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.
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.
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:
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.
Suitable for use in paediatrics when combined with an age-appropriate diet.
Specific menu planning guidelines
|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
Highly spiced dishes (e.g. curry)
|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, including onion and garlic
|Asparagus, legumes, cabbage, corn, peas, broccoli, brussels sprouts, cauliflower, celery|
All soups made with allowed ingredients or soups that have been pureed
|Sandwiches||Sandwiches made with allowed ingredients||All others including sandwiches made with baked beans or curry|
|Salads, dressings||Salads using allowed ingredients||All others|
All other cereals
All other breads, including wholemeal
Bran-based breakfast cereals and those with added dried fruit, nuts and seeds
Wholegrain bread and bread with added dried fruit, nuts or seeds
All, including hummus and tahini
|Hot breakfast choices|
All others (e.g. canned spaghetti, stewed tomatoes, savoury mince)
|Baked beans, sausages with gristle or skin|
All other ripe fresh and canned fruits
Grapes, prunes, pineapple
Fruits with small hard seeds e.g. passionfruit, berries (unless pureed)
|Yoghurt||Yoghurts containing allowed ingredients||All others|
All desserts made using allowed ingredients
|Milk and cheese|
Cheese with dried fruit or nuts
|Biscuits||All others||Biscuits with dried fruit, nuts, seeds and coconut|
Salt, pepper, sugar, sweetener
Chocolate (without dried fruit or nuts), lollies
Nuts, seeds, coconut
Spices including curry powder/paste and chilli
Sweet chilli sauce
Chutney and pickles
- Australian Council of Stoma Associations. A beginning … not an end: life after ostomy surgery. 4th ed. 2010.
- Dietitians Association of Australia. Nutrition manual. 9th ed. Canberra: DAA; 2014.
- Mahon LK, Escott-Stump S. Krause’s food and nutrition therapy. 13th ed. St Louis: Saunders Elsevier; 2011.
- Burch, Jennie. Providing information and advice on diet to stoma patients. British Journal of Community Nursing. 2011: 16:10:479 - 484
- Dietitians of Canada. Gastrointestinal System - Ostomy: Evidence Summary. In: Practice-based Evidence in Nutrition [PEN]. 28 Aug 2013 [accessed 10 February 2017].
|Specific menu planning guidelines - Breads/cereals||In Allowed, added Corn thins|