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Nov 16, 2012

Regular blockages with ileostomies - seeking advice

This topic is about understanding and managing regular ileostomy blockages. It explores the causes, prevention, and relief strategies for those who experience these blockages. Here are some helpful insights and advice:

1. Blockage frequency varies from person to person. Keeping a food and symptom diary can help identify personal trigger foods and patterns.

2. Eating slowly, chewing thoroughly, and keeping portions modest can help. Feeling full early is common and can be protective.

3. It's important to maintain a high fluid intake throughout the day to keep the output thin and help move undigested material.

4. Identify and strictly limit or avoid foods that commonly cause blockages, such as:
- Nuts like almonds and peanuts
- Popcorn
- Mushroom caps
- Tough fruit or sausage casings
- High-fiber skins

5. Consider daily supplements that promote smoother output, such as fish oil capsules or a cup of prune juice when signs of obstruction begin.

6. If inflammation, adhesions, or Crohn’s flare-ups narrow the bowel, switch temporarily to "easy slide-through" foods like clear broths, nutritious soups, jello, baby food, liquid vitamins, and well-blended smoothies.

7. For nutritional variety without fiber bulk, juice fruits and vegetables. Drink the juice and, if tolerated, bake the reserved pulp into muffins for others or for cautious tasting.

8. Accept that dietary tolerances differ. Some ileostomates can eat almost anything, while others have more limitations. Focus on what works for your body rather than comparing yourself to others.
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