The topic at hand is about enjoying Kentish cobnuts, a type of hazelnut, when you have an ostomy. The concern is whether these nuts might cause a blockage. Here are some helpful tips and insights from the community:

1. Chew thoroughly: Many people with either a colostomy or ileostomy suggest that nuts can be safely eaten if they are chewed into a fine paste before swallowing. Large pieces can increase the risk of blockage.

2. Start small and go slow: Begin by eating just a few cobnuts and wait a day to see how your body reacts. If all goes well, you can gradually increase the amount.

3. Stay hydrated: Drinking plenty of water or other fluids while eating nuts is important, as dehydration has been linked to blockages in some cases.

4. Everything in moderation: Even if you chew well, it's best to eat high-residue foods like nuts in limited amounts.

5. Individual tolerance varies: Some people with an ileostomy avoid nuts entirely, while others have no issues. It's a matter of trial and error, along with careful observation of your output.

6. Simple residue test: If you're unsure, chew the food, spit it into a fine strainer, rinse under running water for 5 minutes, and see what solid matter remains. This can indicate potential residue reaching the stoma.

7. Warning signs and remedies: If your output slows or stops, try increasing fluids, moving around with light exercise, or using a fizzy sodium citrate laxative or cold grape juice. Seek medical help if symptoms persist.

8. Watch portion size with high-fiber foods: Even foods considered "safe" can cause issues if you eat too much. For example, eating an entire bag of baby carrots caused a blockage for someone who thought they had chewed well.

9. Pay attention to what comes out: If you notice identifiable nut pieces in your pouch, it might be a sign to chew more thoroughly or reduce your intake.