If someone has had their colon removed, how can gut bacteria be increased?

If it is a pan colectomy, there is no real way to replace the colon-part of the digestive tract that was removed. The small bowel flora differs markedly from the large bowel flora. With such a significant perturbation of digestive anatomy, the notion of restoring to a previous state of flora is not realistic.

The Impact of Colon Removal

The distinction of having their colon removed is a complex topic. The colon plays a crucial role in the formation and elimination of feces, as well as the absorption of water and electrolytes. When a pan colectomy (the removal of the entire colon) is performed, the digestive system is fundamentally altered, making it challenging to return to a previous state of flora. Small bowel bacteria, while important, are not a direct substitute for the colon's functions.

Strategies to Increase Gut Bacteria

To increase gut bacteria in general, there are two primary strategies: adding probiotic foods and consuming prebiotic foods. Probiotics are live bacteria and yeasts that are beneficial for your gut health. Prebiotics are a type of fiber that feeds the probiotics, helping them thrive in the gut.

Probiotic Foods

Probiotic foods include a variety of fermented products. Kefir, a fermented milk drink, is a great source of probiotics. Brands like Nancy’s offer probiotic cottage cheese, and another excellent option is kefir.

Prebiotic Foods

Prebiotic foods are high in fiber and act as food for probiotics. Incorporating prebiotic-rich foods into your diet can help support the growth of beneficial bacteria. Examples include:

Brown rice Vegetables like peas, asparagus, and broccoli

Meal Suggestions

Incorporating a meal like brown rice with something green, such as peas, asparagus, or broccoli, can be a nutritious and effective way to promote gut health. Other probiotic-filled foods include sauerkraut, kimchi, and yogurt with live cultures.

The Role of Doctors in Post-Surgery Nutrition

While doctors are instrumental in the medical management of post-surgery care, nutrition is often not a strong point in their education. Many advise a list of what not to eat rather than suggesting meal planning. Post-surgery, a balanced diet that includes both probiotics and prebiotics is essential for gut health and overall well-being.

Conclusion

After a pan colectomy, while the digestive anatomy is significantly altered, there are still ways to increase gut bacteria. Incorporating probiotics and prebiotics into your diet can help support a healthy gut microbiome. It is important to consult with a healthcare provider or a registered dietitian to develop a personalized nutrition plan that meets your specific needs.