This topic is about finding ways to prevent future blockages in the small bowel for someone who has a colostomy. The person in question has experienced small-bowel obstructions twice since their surgery, and the family is looking for practical advice to reduce the risk of this happening again. Here are some helpful insights and advice:

1. Understanding Obstructions:
- Obstruction and blockage generally refer to the same issue, where something is preventing the normal flow through the bowel.

2. Diet and Roughage:
- It's important to limit or avoid foods that are high in fiber and hard to digest. This includes raw carrots, oranges, pineapple, mushrooms, and any uncooked vegetables or fruits.
- Well-cooked vegetables, like carrots, are usually okay if they are chewed thoroughly.

3. Hydration:
- Drinking plenty of fluids is crucial. It helps keep the intestinal contents moving smoothly. Aim to drink more fluids than you think you need.

4. Helpful Fluids:
- Some people find that drinking Kedem 100% Grape Juice can help relieve or prevent blockages. It might be worth trying a small glass daily.
- Warmed Coca-Cola or grape juice, sipped slowly, can also be helpful.

5. Physical Maneuver:
- Lying on the back and gently bringing the knees to the chest can sometimes help relieve a developing blockage.

6. When to Seek Help:
- If home measures do not work or if the pain worsens, it is important to go to the emergency department promptly.

These tips aim to provide some comfort and practical steps to help manage and prevent future blockages.