How should I approach the management of dietary concerns in patients with an ileostomy or colostomy?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 22 August 2025Updated: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

For patients with an ileostomy or colostomy, the management of dietary concerns should primarily involve referral to a specialist stoma care service . Individuals who are assessed as possible candidates for a stoma are typically referred to such a service . While general information on diet and lifestyle is provided for conditions like diverticulosis and diverticular disease, which may precede stoma formation, specific dietary management for patients with an established ileostomy or colostomy is handled by specialist care .

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