This topic is about finding dietary strategies and food alternatives for someone managing a long-term ileostomy. The person has been living with an ileostomy since 2004 and is now experiencing difficulties with certain foods that used to be tolerable. These foods, like raw vegetables and nuts, are causing discomfort and limiting daily activities. They are looking for advice on safe and satisfying foods that won't harm their stoma.

Here are some helpful suggestions:

1. Medical check-ups and professional help:
- Consult a gastroenterologist to evaluate the stoma and any adhesions. Procedures like a scope or imaging might reveal strictures that can be treated.
- Seek advice from a registered dietitian to create a personalized eating plan, especially if there are ongoing restrictions or obstructions.

2. General eating principles:
- Consider a low-residue or low-fiber diet.
- Introduce new foods in small amounts and monitor how your body reacts, as tolerance can vary.
- Chew food thoroughly to minimize the risk of blockages.
- Stay hydrated and consider nutritional supplements like Fortisip or Ensure if your intake is limited.

3. Food substitutions and preparations:
- Replace nuts with smooth peanut butter or peanut paste. Peanut butter M&M’s can provide flavor without fibrous bits.
- Create homemade snack mixes using Chex cereals and omit whole nuts.
- Blend fruits into smoothies, using ingredients like frozen mango and banana. Ripe avocados and bananas offer a soft texture and nutrients.
- Cook vegetables thoroughly, peel skins, and purée or finely chop them. Consider using products like spinach pasta or Veggie Cheerios for added nutrients.
- Use a blender to mince cooked chicken for soft meals like chicken quesadillas. Opt for soft proteins like salmon or finely cut tender chicken or steak.
- Rely on plain white rice as a low-fiber option during difficult days.

4. Foods to limit or avoid:
- Avoid dried fruits like apricots and raisins, which can swell and cause blockages.
- Limit raw carrots, cauliflower rice, and other high-fiber raw produce.
- Steer clear of whole nuts, tough skins, popcorn, and other high-residue foods that have caused issues before.

5. Lifestyle and mindset:
- Focus on enjoying the foods you can eat now rather than dwelling on pre-surgery food memories.
- Participate in activities and social events, and surround yourself with supportive friends and family who understand your dietary needs.

Brands and products mentioned include Fortisip, Ensure, Chex Mix, Chex cereals, peanut butter M&M’s, Magic Bullet blender, spinach pasta, and Veggie Cheerios.