Are you wondering if you can fast with a stoma? For those living with a stoma, it might feel daunting to think about fasting – whether you’re considering it for religious reasons such as Ramadan or Lent or for its health benefits. People with stomas have to be more mindful of their diet because their digestive system works differently, but it’s possible to participate safely with a little extra care. Our guide to fasting with a stoma will help you to make a decision that’s right for you.
Can you fast with a stoma?
It is possible to fast with a stoma. This scientific study suggests that ostomates in good health can decide for themselves whether they want to fast, as it didn’t appear to affect their quality of life. Some people find that intermittent fasting (where you only eat within a set time period) helps to regulate their stoma output. However, this is highly dependent on you as an individual.
So, before you begin fasting, it’s essential to speak with a healthcare professional (especially if you have recently had surgery). This could be your doctor, stoma nurse or dietitian. They can help you assess whether fasting is safe based on your specific circumstances, such as your stoma type and health conditions. You can ask them any questions you may have and they will provide their expert advice. For example, they may suggest adjustments to make fasting safer for you or advise that you delay your fast.
If you do decide to fast with a stoma, here are our top tips to keep you healthy and comfortable:
1. Stay hydrated
One of the main challenges for ostomates is staying hydrated (especially if you have an ileostomy). Dehydration is dangerous and can come on quickly at any time when part of your digestive system is non-functioning, let alone when partaking in a dry fast. Consider opting for a wet fast instead, where you avoid food but still drink water.
If you want to take part in a dry fast during Ramadan, aim to drink at least 2 litres of non-fizzy, caffeine-free fluids between Iftar and Suhoor. It might sound like a lot, but breaking it up with small sips throughout the evening and morning can help you stay on top of it. Avoid very salty food as this can also lead to dehydration.
Also, consider incorporating water-rich foods into your meals such as melon, cucumber, and other fruits and vegetables. These foods not only help keep you hydrated but also provide nutrients that can support your overall health.
2. Choose easily digestible foods
Fasting with a stoma requires a bit of thought about what you eat if/when you break your fast, such as if you are intermittently fasting or during sundown hours in Ramadan. Choosing easily digestible foods can help regulate your stoma output and keep things comfortable. For example, lean proteins such as chicken and fish, soft fruit and vegetables (with skins peeled) and starchy food like potatoes are great choices.
You may also want to avoid foods high in saturated fat, as they can contribute to loose stools or excess gas. Pay attention to how your body reacts and adjust accordingly.
Learn more: Foods to eat with a stoma
3. Delay your fast if you are concerned
It’s okay to not fast if you’re feeling unwell. If you’re unsure whether fasting is right for you, or if you feel your health could be compromised, you could consider delaying your fast. The important thing is to be kind to yourself; your health comes first.
If the fast is for religious reasons, speak to someone in your community who you feel comfortable asking for advice from. You might be able to make up the days later when you’re feeling better.
4. Keep an eye on your stoma
Fasting can impact your stoma in different ways, and it’s important to stay vigilant. Monitor your stoma carefully and keep track of any changes in output. If you notice anything unusual, whether it’s increased gas, leakage, or discomfort, don’t hesitate to reach out to your stoma nurse or healthcare professional.
Learn more: Stoma problems
Conclusion
Fasting doesn’t have to be a challenge, even if you live with a stoma. With proper planning, attention to your health, and a few extra precautions, you can still take part. Your health is the top priority, so make sure you listen to your body and adjust as needed.
Although all our articles are written alongside qualified medical professionals, this information is for guidance only and does not replace advice given by your healthcare advisors.
Stoma resources
Whatever you’re going through on your stoma journey, remember help is always available. You are not alone and there is a large community of ostomates who can help based on their personal experiences. You can connect with them and find support from these resources:
Ileostomy and Internal Pouch Association
