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Eating after stoma or J-pouch surgery can be a whole new ball game. Never mind nerve wracking. But, there are some tips ...
31/07/2025

Eating after stoma or J-pouch surgery can be a whole new ball game. Never mind nerve wracking. But, there are some tips that are important to stick by in that initial 6-8 weeks period.

Need some guidance and support after surgery? I offer 1:1 support as well as meal plans to help you through this change and help you adapt to this new normal.

✨️✨️Comment SUPPORT for some more info✨️ ✨️

I remember the surgeon standing at the end of my bed and uttering the words of "removing your colon will cure you". I wa...
10/03/2025

I remember the surgeon standing at the end of my bed and uttering the words of "removing your colon will cure you". I was naive and believed him. Although it did save me, my stoma came with its own challenges that were, at times, difficult to navigate. And I thought that was it for me. This was my new normal. Even now, with my J-pouch l, I'm not devoid of challenges but I have learned that you can thrive and feel good too. And nutrition plays a big part in living well again.

It can feel lonely and desperate sometimes dealing with nausea, pain, avoiding foods that trigger symptoms, fear of eating because of blockages, consistency and frequency issues or deficiencies. But always remember, you can live well. You can eat a wide variety of foods, tackle consistency and frequencey issues, reduce blockage risk, avoid dehydration and minimise deficiencies 💪

Comment PROSPER to learn more about working with me so you can thrive and live well again ✨️

In case you needed a reminder, you can thrive with an ileostomy or J-pouch. At first, it can be overwhelming, and there ...
11/02/2025

In case you needed a reminder, you can thrive with an ileostomy or J-pouch.

At first, it can be overwhelming, and there are bumps along the way. Lots of figuring things out, learning new ways to eat, readjusting, and adapting. But I always maintain that you can live greatly and thrive with this new normal.

If you do need some guidance and support, be it post surgery or beyond, comment THRIVE, and I'll be in touch with some ways to help you get there.

ileostomyawareness

💨Gas, wind, the rumbles, pop off's...call it what you like! 😅Gas can cause issues for ostomates and often results in thi...
01/11/2024

💨Gas, wind, the rumbles, pop off's...call it what you like! 😅

Gas can cause issues for ostomates and often results in things like bag leakages, blow outs, ballooning, urgency or pain and discomfort. For J-pouchers, wind pain can be super painful.

Foods and drinks can impact the production of gas alot of the time caused by fermentation of certain foods by bacteria (a very normal and necessary part of digestion) but also from drinks that are carbonated. Adjusting the intake of these foods can often help with the over production or build up of gas.

Speaking with a professional can be very helpful when dealing with gas issues.

*The information contained in the post is for educational purposes only.

Are you struggling with reintroducing some "tricky" foods back in to your diet? Maybe you're worried about fibrous foods...
13/09/2024

Are you struggling with reintroducing some "tricky" foods back in to your diet? Maybe you're worried about fibrous foods or foods that can be hard to digest.

✅️Here's some simple things you can do to make sure you're still eating a balanced and nutrient dense diet as an ostomate.

✅️Remember, adapt don't restrict your diet.

✅️You can have a diet filled with nutrients as ostomate. Sometimes, it may just take a little tweaking. Changing the texture of foods can help greatly and it's always better to consume it in someway than not at all.

Comment SWAP if you'd like some info on how to work with me and learn to thrive again as an ostomate 🫶

Hi everyone! I just wanted to introduce myself to you all. I'm Ann-Marie, a qualified nutritionist and fellow ostomate ...
21/08/2024

Hi everyone! I just wanted to introduce myself to you all. I'm Ann-Marie, a qualified nutritionist and fellow ostomate and j-poucher.

My journey began 4 weeks after the birth of my first baby. I became unwell with abdominal pain,bloody stools,tiredness and eventually a temperature and was hospitalised. It was at that point I was diagnosed with severe,acute ulcerative colitis. It was a very sudden diagnosis,I really only had a about 4 weeks of sever symptoms. I did weeks of high dose steroieds and immunosuppressants to save my bowel, but the severity of the onset of the disease meant my only option was to have my large bowel removed and I ended up with an ileostomy. It was a life saver for me, and I'll always be grateful for it. 18 months later, after much thought, I had the second stage surgery (j pouch created and loop ileostomy formed) and finally reversed two months after that with the creation of my jpouch.

I've had two bowel obstructions, both scar tissue related,so I understand the fear around that and eating the right foods in the hope of avoiding ever having another one. I get it.

