Managing severe ostomy blockages can be a challenging experience, but there are several remedies and preventive measures that people have found helpful. Here’s a collection of advice and insights shared by others who have dealt with similar situations:

1. Intestinal Lubricants and Liquids
- At the first sign of a blockage, drinking a few gulps of mineral oil can help the blockage pass more easily.
- Some people find quick relief using a standard oral laxative.
- Taking daily stool softeners can help prevent blockages from forming.
- Grape juice is often recommended as a gentle way to keep things moving.
- Staying hydrated is crucial, so keep drinking water, Pedialyte, or Gatorade, and avoid eating until the blockage clears.

2. Physical Techniques
- Gentle abdominal massage or lying on your abdomen over a pillow can help move the blockage along.
- Try lying on the floor with your hips elevated and head low, or change positions in a chair to help dislodge the obstruction.
- Soaking in a very warm bath can relax the bowel and help the stoma open fully.
- As a last resort, a small amount of warm water can be carefully introduced into the stoma using a baby enema.
- In some cases, a surgeon may use a small balloon catheter to gently widen any narrowings near the stoma.

3. Diet and Chewing Tips
- Chew thoroughly, especially foods that are known to cause blockages, like mushrooms, orange segments, raw carrots, celery, raw cabbage, corn, and other high-fiber or stringy items.
- Some people avoid these foods altogether or only eat them if they are well-cooked or minced.
- Drinking a small glass of milk might help if you have mild lactose intolerance, as it can lead to looser output.

4. Hydration Guidelines
- Aim to drink at least ten 8-ounce glasses of water daily, as dehydration can contribute to blockages and make them worse.

5. Warning Signs and When to Seek Care
- If you experience severe persistent pain, vomiting, or no output for 24–48 hours, it may indicate a total obstruction, and you should seek hospital evaluation.
- Long-term issues like adhesions or scar-tissue strictures near the stoma may require medical or surgical intervention.

6. Miscellaneous Tips
- Keep larger-capacity pouches on hand for when a blockage releases and output increases.
- Some people have been advised to use Witch Hazel on the stoma for minor swelling, though this is not commonly tried.

These insights and tips can be helpful in managing and preventing severe ostomy blockages, making life a bit easier for those dealing with this condition.