This topic is about managing a partial blockage after having a permanent colostomy. The person who started the discussion is experiencing some difficulties after eating fried crab shell, which they suspect might have caused a blockage. They have been dealing with abdominal pain and irregular output, which only occurs after taking laxatives. They are keeping hydrated with Gatorade and water and are curious if others have faced similar issues and whether they should see a doctor sooner rather than later.

Here are some helpful insights and advice shared in the discussion:

1. The person started passing stool again using only MiraLAX. Their surgeon mentioned that some patients use MiraLAX daily without problems, but they would prefer not to depend on it.

2. After visiting the ER, they received IV fluids, and a CT scan showed no obstruction. They plan to send a fecal sample to check for inflammation and recognize the need to adjust their diet to prevent future blockages.

3. Relying too much on laxatives can lead to a cycle where the bowel is emptied, leaving nothing to pass later, which might be mistaken for another blockage. It's advisable to reduce or stop using laxatives unless directed by a doctor.

4. It's important to assess the pain level. Minor discomfort can often be monitored at home, but severe abdominal pain or violent vomiting should prompt immediate medical attention.

5. Dietary changes can help prevent blockages. Avoid foods that are difficult to digest, like tough shells or high-fiber items, and opt for easily digestible foods. Remember to chew thoroughly.

6. Regular physical activity can improve bowel motility. Activities like walking, stretching, chair yoga, twisting legs side-to-side while lying down, and gentle abdominal massage can be beneficial.

7. For a sluggish stoma or partial blockage, some doctors might recommend using a Fleet Enema via the stoma or "digitizing" the stoma, which involves gentle finger insertion to dislodge material, ideally after receiving medical instruction.

8. Staying hydrated is crucial, so continue drinking water and electrolyte drinks.

9. If sharp fragments like glass or shells are ingested, eating dry bread might help cushion them, but it's best to seek medical advice.

10. Trust your body's signals. Persistent severe pain, nausea, or vomiting are strong indicators that you should seek emergency care.