I think I've come across the perfect illeostomy meal(s)

[Shamrock4806]

1 packet only of Cream of Wheat with water (creamy) (fortified for nutrition) and just a tab of butter, great for breakfast or late night snack. Slow digestion. Comfort food. Thickens output.

1–2 cups Applesauce total (vitamin C) and thickens output a little. Don't consume too much or it creates diarrhea. ½ cup per serving.

2–4 slices Sourdough bread (can be a little gassy). 1–2 slices per serving.

1/2 cup of low fat cottage cheese at a time, can thicken output (not more than 10% total fat) good protein source 25% RDA per serving! ½ cup per serving.

3–5 cups cooked al dente Pasta or overcooked Rice (pasta way better for thickening output) spaced out over many small meals during the day as needed. Provides energy. ½ cup per serving. White rice cooked soft — ½–1 cup per serving. Ideally mixed with a little bit of protein like lean ground beef, turkey or white meat chicken to thicken.

1–2 cups Mashed potatoes (no skins or lumps). Smooth mashed potatoes only, completely lump-free — ½–1 cup per serving.

1 ordinary can size of plain Chicken breast OR equivalent protein (plain turkey or soft beef) mixed with rice or pasta with the sauce. Warning: Too much protein and/or with too much fatty sauce at one meal can cause severe diarrhea. Both from too much protein at once AND too much fat. Lean chicken breast — 3–5 oz per serving. Lean turkey breast — 3–5 oz per serving.

1 Turkey hot dog with a little yellow mustard (good for lunch or snack) on sourdough. protein. 1 at a time per serving.

1–2 servings Greek yogurt per day. Calcium and protein. Plain yogurt if tolerated — ½ cup per serving.

1 yogurt drink or diluted juice serving for potassium/hydration (I use strawberry banana smoothies also) keep under 10% fat.

1–2 cups strained veggie broth/soup as needed (no fat or salt). Strained soups/broths — 1 cup per serving.

Small gravy/sauce portions only for barely flavoring pasta or rice + chicken (lemon ricotta sauce the best) but too much fatty sauce etc. over 10% RDA (total per meal) can cause stoma irritation, failed barrier adhesives, diarrhea etc. Tomato sauce usually has spices, chunks or is very acidic which can irritate. Cheese sauces are usually too fatty per serving. Check the nutrition label and the serving size as they can be deceptively smaller than what people use. Ricotta cheese — ¼–½ cup per serving.

1–2 tbsp Extra virgin olive oil total OR 1/4–1/2 soft Avocado if tolerated optional (if some fat needed on zero fat meals) healthy fats.

Small plain roast beef portion, low sodium and very few if any spices, 1 - 2 slices usually, for iron (can cause watery output if too much or not paired with pasta or severe if too salty or spicy)

Watermelon Juice (not whole fruit) for Lycopene or plain tomato sauce (V8) in small quantities. (Tomatoes can be acidic/gassy)

Smooth refried beans — ¼–½ cup per serving only. Gassy and runny.

Tofu — 3–4 oz per serving.

Tapioca pudding 113gms a small cup

Need Vitamin K (one pill), Algae Omega 3 (250-500mg) liquid pill on sourdough bread slice, replaces problematic fish and seafood. Multi vitamins (w/B12 especially) gummy supplements in small spaced out portions with food as needed, perhaps not always daily (may cause severe watery output if too much vitamins and minerals at once like what Centrum Silver and too much magnesium does)

[Shamrock4806]

As an added bonus my wafer wear time has increased by days because less bile salt detergents are attacking the barrier adhesive.
Getting sometimes 7+ days now.

Higher fat (not more than 10% RDA per meal) → more bile release

Empty stomach periods → concentrated bile dumping can occur (eat pasta or cream of wheat before long lull periods, like sleeping etc.)

Combining carbs/starches with fats often reduces irritation versus fats alone.

[Shamrock4806]

Okay, I've been having some inconsistencies with bile salt stoma irritation and had AI take my menu and adjust so there are no weak spots over the course of 24 hours.

I've learned basically if ones stomach is growling a bile flush is imminent but eating small meals, of bile salt absorbing type foods, more often (about every three or four hours) seems to work best.

To be combined with my watered down all day ORS.


Daily Routine: Cook 1 lb of pasta and divvy up into four sealable containers to microwave later.

