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Oct 19, 2017

Struggling with Blockages and Limited Diet - Need Suggestions!

This topic is about managing ileostomy blockages and finding ways to expand a diet that has become very limited. The person sharing their experience had a tough time with a blockage after eating strawberries, which led to pain and frustration. They are looking for practical advice to prevent future blockages and to enjoy a more varied diet. Here are some helpful suggestions:

1. Focus on texture before food type:
- Start by puréeing or liquidizing foods that have been problematic, then gradually reduce the processing while making sure to chew very well.
- Use a small food processor, juicer, or baby-food-style purée to test one new food at a time.

2. Chew thoroughly and keep food pieces small:
- Cut food into tiny pieces or purée it. Avoid swallowing anything that can't pass through a drinking straw if not chewed.

3. Stay hydrated during meals:
- Drink plenty of water or hot tea while eating, not just afterward.
- Keep a drink nearby at all times; many people sip a full glass every time they empty their pouch.

4. Be cautious with seeds, skins, and fiber:
- Limit foods with small seeds (like strawberries and raspberries), tough skins (such as apples and cucumbers), and high-fiber kernels (like corn).
- Peel apples, deseed cucumbers and tomatoes, and cook vegetables until soft or turn them into soups.

5. Gradually reintroduce foods:
- Begin with a "safe" base diet (broth, cereal, mashed potatoes, applesauce, bread) and add one new food every day or two.
- Avoid dairy initially until basic foods are tolerated, then introduce easy proteins.

6. Physical techniques for preventing or relieving blockages:
- Try a hot bath, gentle abdominal massage, and changing positions (lying flat, brief sit-ups, toe-touches, short walks).
- Some find relief using a body-wand high-frequency vibrator over the abdomen for 15–30 minutes while lying flat.

7. Consider an output-friendly daily routine:
- Some people find success with one main meal in the early afternoon, followed by lighter items like granola, milk, oatmeal, watermelon, and juices later.
- Lying down for a short period after eating may help with digestion.

8. Utilize manufacturer resources:
- Contact the Hollister Company for free literature on ostomy nutrition and food guidelines.

9. Remember medical follow-up:
- If problems persist or worsen, seek medical advice to rule out structural issues or nerve-related problems.
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