Fact sheetDiet specifications

Published on 1 Mar 2017 ; Partial revision Sep 2019


Post procedure diet - post stoma

This document is part of the ACI Diet Specifications for Adult Inpatients. It is not to be used for patient education.

Aim

To provide a diet that minimises constipation, wind or diarrhoea associated with large bowel bypass stomas. This diet may not be required for patients with an established stoma.

Characteristics

Limits foods that might lead to constipation, obstruction, wind or diarrhoea. Bananas, pasta, potatoes, rice, cheese and smooth peanut butter can help thicken stools.

Where appropriate, clinicians may consider ordering this diet for patients:

  • Ileostomy.

Nutritional adequacy

Nutritionally adequate.

Precautions

To compensate for loss of salt and liquid, extra salt and frequent drinking should be encouraged. Some patients may tolerate some foods in the list of those not allowed, and in general the diet should be as liberal as possible.

Paediatrics

Suitable for use in paediatrics when combined with an age-appropriate diet.

Specific menu planning guidelines

Allowed Not allowed
Hot main dishes

All others, including eggs and tofu

Small amounts of onions and garlic may be included as flavouring in mixed dishes

Sausages with gristle or skin

Legumes, falafel

Highly spiced dishes (e.g. curry)

Sauces, graviesAll -
Starchy vegetables / pasta / rice

All starchy vegetable dishes prepared with allowed ingredients

Plain pasta or rice

Couscous, noodles, polenta, semolina, quinoa

Fried rice made with allowed ingredients

All others
Vegetables

All others, including onion and garlic

Asparagus, legumes, cabbage, corn, peas, broccoli, brussels sprouts, cauliflower, celery
Soups

All soups made with allowed ingredients or soups that have been pureed

Minestrone

Lentil, broccoli

Spiced soups

SandwichesSandwiches made with allowed ingredientsAll others including sandwiches made with baked beans or curry
Salads, dressingsSalads using allowed ingredientsAll others
Breads, cereals

All other cereals

All other breads, including wholemeal

Corn thins

Bran-based breakfast cereals and those with added dried fruit, nuts and seeds

Wholegrain bread and bread with added dried fruit, nuts or seeds

Spreads

All, including hummus and tahini

All others
Hot breakfast choices

All others (e.g. canned spaghetti, stewed tomatoes, savoury mince)

Eggs

Baked beans, sausages with gristle or skin
Fruit

All other ripe fresh and canned fruits

Grapes, prunes, pineapple

Apple skins

Dried fruits

Citrus fruits

Fruits with small hard seeds e.g. passionfruit, berries (unless pureed)

YoghurtYoghurts containing allowed ingredientsAll others
Desserts

All desserts made using allowed ingredients

All others

Milk and cheese

All others

Cheese with dried fruit or nuts

Beverages

All others

Carbonated beverages

BiscuitsAll othersBiscuits with dried fruit, nuts, seeds and coconut
Miscellaneous

Salt, pepper, sugar, sweetener

Cream

Chocolate (without dried fruit or nuts), lollies

Nuts, seeds, coconut

Spices including curry powder/paste and chilli

Sweet chilli sauce

Popcorn

Chutney and pickles

References

  1. Australian Council of Stoma Associations. A beginning … not an end: life after ostomy surgery. 4th ed. 2010.
  2. Dietitians Association of Australia. Nutrition manual. 9th ed. Canberra: DAA; 2014.
  3. Mahon LK, Escott-Stump S. Krause’s food and nutrition therapy. 13th ed. St Louis: Saunders Elsevier; 2011.
  4. Burch, Jennie. Providing information and advice on diet to stoma patients. British Journal of Community Nursing. 2011: 16:10:479 - 484
  5. Dietitians of Canada. Gastrointestinal System - Ostomy: Evidence Summary. In: Practice-based Evidence in Nutrition [PEN]. 28 Aug 2013 [accessed 10 February 2017].

Change log

September 2019

Section updatedChange
Specific menu planning guidelines - Breads/cereals In Allowed, added Corn thins
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