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Can You Eat Chocolate With a Colostomy

A colostomy is a surgical procedure in which a small portion of the colon is brought outside the abdomen by creating a hole in the abdomen called a stoma. The main aim of colostomy is to divert the path of stool. While stool was excreted via the rectum earlier, after colostomy, stool will be excreted via the stoma, and a special pouching system is attached to the stoma to hold stool output.

A colostomy is performed to allow healing time to the colon in certain conditions like Diverticulitis, Crohn’s disease, or inflammatory bowel disease. Since your excretion route has now changed, certain precautions must be taken, especially in terms of food, to enhance your colostomy experience.

Chocolate, a serotonin booster, is the favorite food of many. However, many ostomates are concerned about eating chocolate. Should they eat chocolate or not? Will it affect stool output or cause bloating or gas in the colostomy bag? In this brief piece of information, we will shed some light on the use of chocolate with a colostomy bag and answer the question of whether chocolate affects stool output.

Can you eat chocolate with a colostomy?

The answer is yes. You have the freedom to take the serotonin booster – chocolate – to uplift your mood. However, always remember that moderation is the key to a comfortable colostomy experience. You are free to consume your favorite food but do so in moderation.

Some ostomates consider chocolate a problematic food because it is rich in caffeine and fiber, which are known to increase gastric motility. Also, due to the presence of fiber, stool bulk increases, which can create trouble in the colostomy bag.

There are different types of chocolates such as dark chocolate, and white chocolate, and it is observed that different types of chocolate produce different impacts on the colostomy. Let’s explore the impact of different types of chocolate and how they might affect individuals with a stoma.

Milk chocolate and gas production:

Silky smooth milk chocolate is the perfect treat to enjoy when you are feeling blue or depressed. After a colostomy, many people are concerned about their physical image, which can even lead to depression sometimes. In such scenarios, milk chocolate is a wonderful dose of dopamine to cheer you up.

One concern often raised is whether milk chocolate contributes to gas formation. Well, milk chocolate contains lactose, which leads to gas formation, particularly in individuals who are lactose intolerant. So, if you have a new route in your abdomen (stoma) and you are lactose intolerant too, it’s better not to consume milk chocolate.

In contrast, if you have a stoma with no history of lactose intolerance, you should observe how your body responds to milk chocolate. We would suggest opting for a small serving initially.

Hot chocolate and constipation:

Who doesn’t love to drink hot chocolate, especially in winter when your body requires warmth from food as well? Ostomates may think that they can no longer enjoy hot chocolate until they get rid of their colostomy pouch. However, hot chocolate, especially if made with dairy milk, may pose a risk of constipation due to its richness and potential dairy content. However, this varies from person to person. You can consume a small serving of hot chocolate but in moderation. If your sweet buds are not satisfied yet, it’s better to look for alternatives such as dairy-free versions of hot chocolate. Remember to observe your bowel movement right after consuming hot chocolate.

Dark chocolate and constipation relief:

Contrary to milk chocolate, dark chocolate with higher cocoa content may actually help alleviate constipation for some individuals. Cocoa is rich in compounds such as flavonoids, theobromine, and magnesium, which can contribute to its potential laxative effect. Flavonoids are plant-based compounds found in cocoa that have various health benefits, including potential effects on digestive health. Some studies suggest that flavonoids can improve gut motility and promote the growth of beneficial gut bacteria, which in turn can support healthy digestion and regular bowel movements.

Talking about another cocoa component, Theobromine is also associated with a mild stimulant effect on the digestive system. It can help relax smooth muscles in the intestines, making it easier for stool to pass through the digestive tract. Magnesium, found in cocoa, promotes muscle relaxation, including the muscles of the digestive tract. These compounds can stimulate bowel movements and promote bowel regularity, which may be beneficial for individuals struggling with constipation.

In a nutshell, dark chocolate relieves constipation. However, this statement is not valid for every individual. There are certain groups of people who experience digestive discomfort if they consume large quantities of dark chocolate.

Chocolate and stool output consistency:

Chocolate, whether dark or milk, does not inherently thicken or loosen stool directly. Instead, its effects on stool consistency are often indirect and influenced by other factors such as individual tolerance, cocoa content, and overall diet composition.

Opting for a balanced diet that includes a variety of nutrient-rich foods is key to promoting optimal stool consistency for individuals with stomas. Fiber-rich foods, such as whole grains, legumes, fruits, and vegetables, play a significant role in this regard.

In addition to this, dietary fiber adds bulk to stool, which can help regulate bowel movements and prevent issues like diarrhea or constipation. Insoluble fiber, found in foods like whole grains and vegetables, adds bulk without being absorbed by the body, promoting regularity.

Alongside fiber-rich foods, adequate fluid intake is essential for maintaining stool consistency. Fluids help soften stool, making it easier to pass, especially for individuals with stomas who may be at risk of dehydration due to increased fluid loss.

While chocolate itself may not directly impact stool consistency, its consumption should be in moderation. Excessive intake of chocolate, particularly varieties high in sugar and fats, can lead to digestive discomfort and potential issues with stool consistency. Every person’s digestive system and stoma function differently, so it’s important for individuals to pay attention to how their bodies respond to various foods, including chocolate.


In conclusion, individuals with a colostomy can indeed enjoy chocolate, including milk and dark varieties, with some considerations. While milk chocolate may pose challenges for those who are lactose intolerant, dark chocolate’s higher cocoa content can potentially alleviate constipation. It’s essential to do your best to avoid chocolate bars with nuts and dried fruits as they may lead to blockage in the stoma. Remember, moderation is key, and maintaining a balanced diet rich in fiber and staying hydrated are crucial for optimal stool consistency. Pay attention to how your body responds to various foods, including chocolate, and consult healthcare professionals for personalized guidance. With mindful choices and moderation, you can continue to enjoy your favorite treats while supporting your colostomy experience.

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