Adjusting to life with a permanent colostomy can be a journey, especially when it comes to figuring out what foods work best for you. If you're feeling uncertain after experiencing a food-related blockage, you're not alone. Here are some friendly tips and insights to help you navigate your new dietary landscape:

1. General approach to diet:
- Remember, every ostomate is unique. Start with small portions, keep a food diary, and introduce only one new food at a time to see how your body reacts.
- Take your time when eating and make sure to chew your food thoroughly to help prevent blockages.
- Staying hydrated is important, so drink plenty of fluids.
- Don't feel like you have to give up your favorite foods right away. Test them carefully to see how they affect you.

2. Specific tips for preventing or relieving blockages:
- Some people find that drinking a can of Coke can help move a blockage.
- Using a daily osmotically-active laxative like Miralax (or the Kirkland Signature version from Costco) can help keep your colostomy output from becoming too thick.

3. Foods that commonly cause problems (though everyone is different):
- Whole nuts can cause blockages unless they are ground or blended into something like peanut or almond butter.
- Raw vegetables, especially stringy ones like spinach and celery, can be tough to digest. Try steaming or finely chopping them.
- Fruit skins, such as those on apples and pears, might be hard to digest, so consider peeling them before eating.
- Salads can be well-tolerated by some, but others may need to avoid or modify them.

4. Learning from your output:
- Pay attention when emptying your pouch. It can give you valuable feedback on how well your body is digesting different foods, helping you adjust your diet accordingly.

5. Emotional support:
- Remember, you're part of a community that understands what you're going through. No question is too small or "dumb," and reaching out for help is always encouraged. You're not alone in this journey.