The topic at hand is about finding practical ways to prevent painful intestinal blockages that can occur after ostomy surgery. Here are some helpful tips and insights to consider:

1. Identify higher-risk foods and limit or modify them:
- Be cautious with skins, raw or under-cooked fruits and vegetables, nuts, seeds, and celery strings.
- Foods high in cellulose, such as most produce, nuts, grains, items with casings like sausages and cold cuts, and tough meats like beef, should be approached with care.
- If you enjoy nuts, opt for smooth nut butters like almond, creamy peanut, or cashew instead of whole nuts.
- When making salads, peel cucumbers, dice peppers, onions, and tomatoes very small, and remove seeds when possible.

2. Portion control and gradual testing:
- Introduce any new or potentially problematic food in very small amounts to see how your body reacts. If there's an issue, it will likely be short-lived.
- Since tolerance can change over time, test each food at least three separate times before deciding to avoid it permanently.

3. Chew, chew, chew:
- Thoroughly chew your food until it becomes mushy and no solid particles remain.
- Slow down your eating; deliberate and prolonged chewing is a simple way to reduce the risk of blockages.

4. Hydration:
- Drinking adequate fluids is crucial to keeping intestinal contents thin and moving smoothly.

5. Record keeping:
- Maintain a food diary, either on paper or through a mobile app, noting exactly what you ate, how it was prepared, and any effects you experienced. Over time, this log can help identify personal trigger foods.

6. Surgical considerations:
- Be aware that adhesions, or scar tissue, can also cause blockages. Diet trials can help distinguish between food-related issues and those caused by adhesions.