Ostomy Nutrition

Your Calgary Ostomy Nutritionist

Ostomy Nutrition | Rory Hornstein | Registered Dietitian | Calgary and Surrounding Areas

If you will be undergoing, or have undergone, ostomy surgery, Rory Hornstein RD is here for you. Meeting with an experienced and Registered Dietitian after your ostomy surgery is extremely important. A dietitian can help with nutritional guidance, dietary adjustments, hydration and electrolyte balance, food intolerance and avoidance issues, preventing malnutrition, supporting and healing recovery, addressing individual concerns, empathy and understanding, and practical insights. Rory is particularly qualified and well equipped to help with all of these things. Not only does she have first-hand knowledge of recovery having undergone an ileostomy herself, but she has co-authored 3 e-books on eating and living well with an Ostomy for Coloplast Canada (“Ileostomy and Colostomy Guide to Living and Eating Well” and “Urostomy Guide to Living Well”) and is serving as a medical lifestyle advisory team member for Ostomy Canada Society.

What is Ostomy Surgery?

Ostomy surgery is an operation that changes the way the contents of your intestine leave your body when part or all of your bowel is injured, diseased or missing. The surgery involves creating an opening (ostomy) in the abdominal wall to allow the intestines to drain out the surface of the abdomen. In other words, an ostomy allows for the passage of stool or urine from the body when the normal route is blocked or needs to be bypassed. This procedure is often necessary in cases where the digestive tract or urinary system is compromised, which might be the case with certain types of cancer, inflammatory bowel diseases (like Crohn’s Disease or Ulcerative Colitis), trauma or other conditions affecting the bladder or intestines.

Ostomy Nutrition | Rory Hornstein | Registered Dietitian | Calgary and Surrounding Areas
Types of Ostomies | Rory Hornstein | Registered Dietitian | Calgary and Surrounding Areas

Types of Ostomies

Types of Ostomies | Rory Hornstein | Registered Dietitian | Calgary and Surrounding Areas

Ileostomy: This type of ostomy is performed when the large intestine cannot be used to store and move waste. It involves the creation of an opening in the ileum (the lowest part of the small intestine) to connect it to the outside of your body or abdominal wall, typically on the right side. This is often done in cases of colorectal cancer, inflammatory bowel diseases or other conditions affecting the colon.

Colostomy:  This type of ostomy involves the creation of an opening for the colon, or large intestine, out through the abdominal wall. The specific location of the colostomy depends on the portion of the colon involved. Colostomies are commonly performed for conditions such as colorectal cancer, diverticulitis or injury.

Urostomy: This type of ostomy involves creating an opening for the passage of urine through a bag outside your body, without going through your bladder. This is usually done when the bladder is removed or needs to heal, often due to bladder cancer.

J-Pouch: With this type of ostomy surgery, the diseased colon (large bowel) and the inside layer of the anus (mucosa) are removed. An internal pouch is then constructed from a segment of the small bowel (ileum). The pouch and lower segment are surgically connected to the remaining rectal segment of the bowel. This procedure allows the use of the anal sphincter muscles to be maintained so that the patient can have control to release stool just as before. A temporary ileostomy is often created giving the reservoir (internal pouch) time to heal.

Meeting with a dietitian after ostomy surgery is important for several reasons:

Meeting with a dietitian following ostomy surgery is extremely important for nutritional guidance, dietary adjustments, hydration and electrolyte balance, food tolerance and avoidance information, preventing malnutrition, supporting healing and recovery, addressing individual concerns, offering empathy and understanding, and for practical insights.

  • Nutritional Guidance:  Rory will provide personalized nutritional guidance based on the type of ostomy you have undergone (ileostomy, colostomy or urostomy) as well as your individual needs. She will help individuals understand how the surgery may impact their digestion, nutrient absorption and overall nutritional status.
  • Dietary Adjustments:  Ostomy surgery can affect how the body processes and absorbs nutrients. Rory will help individuals make appropriate dietary adjustments to manage any potential challenges such as changes in bowel habits and gas production, as well as any potential nutrient deficiencies.
  • Hydration and Electrolyte Balance:  Individuals with certain types of ostomies, especially ileostomies, may experience increased fluid loss. Rory will provide expert guidance on maintaining proper hydration and electrolyte balance, which is crucial for overall health.
  • Food Tolerance and Avoidance:  Certain foods may impact stool consistency, gas production or odour. Rory will help individuals identify foods that may be better tolerated or should be avoided, taking into consideration individual preferences and cultural dietary habits.
  • Preventing Malnutrition:  Ostomy surgery can sometimes lead to changes in appetite or dietary habits, potentially affecting nutritional intake. Rory will assess nutritional status, monitor weight changes and recommend strategies to prevent malnutrition.
  • Supporting Healing and Recovery:  Adequate nutrition is essential for the healing and recovery process following ostomy surgery. Rory will provide expert guidance on nutrient-dense foods that support healing and help prevent complications.
  • Addressing Individual Concerns: Each person’s experience with ostomy surgery is unique. A dietitian can address specific concerns or challenges related to nutrition, digestion, and overall well-being. They can provide practical solutions tailored to the individual’s lifestyle and preferences.
  • Empathy and Understanding: Personal experience with an ileostomy provides Rory with a unique level of empathy and understanding for individuals going through similar situations. This helps Rory connect with clients on a deeper level, fostering trust and open communication.
  • Practical Insights: Firsthand knowledge of living with an ostomy allows Rory to offer practical insights into the daily challenges and adjustments her clients may face. This includes addressing concerns related to diet, nutrition and lifestyle while offering real-world solutions based on her own experiences.

Personal Statement

Rory Hornstein | Registered Dietitian | Calgary and Surrounding Areas

Rory’s lived experience of undergoing an ileostomy, her collaboration on education materials including co-authoring 3 e-books on eating and living well with an ostomy for Coloplast Canada (“Ileostomy and Colostomy Guide to Living and Eating Well” and “Urostomy Guide to Living Well”), and her advisory role in the ostomy community serving as a medical lifestyle advisory team member for Ostomy Canada Society equips her with a very unique skill set to support individuals with ostomies in her private practice. Rory’s insights can make a significant difference in helping individuals adapt to lifestyle changes, manage nutritional needs and thrive with confidence after ostomy surgery. Rory looks forward to meeting with you before or after your ostomy surgery so she can help you on the road to better health and wellness.

Rory Hornstein | Registered Dietitian | Calgary and Surrounding Areas

Professional Fee: $180

  • 1-hour initial consult

Rory looks forward to helping you achieve your health and nutritional goals.
Contact her via phone at (403) 819-6919, or via email at rory@roryrd.com to book your Ostomy Nutrition appointment.

Read Our Reviews on

5.0

5 Star Icon
Google Logo

98% would refer friends
and family to us

Contact Rory Today!

    Let food be thy medicine,
    thy medicine shall be thy food.

    Nutrition/diet counselling by a Registered Dietitian may be covered under your extended benefits plan. Check with your benefits manager.

    Click here to book an appointment today