Hello everyone,
My mother recently had a radical hysterectomy and part of her liver was removed. She's also been left with a permanent ileostomy bag.
Shes due to be discharged from hospital on Tuesday but I'm concerned about her diet. The stoma nurse prescribed her with stool thickners but she's virtually lost her appetite, yesterday she had a few mouthfuls of rice crispies, a few moth fulls of omelette and one of those high protein meal replacement drinks.
None of the nurses seem to think she needs a multi vitamin, I'm.not doctor but I think she does and I'm scared they aren't really looking into the root causes of the loss of her appetite.
Is a loss of appetite normal after such radical surgery, shoild she be earing more? Shoild she be taking a liquid multivitamin now and would this react with she scheduled chemo?
Thank you.
Hi Joy80
i have an ileostomy although my op was different my appetite was apprehensive at best. I found things that my stoma found easy to process in the beginning. It’s consisted of mainly beige carbs and dairy with white bread. It took some adjustment but after two weeks I ate white bread fish finger sandwiches with salted butter and mayo which I thoroughly enjoyed. Little steam puddings with custard or ice cream. I kept a food diary sticking to their recommendations after two weeks I would add a new food and see how I went. I was paranoid about blocking. Your mum may be feeling the same. Isotonic drinks for hydration helped.
If she likes a pudding that’s a good start.
Little and often probably six little meals a day. I started with half a sandwich.
I tried complan as I had that before my op to build up my energy sadly I had really loose output so stuck with very small amounts of food.
it gets easier I’m having a full roast today and have done for a long while.
Hope all goes well.
Ann
Thank you for replying, I'll passing those recommendations to my mum, luckily she loves all the things you suggested. I think you're right, she's probably subconsciously paranoid about eating too much and having her bag fill up too quickly for her to handle.
Thank you xx
It’s natural to be concerned about what you eat in the beginning. I was super careful. But I stuck to a toddler diet and after couple weeks I introduced slowly. Six weeks on the stoma formed and things get so much easier.
Fishfinger sandwiches with mayo is still one of my favourites.
Ann
Hi Joy,
My husband is slightly different in that he has a colostomy rather than ileostomy. At first he ate very little, what I would call 'sparrow' meals. He is just about eating the same as I now after 3 months. I am still careful about no seeds or nuts, and sieve things if I am unsure about the contents. After one blockage (due to adhesions) we don't want another! The hospital prescribed him the high protein drinks as he lost so much weight and he is still on them, regaining weight slowly. It might be worth you asking about them as they have certainly helped him. They will often drink, even if they don't feel like eating.
I had a hysterectomy 4 years ago, by keyhole. I can't say that affected my appetite, and I recovered quickly. Your Mum has had a bigger operation than I did, though.
They will definitely help, and you can choose which flavours to have when at home. My husband didn't like the fruit flavours, so has vanilla and chocolate. I think they said 4 of those a day will keep you alive, so any food you eat other than that is a bonus initially.
Hi Joy80,
I can only speak from my own experiences after undergoing a bowel resection.
I believe you have to fuel your body with goodness to ensure it can recover it the best possible way.
I am into fitness and nutrition, nutrition is key and I have research all the products on the market and believe I have found the best for me.
The are vegan, plant based - I use JuicePlus products.
x
hi Joy80 after my illiostomy whilst still in hospital I was given a drink to build me up called Ensure. - I'd lost three stone in a short space of time. I had to order it from my pharmacy. These are best drunk cold and come in different flavours.
Kath
"don't think about tomorrow"
Whatever cancer throws your way, we’re right there with you.
We’re here to provide physical, financial and emotional support.
© Macmillan Cancer Support 2025 © Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. A company limited by guarantee, registered in England and Wales company number 2400969. Isle of Man company number 4694F. Registered office: 3rd Floor, Bronze Building, The Forge, 105 Sumner Street, London, SE1 9HZ. VAT no: 668265007