This topic is about the experiences and advice shared by people with ileostomies regarding the consumption of poppy seed muffins and other foods containing small seeds. The main concern is whether these seeds might cause blockages or pain for someone with a "cranky" ileostomy. Here are some insights and tips from the discussion:

1. Many people with ileostomies have no trouble with small seeds:
- Some regularly enjoy poppy-seed muffins, bagels with "everything seasoning," or multi-seed whole-grain bread without any issues. The seeds often pass through whole and appear in the pouch.
- One person mentioned that their only blockage in 50 years was from fresh coconut, not seeds.
- Another shared that their spouse can eat everything-bagels and cashews without problems, as long as they are well-chewed.

2. However, there are cautionary tales:
- Some have experienced pain or blockages from small seeds, such as strawberries or poppy-seed bagels.
- A colostomate mentioned discomfort from poppy seeds, coconut, and cherries.
- Foods that don't break down well, like mushrooms, cabbage, celery, beans, sprouts, and fresh coconut, can also cause issues for some.

3. Practical tips to consider:
- Start with a very small portion of any new or questionable food.
- Chew thoroughly and eat slowly; moderation is important.
- Try a home "soak test": place seeds in body-temperature water for about 4 hours. If they don't swell, they are less likely to cause blockages. Cooked, canned, or toasted seeds tend to swell less.
- Introduce only one new food per day to easily identify any problem foods.
- Consider whether the enjoyment of the food is worth the potential risk of blockage, as each stoma's tolerance and diameter can vary.

4. Additional notes:
- "Seedless" watermelon may still have small white seeds that most people pass without issue.
- One recent post-op patient found semi-sweet Enjoy Life chocolate chips hard to digest, suggesting that waiting longer before trying certain foods again might be beneficial.