Make a batch of all day drinkable ORS

A little less than 1/8 teaspoon of salt sprinkled with one grain coat of (shaken) Lite Salt for potassium.

5 level tablespoons of sugar

Two shots of red natural cranberry juice

One shot of natural white grape juice

64 oz of filtered water


Breakfast

1 packet Cream of Wheat (use just water)

Small tab butter for fat and taste

1 slice sourdough bread optional

½ cup applesauce optional

ORS or diluted smoothie drink (banana strawberry smoothie, a couple of sips) optional


Mid-morning

½ cup pasta or 1/4 pound (about 20 or so pieces of Penne Rigatoni or Fusilli)

3 oz lean chicken, turkey or low salt roast beef (roast beef easier and provides iron) or 1/4 cup of lowfat, low salt cottage cheese

½ cup Greek yogurt optional


Lunch

1 turkey hot dog on 1–2 slices sourdough with apx 1000 mg of liquid Algae Omega 3 (provides fat)

Small yellow mustard

Small hydration drink optional


Mid-afternoon

½ cup low fat, low salt cottage cheese, mixed with pasta or pasta with butter tab

½ cup applesauce OR tapioca pudding cup

1 slice sourdough


Dinner

1 cup pasta about 1/4 pound (30 pieces) OR 1 cup soft over cooked rice (eh)

3 oz lean chicken/turkey/tofu/roast beef or 1/4 cup of low fat, low salt cottage cheese

1–2 tbsp light ricotta lemon herb sauce OR tiny gravy amount (if meat is used) or a tab of butter for taste and fat




Evening stabilizer

½ cup pasta (20 pieces) or 1/4 pound with butter or sauce

Small protein portion if hungry


Before bed (important) Choose ONE:

1 packet Cream of Wheat with butter tab

½ cup pasta 1/4 pound (20 pieces)


Less effective as a thickener: optional

Tapioca pudding cup

1–2 slices sourdough toast (gassy output)

½ cup mashed potatoes (watery output)

Two Eggo waffles (8% RDA of fat)




Daily limits/targets

Olive oil: 1–2 tbsp total daily if used

Avocado: max ¼–½ if used

Applesauce: ~1–2 cups total daily

1 1000mg Algae Omega 3 liquid pill daily with low fat meal

1 prenatal vitamin gummie pill in the morning and evening with food containing 5-10% RDA fat for best absorbtion

One Vitamin K, two Potassium Magnesium gummies, and another vitamins gummies or small liquid pills

Greek yogurt: 1–2 servings

Protein: keep moderate (like two thin roast beef slices) and spread out, mixed with pasta or runny output occurs

Avoid large fat loads (over 10% RDA) in single meals spaced out every four hours

Keep starches present throughout day (pasta and cream of wheat mainly, a little butter for fat okay)


Highest priority anti-irritation foods in your menu:

***Pasta***

****Cream of Wheat****


Less thickening effect:

Mashed potatoes (watery)

Sourdough bread (gassy)

Tapioca pudding


Most important rule: Avoid long empty periods, especially before sleep without one of the two major thickeners/bile salt absorbing foods like cream of wheat or pasta.

Two Eggo waffles (8% RDA fat) can act as a easy quick holdover for a few extra hours of sleep before next meal.

[Shamrock4806]

So my shopping list is now very simple.

One loaf of freshly sliced sourdough bread, Italian bread okay too.

A 1/2 pound of freshly sliced sandwich size low salt, low spices lean roast beef

Regular salted butter

Banana strawberry fruit smoothie bottle

Cream of wheat instant plain

Applesauce single use containers without added sugar

Tapioca pudding single use containers

Pasta, usually Penne Rigatoni or Fusilli

Low fat ricotta lemon herb pasta sauce

White meat turkey hot dogs

Mustard yellow

Greek yogurt cups with fruit at the bottom

Low fat, low salt cottage cheese

Small cans of reduced sodium V8 juice


Algae Omega 3 1000mg liquid gels (provides some fat)

Vitamin K

Prenatal vitamins gummies

Potassium/Magnesium gummies (careful with magnesium causes a runny bag if too much)

Keep fat 5-10% of RDA per meal spaced out every four hours 24/7.


I've ditched the canned chicken since I had a bout of extreme diarrhea from chunks of chicken fat and I can't stand to even look at the stuff anymore.

