Information for people with a high output stoma

Breads, flour, rice, pasta:

• Choose:
  • White flour bread, bagels, rolls and pitta.
  • Chapattis and Naan bread made with white flour.
  • White rice and rice cakes.
  • White pasta.
  • Cornflour.
  • Semolina, tapioca, sago.
  • Cous cous, polenta.
  • Tortillas and tacos made with white flour.
• Avoid:
  • Brown, wholemeal and granary bread, rolls and pitta.
  • Chapattis and Naan bread made with brown/ wholemeal flour.
  • Brown and wild rice.
  • Rye, multigrain and breads with added nuts and seeds.
  • Wholemeal pasta and pastry Popcorn and corn chips.

Cereals:

• Choose:
  • Cornflakes, Frosties, Rice Krispies, Coco Pops.
  • Porridge (oats), Ready Brek.
  • Ricicles Special K.
• Avoid:
  • Branflakes, Weetabix, All Bran, Shredded Wheat.
  • Muesli, granola or cereal with added dried fruit or nuts.

Biscuits, cakes, crackers, sweets and chocolate:

• Choose:
  • Savoury and sweet biscuits made with white flour e.g. water biscuits, cream crackers, cheese straws, Rich Tea, custard creams, shortbread Plain scones, sponge cake.
  • Oat cakes, flapjack, cereal bars without nuts and dried fruit Chocolate and sweets without fruit, nuts or seeds.
• Avoid:
  • Ryvita, Twiglets.
  • Hovis wholemeal biscuits Digestives, Hobnobs.
  • Fig rolls, mince pies Fruit scones, malt loaf, Genoa.
  • Snickers, Topic, M&M peanut, nougat, peanut brittle.
  • Popcorn.

Milk and dairy products:

• Choose:
  • Milk, cheese (hard and soft) .
  • Smooth yoghurts.
  • Crème fraiche, sour cream, fromage frais.
  • Eggs.
• Avoid:
  • Cheese with added nut or dried fruit e.g. Wensleydale with Cranberry.
  • Yoghurt with whole fruit or added dried fruit, nuts or muesli.

Fruit. Limit to 3 portions a day plus a glass of fruit or vegetable juice:

• Choose:
  • Tinned, fresh or stewed fruit without the skins, seeds or pips e.g. stewed apple, peeled poached pear, ripe banana, sliced fresh mango, ½ avocado, grapefruit or orange segments with pith removed.
  • Smooth fruit juice without ‘bits’.
• Avoid:
  • All fruits with skin, pith, seeds e.g. raspberries, blackcurrants, gooseberries, grapes, rhubarb, cherries, figs.
  • Unripe (green) bananas.
  • Coconut.
  • Dried fruit e.g. raisins, dates, sultanas, cranberries, prunes.
  • Smoothies, fruit juice with pulp.

Vegetables. Make up (with fruit) to 5 portions of fruit and vegetables a day (excluding potto):

• Choose:
  • Canned, processed or well-cooked vegetables e.g. carrots, mushrooms (finely chopped), swede, butternut squash, courgette, cauliflower, broccoli, aubergine (avoid skins, stalks and seeds).
  • Lettuce, pepper, cucumber, bean sprouts, tomatoes (no skin or pips).
  • White and sweet potatoes without their skins e.g. mash, chips, sauté, crisps, the inside (i.e. no skin) of a jacket potato.
  • Passatta and smooth vegetable juices.
• Avoid:
  • Raw vegetable e.g. coleslaw.
  • Aduki, blackeye, broad, butter, mung, kidney and soya beans.
  • Lentils, chickpeas, hummus.
  • Green beans, mange tout, peas, sweetcorn.
  • Cabbage, spring greens, chard, artichokes.
  • Salad ingredients not listed in the allowed column.
  • Jacket potato with the skin and new potatoes.
  • Vegetable juice with pulp.

Meat, fish and alternative protein sources:

• Choose:
  • All meat, poultry and fish.
  • Tofu.
• Avoid:
  • Meat, fish or poultry made with wholemeal/brown pastry or breadcrumbs.
  • Quorn, TVP.
  • Nuts, seeds and peanut butter.

Fats and oils:

• Choose:
  • Butter, margarine and oils.
  • Mayonnaise, salad cream.
  • Salad dressing.
• Avoid:
  • Salad dressing with whole nuts or seeds.

Miscellaneous:

• Choose:
  • Seedless, rind-less jams and marmalades, lemon curd and jellies.
  • Marmite, stocks, seasoning, herbs and spices.
• Avoid:
  • Shredded marmalade, whole fruit and seeded jams.
  • Peanut butter, pickles and chutney.