I'm here to help educate,empower, and support people like us in the world of nutrition and to restore your relationship with food. For many of us,this is our "new normal," and it takes some adjusting. Believe me, even with my background, I struggled to navigate this different way of functioning and fuelling my body. But with grace and understanding of my body, I can finally say I'm getting there, and I want the same for you too.

I'm excited to take on 1:1 clients in the very near future, but please get in touch in the meantime with any questions or queries you may have
💫 website coming soon

www.nuanutrition.com

I've had a busy start to 2024 with scans and tests. Sometimes, it feels like the health issues never end and just when y...
18/08/2024

I've had a busy start to 2024 with scans and tests. Sometimes, it feels like the health issues never end and just when you think you're back on your feet something else crops up and has to be dealt with. It's so tiring physically and emotionally, managing your health on top of everyday life. Like,seriously body...BEHAVE!

Grateful that I have access to this care and sending positive vibes to anyone struggling with ongoing health issues. You got this 💪


Some tips for all us ostomates and j-pouchers to help keep thriving this holiday season. Holidays can be tricky to navig...
18/08/2024

Some tips for all us ostomates and j-pouchers to help keep thriving this holiday season.

Holidays can be tricky to navigate especially with chronic illness.

Wishing you all a very Merry Christmas and I hope 2024 is happy and healthy for you ❤️

Dehydration is by far one of the biggest concerns I hear from ostomates and j-pouchers and can have many debilating effe...
18/08/2024

Dehydration is by far one of the biggest concerns I hear from ostomates and j-pouchers and can have many debilating effects on the body. Hydration levels are something ileostomates and j-pouchers are going to have to be aware of ALL of the time. Dehydration is one of the biggest cause of readmission to hospital after ostomy surgery.

The balance can be tipped so easily especially if you experience a high output or loose stools/diarrhoea where fluids are lost in high amounts. Often the aim when having high output or loose stools is to slow down the transit time of food and fluids through the digestive system and help keep your body hydrated.

Here are some tips to help prevent and monitor dehydration;

💦Drink fluids ; obvious enough but you should be aiming for 2 litres of fluids per day. Some ostomates do well to include an Oral Rehydration Solution (ORS) to help absorb fluids and keep those electrolytes balanced.

✅️Monitor input and output. It's always a good idea to keep an eye on what you take in and what goes out. If you have an ostomy output greater than 1200mls and is considered a high output - fluids should be replaced as soon as possible.

🍷Avoid/limit alcohol which has a dehydrating effect.

☕️ Limit caffeinated drinks such as tea or coffee which have a diuretic effect - they draw water away from the body.

🍌 Diet adaptations; this includes foods to avoid such as those containing simple sugars which can cause loose stools but also foods which you can include to slow down output and therefore help keep you hydrated.

💊 Medications can be used to help slow down the transit time of food and fluids thoroughly the body. Speak with your physician/GP about options available.

⚠️ NEVER reduce the amount of fluids you intake to slow down your output or reduce loose stools/diarrhoea.

Do you battle with dehydration?

Comment with any questions you may have 👇

Happy Halloween Ostomates! 👻Don't get me wrong,I'm VERY grateful I was given my stoma but there were definitely some tim...
18/08/2024

Happy Halloween Ostomates!

👻Don't get me wrong,I'm VERY grateful I was given my stoma but there were definitely some times when it gave me the shivers!

🎃So, some personal "spooky" aspects of having a stoma...

🦇What have I missed?! Can you relate?

Comment below 👇

Ostomates and J-pouchers can often be seen to be deficient in Vitamin B12. This is mainly due to issues with absorption ...
18/08/2024

Ostomates and J-pouchers can often be seen to be deficient in Vitamin B12. This is mainly due to issues with absorption because of gastrointestinal surgery,pernicious anaemia or prolonged use of certain medications like proton pump inhibitors (PPI's) which can impact absorbtion.

So,what is VitaminB12 and why is it needed?

🌟Vitamin B12, or cobalamin, is a water soluble vitamin involved in metabolism.

🌟It's needed for DNA synthesis ,metabolism of fats and proteins and healthy red blood cell formation.

🌟It's naturally found in animal derived foods but other sources include clams and fortifies cereals.

🌟Most people consume adequate amounts through their diet but if you're concerned with your absorbtion of vitamin B12, your physician or GP can assess your levels. This is advised before anything supplementation.

🌟Supplementation can be via oral or injection form. Intravenous supplementation is often used as it bypasses any issues with absorbtion.

Do you need to supplement Vitamin B12 or are you concerned with absorbtion of nutrients? Comment below 😊

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