Roast beef has been good, I can take as much as I need so I don't overdo the protein (causing a watery bag) and even if I did it doesn't react as bad and it's a good source of iron, easily absorbed.


For my ORS

A bottle of red regular cranberry juice

Optional: A bottle of regular white grape juice

Sugar

Salt

Lite Salt

This is my small diet giving me little choices, but excellent stability, mental clarity and energy. Plus it's very nutritional and extremely convenient. All I do is cook up a batch of pasta almost everyday with a 64 oz of my dilluted ORS. Mix a protein with a carb (pasta) and microwave and down it goes.

[Shamrock4806]

Okay the best meal is:

1/4 pound of cooked Farfella pasta (preferably European pasta)

2 small or 1 large sandwich slices of quality, lean, low salt roast beef on top

Lightly covered with Sonoma Lemon Ricotta Herb pasta sauce (5 tablespoons) just enough to taste, not soaked

Total fat apx 10% RDA, most of it from the sauce, but thus sauce is basically light compared to other sauces. This sauce has 6% RDA of fat per 1/4 cup or one serving. So that should be a guide.

Any meal should NOT exceed 10% RDA of fat in total, nor exceed too much protein (eat a little pasta first) or problems occur (watery output, bile salt stoma irritation) however some fat is required for vitamin uptake so 5-10% RDA of fat per meal is ideal.

I usually cook up a pound of pasta at a time, separate onto four containers, refrigerate. Then add a little roast beef and the sauce then microwave and enjoy. Quick and easy, packed with energy.

However it's not a complete diet and other items (above posts) needed for that.

This is just the most convenient, energy packed and a bit thicker output without strong odor or bile salt stoma irritation and premature barrier adhesive failure.

[Shamrock4806]

....okay AI said I'm not getting enough protein with just one large slice of thin roast beef three times a day with the 1/4 pasta and 5 tablespoons of lemon ricotta herb sauce, said I need to double it.

Of course I'm getting a runny bag but it's not diarrhea like it's excessive, just more watery and not thick.

So I'm thinking daytime when I'm awake I double the roast beef to two large thin slices and later on if before sleeping etc. It's half of that or one slice or none at all.

Of course I'm still eating cottage cheese, turkey hotdog and Greek yogurt when I feel like it so those are sources of protein as well. I'll have to get AI to revise my menu to have a drier bag come sleepy time.

[Shamrock4806]

Low-fat macaroni chicken salad (ileostomy-friendly)

For 1/4 lb (4 oz / 113 g) cooked elbow macaroni, use approximately:

4 oz (113 g) well-cooked elbow macaroni

2.4 oz (69 g) cooked skinless chicken breast, finely shredded

2½ tsp light mayonnaise

2½–5 tsp water (optional, for desired consistency)

Salt to taste (optional)

This yields about 1 serving. Refrigerate and discard after 4 days. Add nothing else.

This is a great option to take something nutritional and illeostomy friendly for lunch or road trips.

Also it can do when I run out of groceries and need to go shopping on an empty stomach before a corrosive bile dump occurs,

So it's important to eat a pasta (or something) meal every four hours to defeat the dreaded bile dump.

[Shamrock4806]

Okay since canned chicken breast quality is absolutely flakey I instead switched to baked chicken breasts with Italian bread crumbs.

1 or 2 chicken lean skinless boneless breasts

Italian bread crumbs


Preheat oven to 350° F, powder the breasts with the bread crumbs and place on a cooking pan.

When the oven is 350 pop the chicken in for 45 minutes. Catch it or else it will dry out.

When done slice into 1/2" medallions and use 3 max on top of the 1/4 pasta with 5 tablespoons of the lemon ricotta herb sauce. (Sonoma).

Almost as easy as using roast beef slices but tastier than canned chicken.

I think I'll try lean pork loin next.

The whole object here is to get the variety, energy and nutrition of different meats without triggering a watery bag issue by consuming too much protein or fat at once. The pasta soaks up quite a bit of fluid itself but it can be overloaded.

I definitely feel a whole lot better on this new diet and having just about zero issues. No stoma irritation, no rapid weakening of the barrier seal, no massive amounts of watery output, no dehydration, no weakness, no nothing. Just feeling good and having energy.

[Shamrock4806]

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