This topic is about finding the right dietary approach after having surgery to remove the colon, rectum, and part of the large intestine. The person sharing their experience has been living with a permanent stoma and is seeking practical advice on how to manage their diet effectively. Here are some helpful insights and advice:

1. General Approach
- Understand that every stoma is unique, and it may take time to figure out what works best for you.
- Begin with small, frequent meals and make sure to chew your food thoroughly until it is almost liquid before swallowing.
- Keep bland snacks like water crackers handy to avoid having an empty stomach.

2. Hydration and Output Management
- Drink plenty of water or other non-carbonated fluids to stay hydrated, as dehydration can be a risk.
- Be aware that your output volume and consistency may change over time, so staying hydrated helps prevent blockages and electrolyte imbalances.

3. Foods That Are Often Well-Tolerated
- Refined carbohydrates such as white bread, pasta, rice, and potatoes.
- Low-residue fruits and desserts like bananas, canned mandarin slices, canned peaches, and low-fat cottage cheese.
- Well-cooked vegetables such as carrots, broccoli, and cauliflower (though these may cause gas for some).
- Lean, well-cooked meats in small portions.
- Simple snacks like water crackers, peanut butter, and oatmeal.
- Beverages like coffee and low-fat milk lattes, if tolerated.

4. Foods to Be Cautious With or Avoid
- High-bulk or hard foods like nuts, popcorn, raw mushrooms, raw onions, and raw salads.
- Fizzy drinks and highly spiced dishes, which may cause gas or rapid output.
- Remember that individual triggers vary, so what works for one person may not work for another.

5. Quantity Matters
- Even foods that might cause issues can sometimes be eaten in very small amounts.
- Large quantities of dense foods increase the risk of blockages.

6. Blockage Prevention
- Chew your food thoroughly, take small bites, and avoid gulping.
- If you notice your output slowing and becoming thick, try having warm soup or a cup of coffee to help restart the flow.
- Pay attention to early signs of poor digestion, like headaches or feeling jittery, and respond by hydrating or switching to softer foods.

7. Resources and References
- Look up "low-residue diet" guidelines online for more information.
- Consider reading forum threads like "Foods I Miss" and "Things That Go Down Good" for shared experiences.

8. Psychological and Lifestyle Tips
- Stress can worsen digestive symptoms, so find activities that help reduce anxiety and improve your mood.
- Body image concerns are common, but many people lead active lives with no issues thanks to modern pouches.
- Balancing nutrition with body image goals is important, and professional support may be beneficial if dealing with depression or disordered eating.

The key takeaway is to stay hydrated, chew your food well, start with low-residue foods in small portions, and let your personal experience guide your dietary choices.