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This advice relates to your diet, drinks, and prescribed medications. It has been written by the Dietitians, the Nutrition Support Team and the Stoma Care Nursing Team.
The advice here will help slow down food and fluids going through your gut to improve absorption of water and nutrients.
The advice summarised here will help reduce the risk of dehydration and malnutrition and keep you feeling well.
If you feel unwell and consistently notice any of the signs and symptoms listed on the next page, contact your GP or call 111 (NHS non-emergency number) for advice. In an emergency, go to A&E.
Restrict ‘ordinary drinks’ to one litre per 24 hours:
Separate foods and fluids:
Ideas to help you stay within your fluid allowance:
Add salt to food. Your body is continually losing salt. You can replace it by:
Have a diet low in insoluble fibre. Dietary fibre is the part of plant foods that our digestive system is not able to break down.
‘Soluble’ fibre dissolves in water forming a gel in the digestive system helping to slow down bowel movements. ‘Insoluble’ fibre does not absorb water and it tends to speed up the passage of food through your bowel.
Choosing foods low in insoluble fibre means you’ll be better able to tolerate larger portions of energy rich foods, that these foods will pass more slowly through your gut, and that stool bulk will be lower.
When your stoma output is high, reducing the amount of insoluble fibre in your diet can help manage your stoma output. The aim of this diet is to reduce the bulk from poorly or partially digested matter passing through the gut.
Once your stoma output reduces or thickens, you can gradually return to your usual diet. When you no longer need to be on a low insoluble fibre diet, increase your fibre intake gradually over a few days.
The tables on pages 6 to 8 highlight changes you can make to reduce the amount of insoluble fibre in your diet.
Other useful tips:
Breads, flour, rice, pasta:
Biscuits, cakes, crackers, sweets and chocolate:
Milk and dairy products:
Fruit. Limit to 3 portions a day plus a glass of fruit or vegetable juice:
Vegetables. Make up (with fruit) to 5 portions of fruit and vegetables a day (excluding potto):
Meat, fish and alternative protein sources:
Fats and oils:
If you need to follow this diet for a longer period of time your medical/surgical team or dietitian will advise you.
Rehydration solution (e.g. St Marks solution):
Mix all the ingredients together and chill in the refrigerator (avoid using ice cubes).
You can flavour the solution with cordial, squash or fresh lemon or lime juice. Add this to the other ingredients before adding the water. It is important that the final volume of the solution is one litre.
Sip the solution throughout the day and use it to take your medication.
This information is intended for patients receiving care in Brighton & Hove or Haywards Heath.
The information here is for guidance purposes only and is in no way intended to replace professional clinical advice by a qualified practitioner.
Publication Date: April 2022
Review Date: February 2023