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Ostomies
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Pluot
Veteran Member
Joined : May 2012
Posts : 2500
Posted 3/20/2013 12:03 PM (GMT 0)
Hey guys, I think I had a minor blockage last night. I didn't get to the point of nausea or even pain, just very bloated and noticed I hadn't had any output for about
two hours. I massaged my stomach, drank juice and hot tea, and moved around in some different positions and over time got a decent amount of thick output out with a LOT of loud stoma noises. Since it seemed like things were "moving", albeit slowly, I went to sleep.
I woke up with a small-medium amount of liquid in my pouch, and stoma was quiet. Drank some Gatorade and stoma is putting out liquid output again.
Is it OK to try eating some food? I am guessing at this point that the reason the stoma is putting out liquid is that I haven't eaten in 12+ hours, and I drank a lot of juice. Still, the amount of liquid in my pouch when I woke up is less than I would expect to see from overnight so I'm puzzled.
(The cause of the blockage, for the curious: fajita veggies and raw tomato salsa in a Chipotle burrito bowl. I flew too close to the sun on wings of Tex-Mex.)
TMC
Regular Member
Joined : Jul 2010
Posts : 88
Posted 3/20/2013 12:51 PM (GMT 0)
If the stoma is putting out and things are flowing, you should be able to eat. I'd ease into though to be sure. I have only ever had two blockages, and they are no fun. Good luck!
Alive and Well
Regular Member
Joined : Jan 2013
Posts : 78
Posted 3/20/2013 1:00 PM (GMT 0)
Glad to hear you survived without a trip to ER. I had a full out blockage 2 weeks ago and after it finally passed, my output was almost pure water (2 bags full) until the solids got back through....it took the better part of a week to feel "normal" again.
UCwhat?
Veteran Member
Joined : Dec 2012
Posts : 1042
Posted 3/20/2013 3:52 PM (GMT 0)
I think I might be having a minor blockage as well. I had very little in my bag when I woke up this morning, and little activity since then. What is there is watery and doesn't smell great at all. Thing is, I don't feel any pain, discomfort, bloating or nausea. Since I'm only a week out of surgery I'm hoping it's just part of the ups and downs and trying to not worry TOO much, but having nothing to do but sit here and wait makes that kinda tough.....argh!!
Equestrian Mom
Veteran Member
Joined : Mar 2008
Posts : 3115
Posted 3/20/2013 3:57 PM (GMT 0)
I'd stick with easy to digest foods and hot tea until things get back to normal.
Hope you are both feeling better by now
Probiotic
Veteran Member
Joined : Mar 2007
Posts : 2832
Posted 3/20/2013 4:30 PM (GMT 0)
Liz- I hope it is quickly smoothed out and you feel normal soon!
Hey, anyone, here's a basic question: the small gut of a person with an ileo is basically identical to that of a normie except at the stoma, so does that mean ileo blockages are essentially due to food stuck on the inside of the stoma? And if that is so, does that mean that jpouchers get less blockages than ostomates, or is the incidence similar and if so, why? Just curious about
the whys of these things.
Somedude
Veteran Member
Joined : Jul 2011
Posts : 3393
Posted 3/20/2013 4:37 PM (GMT 0)
I might be wrong, but I think it blocks where it is cut. Scar tissue form around there making the passage narrower?
Probiotic
Veteran Member
Joined : Mar 2007
Posts : 2832
Posted 3/20/2013 5:10 PM (GMT 0)
K makes sense, sd. Of course, in end ileo setup, the cuts are all at the stoma end, unless the were additional chunks sliced out for nasty crohns. Still curious though if jpouchers have any less blockage incidence than ostomates or not -not that ai think that should be an important factor in deciding on surgery types vs other much bigger ones, but I was curious.
Daffodil
Regular Member
Joined : Nov 2010
Posts : 90
Posted 3/20/2013 5:23 PM (GMT 0)
Hello! And greetings from sunny Mississippi! ☀☀☀
Happy First Day of Spring!! 💐
I have had blockages lately and they are just terrible. I had my surgeries 2 years ago. If anything, they are getting worse, which doesn't make sense. Lasting more than a day, the nausea and throw up of bile is gross. The bag fills with bile, and I feel rotten. Ok...enough gross. I am sure you have experienced the same. I have been reading tons and trying to figure out diet, scar tissue, etc. ANYTHING to help. I drank grape juice, I used a heating pad, laid on my back on the floor, pulling my knees to chest and trying to roll around. Nothing seems to give a whole lot of relief. There is a whole lot more "rumbling and grumbling" down there than I usually have... I even watched a video on massaging to break it up... Interesting.
I enjoy this forum and being able to share, so hopefully we can get some ideas.
