This topic is about a person who had to get a colostomy after an emergency surgery due to a perforated bowel caused by recurrent diverticulitis. They are now considering a colostomy reversal and have concerns about the risks involved and dietary restrictions, particularly regarding nuts and seeds.

Here are some helpful insights and advice shared by others:

1. Seeds can sometimes get stuck in diverticular pockets, so some people with a history of diverticulitis choose to avoid them. However, many continue to eat nuts regularly and enjoy popcorn occasionally without any problems.

2. Several people have reported that they eat nuts and seeds daily without experiencing blockages, as long as they chew their food thoroughly. For those who are concerned, blending food initially can provide reassurance, but careful chewing is often sufficient.

3. Reversal surgery can be as significant, or even more so, than the original colostomy surgery due to the presence of scar tissue. It's important to consider factors like age, overall health, and the willingness to undergo another major surgery when making this decision.

4. Some individuals decide to keep their colostomy permanently, finding it manageable and free of complications. This is a personal decision based on quality of life.

5. There are also successful reversal experiences. Positive outcomes are often associated with having an experienced surgical team and closing the stoma site primarily rather than letting it heal on its own.

6. Being open about having an ostomy with family and friends can help normalize life, whether or not one decides to pursue a reversal.

7. The person uses a Hollister 2-piece “snap-on” appliance and recently changed to a smaller flange size for comfort.