With the advice of your doctor and ET nurse, experiment with foods in your diet to achieve adequate bowel regularity. Avoid eating too many fiber foods in one meal. Gradually add fiber foods in your diet to prevent excessive intestinal gas. Avoid skipping meals, an empty bowel encourages small and gassy stool. Poor digestion can often exaggerate the symptoms associated with flatulence.
Digestion enzymes aid in food assimilation and chemical digestion.
Enzyme supplements should always be taken immediately before or after eating. Food coats the stomach and helps prevent gastric juices and acids from destroying the enzyme action. Watch the drainage from your ostomy. It involves some work, but if Premarin is needed, it is worth the work. I crush the tablet with a pill crusher, then grind it with a mortar and pestle.