Mollie
Pluot
Veteran Member
Joined : May 2012
Posts : 2500
Posted 3/20/2013 5:33 PM (GMT 0)
Thanks for the kind words everyone. My output is starting to be a lot more "normal" today and I'm sure I'm over the hump.
So, funny thing about
that "blockage" -- I'm not entirely sure that's what it was!! I had a massage this morning (heavenly -- do get one if you can!! the therapist knows all about
my issues and does the whole thing with me lying on my back or sitting up) and mentioned to the therapist that my stoma might be gurgling a lot because I was getting over a blockage, and he shouldn't be alarmed. He replied that massage therapists love to hear stomach/intestine gurgling because it means that the person is really relaxed. He went on to tell me that when you have a lot of stress or adrenaline while or after eating, it can slow down digestion or stop it completely.
Well, funnily enough, I spent darn near an hour last night immediately after dinner chasing a GIGANTIC roach around my apartment. I hate roaches and the thing nearly gave me a heart attack! It wasn't until after I killed it that I looked down at my pouch and noticed it was empty. I wonder now if it wasn't the food I had eaten (which was fibrous, but not beyond the norm for me) but simply the adrenaline! Anything like this ever happened to you guys?
For Pro and SD, regarding blockages for those who haven't had any cutting/scar tissue above the stoma -- the issue is that pulling the end of the small bowel through to the outside is an unnatural position for the intestines. They don't totally "lay right" because of that and they can sometimes work themselves into conformations that encourage blockage as a result. A few people on this board have even had experiences where the small bowel twisted as a result of the unnatural positioning, leading to severe blockage (I did a lot of searches for blockages last night ;)). I too am curious if this is still an issue when the j-pouch is constructed and connected, and will definitely ask my surgeon... unfortunately my guess is yes. However, the vast majority of blockages occur in the first year after surgery when the intestine is still getting "settled" in the new position, so hopefully it won't be a persistent issue.
mrsbugzy
Veteran Member
Joined : May 2012
Posts : 641
Posted 3/21/2013 8:23 PM (GMT 0)
Well, I ahd my pouch done a year ago and have had 3 blockages.. 1 was immediately after surgery when I got food contaminated with wheat :/ and with celiac...that sent me back for 3 weeks of hell in the hospital. sorry, but ng tube is torture to me...
and then the last couple have not been taht bad, been able to get them to move with LOTS of work!
So, do pouchers have as many blockages? i don't know, I guess it would be hard to judge since we are all different.
Good luck!
UCwhat?
Veteran Member
Joined : Dec 2012
Posts : 1042
Posted 3/21/2013 9:59 PM (GMT 0)
Well, whatever was slowing my output yesterday is certainly not a problem today! I'm guessing it's all just the up and downs of adjusting so soon after surgery, but things are flowing like crazy today, so I guess all is well. Hope you are feeling better too, Liz! :)
NiceCupOfTea
Elite Member
Joined : Jan 2010
Posts : 11145
Posted 3/22/2013 2:01 PM (GMT 0)
However, the vast majority of blockages occur in the first year after surgery when the intestine is still getting "settled" in the new position, so hopefully it won't be a persistent issue.
Thank you for posting that. It was reassuring to hear, since blockages are one of the things I worry about
.
UCwhat?
Veteran Member
Joined : Dec 2012
Posts : 1042
Posted 3/22/2013 2:12 PM (GMT 0)
I just posted this response on another thread, but I'll copy it here since it's the same subject matter....
The day before I left the hospital I told my surgeon how surprised I was at all the things I was allowed to eat so soon. She told me that out of all her MANY MANY ostomy/ileostomy/jpouch patients, only ONE of them has had to have surgery to correct a blockage. He ate Bok Choi, which is pretty much the most fiberous, roughagey thing you could eat. She says use common sense, everything in moderation and everything will be fine.
NiceCupOfTea
Elite Member
Joined : Jan 2010
Posts : 11145
Posted 3/22/2013 2:19 PM (GMT 0)
Thank you as well, UCwhat!!
For the record, I have been told by my surgeon I can eat everything except sweetcorns and mushrooms (particularly the rubbery oriental ones). I have not eaten Bok Choi, but I did have a side dish of iceberg lettuce a couple of days ago with no apparent ill-effects - certainly no blockage. That was the first time I had tried salad since surgery.
Alive and Well
Regular Member
Joined : Jan 2013
Posts : 78
Posted 3/22/2013 2:45 PM (GMT 0)
Chew, chew and chew some more....everything should go through. The three blockages I've had in 2 years were all a result of being in a rush and eating fruit on an empty stomach without thoroughly chewing....that's my 2 cents anyways...
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