This topic is about preparing for a colostomy reversal while managing the challenges of Crohn’s disease and not having health insurance. The person had a colostomy three months ago and is planning for a reversal surgery in about six months. They are trying to figure out the best diet to follow, especially since their family suggests a special "pre-reversal" diet, but their surgeon only recommended a restricted diet for the first month after surgery. They are also concerned about how their current eating habits might affect the upcoming surgery, especially since they can't easily consult a doctor due to lack of insurance.

Here are some helpful insights and advice:

1. Many people with a colostomy can return to a normal diet after the initial healing period. If the stoma is functioning well and there is no discomfort, eating a variety of foods is generally okay. Just make sure to chew food thoroughly to reduce the risk of blockages.

2. Introduce higher-fiber or harder-to-digest foods, like apple skins, nuts, and salads, slowly and in small amounts to see how your body tolerates them.

3. Increasing protein intake and considering collagen supplements might help with tissue repair before the reversal surgery. Some wound nurses recommend protein or collagen drink powders for this purpose.

4. Family advice often comes from a place of care, but it's important to rely on medical guidance and your own experience with Crohn’s disease.

5. To reduce inflammation before surgery, some people find it helpful to cut down on added sugars, like those in soft drinks, and avoid other personal trigger foods.

6. For those with Crohn’s-related ileostomies, foods with skins, nuts, and oats can sometimes cause issues. It's best to let your individual Crohn’s patterns guide your food choices.

7. General tips to keep in mind:
- Chew your food well and monitor your output for any signs of poor digestion or blockages.
- Continue taking any prescribed medications for Crohn’s disease.
- Aim for a balanced diet with plenty of protein, vitamins, anti-inflammatory spices, and enjoy treats in moderation.
- If you experience new pain, signs of blockage, or other concerns, seek professional help even if you don't have insurance. Free clinics or hospital charity programs might be available.

8. Avoid placing plastic wrap or "cellophane" between the pouch barrier and your skin. The barrier needs to stick directly to your skin to prevent leaks and irritation.