or almond. |
| Fruits | Dried fruit e.g. raisins, sultanas, dried figs etc.
Fruit with skin or that is stringy and fibrous e.g. non-peeled apples, oranges with lots of pith (white stringy bits), rhubarb, pineapple, figs, dates and coconut. Under-ripe fruit e.g. green bananas, green mangos. Fruit with pips or seeds e.g. berries like raspberries and blackberries. |
Peeled fruits e.g. apples, grapes, peaches, plums etc. Oranges and similar fruits without the pith (white stringy bits), berries e.g. strawberries, bananas, melon and other soft fruits. Tinned, puree or cooked fruit (without skin, pips or stones).
TIP: Tinned or jelly fruit pots e.g. fruit cocktail are easy dessert or snack choices. |
Hard to digest vegetables, including beans like butter beans or green/runner beans, sweetcorn, peas, mushrooms, cabbage, brussel sprouts, spinach, kale and spring greens.
Soups that have well-cooked and easy to chew vegetables and other components.
Biscuits and cake (without dried fruit chunks, nuts or seeds in) e.g. custard creams, fig rolls or madeira cake. Crisps, prawn crackers and poppadoms.
Custard powder, semolina, tapioca, cornflour.
Chocolate spread, tahini, tzatziki and other smooth dips or spreads. Coconut milk or cream.
TIP: Is it easy to chew and isn’t stringy, gritty or tough? It’s probably OK to eat!