Diarrhea after Ileostomyl Reversal
Total years in practice: 2
Case. A 51 year old male, with
history of cancer of the large intestine had to undergo reverse ileostomy. Before fighting cancer, he had a
history of Irritable Bowel Syndrome (IBS) for years. After his successful surgery,
the only problem was that whatever he was eating was not helping him to nourish
himself. He had to go to the washroom 12-14 times at night because of which he
faced severe weight loss and discomfort in his daily activities.
Dietary Advice. A soft,
bland diet which was low in fiber, residue and fat was introduced. It was
advised that he should take six to eight meals, at regular intervals and chew
the food properly. His dinner was
recommended to be had at an earlier time. The fluid intake was increased to
minimize the risk of dehydration and loss of salts due to diarrhea. He was put
on a diet of refined cereals, finely mashed low fiber foods like potatoes,
bananas, papaya and egg whites. Finely minced chicken and fish were introduced
after two months. Curd, whole cereals, raw vegetables, fried food, nuts and
whole pulses were restricted.
Result. After providing the customized diet plan,
in a span of eight months, the patient recovered his appetite and his weight
increased to healthy proportions and started practicing required physical
exercises like yoga and walks. His discomfort at night has reduced and he can
sleep more peacefully at night now.
