This topic is about someone who has been living with an ileostomy for about a year and is struggling with severe bloating and excessive gas. They describe the bloating as making them look "9 months pregnant" and are seeking advice because their doctor hasn't been able to help. Here are some suggestions and insights that might be helpful:

1. Get the right professionals involved:
- Consider seeing a gastroenterologist if your current doctor isn't providing effective solutions.
- Schedule a visit with an ostomy nurse for specific advice related to your stoma.
- If the issue continues, ask for a referral to a registered dietitian who can help analyze your diet and check for allergies.

2. Track and analyze your diet:
- Keep a detailed diary of what you eat and drink, along with the times you experience bloating or gas, to identify any patterns.
- Consider the possibility of undiagnosed food allergies or intolerances.

3. Try an elimination and substitution strategy:
- Remove one suspected food at a time to see if it reduces symptoms. Common culprits include:
- Gas-producing vegetables like broccoli, cabbage, and beans.
- Dairy products such as milk, cheese, and ice cream.
- Sugar, raw onions, and greasy or fried foods.
- Be aware that even foods you've tolerated well in the past might now be causing issues.

4. Consider medication and over-the-counter aids:
- Talk to a pharmacist about anti-gas medications available in your area.
- In the U.S., some people with ileostomies have found Gas-X (simethicone) to be effective.

5. Explore online resources:
- The NHS has an article titled "Beat the Bloat – Remedies for Bloating and Wind" that offers practical tips on diet, posture, and lifestyle changes. You can find it at: https://www.nhs.uk/live-well/eat-well/remedies-for-bloating-and-wind/

6. General reminders:
- Keep in mind that everyone reacts differently; what causes gas for one person might not affect another.
- If your bloating is persistent, painful, or getting worse, it's important to seek medical attention to rule out any serious issues like an obstruction.