This topic is about dealing with a deep soreness near an ostomy site, which can be concerning for anyone who has undergone ileostomy surgery. The soreness developed a few months after surgery, and the person experiencing it has noticed changes in their output and some issues with leakage. Here are some possible causes and solutions to consider:

1. Possible blockage:
- If you experience soreness along with nausea or vomiting, it's important to visit the Emergency Department immediately.
- Even if you don't have those symptoms, it's a good idea to have the area checked by a doctor or stoma nurse.

2. Potential fistula:
- If the sore area is producing output, it might be a sign of a fistula, and you should seek professional evaluation.
- Continuous leakage from your appliance can worsen the problem, so ensuring a good seal is crucial.

3. Self-management when blockage is suspected but not severe:
- Keep yourself well-hydrated.
- Use warm compresses and gently massage the area to help move thick output.

4. Dietary adjustments to prevent future blockages and soreness:
- Eating large amounts of high-fiber fruits like whole apples with skin, watermelon, and tomato skins can thicken your output, so try to moderate your intake.
- Consider slicing raw apples thinly and chewing them thoroughly, or opt for cooked apples to make digestion easier.