This topic is about managing diet-related leaks for someone with an ileostomy who uses a 2-piece appliance. The person recently started a weight-loss diet that includes grains and vegetables, which seems to be causing leaks. Here are some helpful tips and insights shared by others with similar experiences:

1. High fiber can be tricky. It might overstimulate your stoma, leading to increased output and broken seals. Many people with ileostomies find that reducing fiber helps. Quinoa, in particular, has been known to cause blockages. Remember, those with ileostomies generally need less fiber than those with colons.

2. Try changing your diet gradually. Consider removing the grains or vegetables you suspect are causing issues for a week. Replace them with low-fiber alternatives and see if the leaks stop. Also, weight loss can change your body shape, so it might be worth re-measuring and refitting your wafer or barrier.

3. Think about changing your appliance. Some have found that switching from a 2-piece to a 1-piece system, like a soft convex Hollister pouch, stopped their leaks. Reinforcing the flange with medical tape can also help when the output is heavy or paste-like.

4. Keep an eye on output consistency. Very watery or thick output can increase the risk of seal failure. Make sure to empty your pouch promptly. If you're increasing fiber, do it gradually and drink more plain water to help balance things out. Avoid high-sugar fruit juices.

5. Be cautious with certain foods. Corn, nuts, and other hard-to-digest items can cause blockages. Many people recommend avoiding them altogether.

6. Remember, dietary adjustments are personal. It often takes some trial and error to find what works best for you. Be prepared to adjust your food choices or appliance style until you find a solution that stops the leaks.