Balloon treatment once a year works for me. Also, fruits and vegetables, especially raw are a major problem. I have a great doctor who told me that you have to be careful of the skin of things like tomatoes, grapes, blueberries and also lettuce which can ball up ( even well chewed) and cause a blockage. IfI feel as if I might have a twisted intestine or a temporary blockage- I immediately switch to liquids only, especially warm ones and it usually works in a few hours. Everyone is different, so you have to experiment. BTW- mushrooms are a major no- no for me. Trial and error. Hope this helps