Colorectal Center Parent Education Topics

Nutrition Recommendations following Colostomy Closure

The goal of nutrition following colostomy closure is to limit/avoid the foods that may cause constipation.  Foods high in insoluble fiber and foods that have a laxative effect to help promote bowel movements are recommended.  Note if your child is under the age of 12 months and is breast fed keep in mind that once foods are introduced the consistency and frequency of stool will change and breast milk will no longer have its laxative effect.  It is important to offer well balanced meals by offering a meat, carbohydrate and either fruit or vegetable at all meals.

Baby foods to Include to help avoid constipation: Stage I-II
(~4-8months of age)

  • Baby oatmeal
  • Peas 
  • Baby prunes
  • Spinach
  • Mixed grain cereal
  • Mixed vegetable
  • Pears
  • Carrots
  • Green beans
  • Prunes with pears
  • Blueberries 
  • Baby prune juice
  • Apple juice
  • Pears and raspberry combo
  • Sweet Potatoes

Foods to introduce at ~8-10months of age
Note foods should be soft in texture and cut into small pieces

  • Anything from the list above
  • Canned pears
  • Fresh strawberries, watermelon, honeydew melon, peeled grapes, and kiwi
  • Whole wheat waffles
  • Whole wheat bread or toast
  • Whole wheat pita
  • Whole wheat macaroni and cheese or pasta
  • Steamed broccoli, green beans, cauliflower, green beans, peas, avocados
  • Whole wheat veggie pizza
  • Graham cracker sticks or crackers

Foods to introduce from 10 months on

  • Anything from lists above

  • Cauliflower
  • Graham crackers
  • Bulgar
  • Spinach, raw
  • Lima beans
  • Popcorn
  • Cabbage, green
  • Kidney beans
  • Corn tortillas
  • Kernal Corn
  • Strawberries
  • Whole wheat breads
  • Broccoli, raw
  • Blueberries
  • Whole wheat pastas
  • Blackberries
  • Cranberries
  • Wheat cereals: Raisin Bran, Bran flakes
  • Carrots
  • Cherries
  • Whole wheat pita
  • Cucumbers
  • Dates
  • Barley
  • Tomatoes
  • Prunes
  • Rye bread
  • Green Peas
  • Prune juice
  • Almonds
  • Baked potato with skin
  • Raisins
  • Sesame seeds
  • Green beans
  • Melons
  • Brazil nuts
  • Split peas
  • Pears
  • Chick peas
  • Guava
  • Lentils
  • Fresh pineapple
  • Kiwi
  • Grapes
  • Green/ red peppers
  • Sweet Potatoes
  • Raspberries
  • Mushrooms
  • Parsnips
  • Blackberries
  • Northern Beans
Foods to avoid from 4months on:

  • Rice cereal
  • Yams
  • Bananas
  • Artichokes
  • Applesauce
  • Rutabagas
  • Papayas
  • Orange
  • Winter squash
  • Potatoes without skin
  • Corn meal
  • Mango
  • Tangerines
  • Combination baby foods containing bananas and applesauce
  • White bread, high sugar cereals, white pasta and white rice
  • Large amounts of high fat dairy products may constipate some children and have no effect on others.  Provide enough dairy products to meet calcium needs for age.  See chart below.
  • How much calcium do I need everyday?

    0-6 months210 mg
    7-12 months270 mg
    Ages 1-3500 mg/day
    Ages 4-8800 mg/day
    Boys and Girls Ages 9-181,300 mg/day

    Which foods are good sources of calcium?

    Food & Serving SizeCalcium (milligrams)Food & Serving SizeCalcium (milligrams)
    Yogurt, 1 cup400Orange juice, calcium added, 1 cup200
    Milk, 1 cup302Bok Choy, 1/2 cup, cooked79
    Ricotta, 1/2 cup337Turnip greens, 1/2 cups, cooked99
    Swiss, 1oz.272Orange, 1 medium56
    Mozzarella, 1oz.183Collard greens, 1/2 cup, cooked178
    Macaroni and Cheese, 1/2 cup180Kale, 1/2 cup, cooked90
    Cheese Pizza, 1 slice220Broccoli, 1/2 cup, cooked36
    Canned sardines, w/ bones, 3 oz.330Tofu, firm (calcium set), 1/2 cup258
    Canned salmon, w/ bones, 3 oz.181Black-eyed peas, 1 cup212
    Calcium Fortified FoodsNavy beans, 1 cup128
    Soy milk, calcium added, 1 cup300Almonds, 1/2 cup94

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