⚖️ Navigating Weight Changes With Complex Health Conditions

Weight changes can be influenced by digestion, hydration, bowel function, cancer treatments, surgery, inflammation, medication and overall wellbeing. For people living with a stoma, fistula or ileoanal pouch, or those undergoing cancer therapy, maintaining a healthy weight can feel challenging, but with the right support, it can become achievable and sustainable. Our Weight Management Clinic provides non‑judgemental, personalised guidance to help you reach and maintain a healthy weight in a way that is safe for your anatomy, symptoms and lifestyle.

⚖️ Why a Dedicated Weight Management Clinic?

People with digestive or urological conditions often experience unique weight‑related challenges, including:

🔴Stoma‑Related

• High output causing weight loss or dehydration

• Difficulty absorbing nutrients

• Food blockages affecting intake

• Changes in appetite after surgery

• Appliance fit concerns with weight gain or loss

• Weightloss advice

🔴iPouch‑Related

• Increased ipouch frequency affecting nutrient absorption

• Pouchitis‑related weight fluctuations

• Hydration challenges

• Sensitivity to certain foods

• Food blockages affecting intake

• Changes in appetite after surgery

• Weightloss advice

🔴Fistula‑Related

• High‑output fistulae causing nutrient loss

• Skin irritation limiting food choices

• Difficulty maintaining weight

• Hydration challenges

• Sensitivity to certain foods

• Food blockages affecting intake

• Changes in appetite after surgery

• Weightloss advice

🔴IBD, Strictures & Digestive Conditions

• Flare‑related weight loss

• Restricted diets

• Difficulty tolerating fibre or certain textures

• Malabsorption

🔴Cancer & Cancer Treatments

• Treatment‑related nausea or appetite loss

• Taste changes

• Weight gain linked to steroids or hormone therapy

• Muscle loss during chemotherapy

• Hydration challenges

Our clinic helps you understand these factors and supports you with safe, practical strategies.

⚖️ Who We Support

✔️ People with a stoma (ileostomy, colostomy, urostomy, jejunostomy, loop or end stomas)

✔️ People with an iPouch (J‑pouch, S‑pouch, W‑pouch, K-pouch)

✔️ People with enterocutaneous or anal fistulae

✔️ People with IBD, strictures or digestive conditions

✔️ People with bowel or urinary cancer

✔️ People undergoing chemotherapy, radiotherapy or immunotherapy

✔️ People recovering from abdominal or pelvic surgery

⚖️ What We Offer

1️⃣ Personalised Weight Assessment

We review:

• Current weight patterns

• Stoma/ipouch/fistula output

• Hydration status

• Appetite and digestion

• Cancer treatment side effects

• Dietary tolerances

• Lifestyle factors

2️⃣ Tailored Weight Management Plans

Including:

• Safe strategies for weight gain

• Healthy approaches to weight loss

• Hydration plans for high‑output stomas or ileal pouches

• Texture‑modified diets for strictures

• High‑calorie options for unintentional weight loss

• Balanced plans for cancer treatment recovery

3️⃣ Symptom‑Aware Eating Guidance

We help you manage:

• Bloating and gas

• Diarrhoea or constipation

• High output

• Pouch frequency

• Fistula drainage

• Treatment‑related nausea

4️⃣ Hydration & Electrolyte Support

Including:

• Oral rehydration strategies

• Salt balance guidance

• Hydration plans tailored to your anatomy

5️⃣ Support During Cancer Treatment

Including:

• Managing appetite changes

• Eating with taste changes

• Preventing muscle loss

• Maintaining strength during treatment

6️⃣ Long‑Term Wellbeing Strategies

Including:

• Sustainable eating habits

• Gentle activity and strength support

• Confidence with food choices

• Emotional wellbeing around weight changes

⚖️ Why Choose Our Weight Management Clinic?

• Specialist nurses experienced in complex digestive, urological and cancer‑related conditions

• Non‑judgemental, compassionate support

• Integrated multidisciplinary care

• Tailored, practical advice, safe, evidence‑based care

• No commercial promotion or product advertising

• Specialist nurses experienced in complex digestive and urological conditions

• Clear referral pathways when medical or surgical input is required

• Enhanced comfort, confidence, and quality of life

• Compassionate, patient‑centred care