Could This Be a Partial Blockage? Experiencing Cramps After Eating

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airforce1
Nov 21, 2010 1:30 am
Hi all think i might have a partly blockage as every time i have something to eat i get these bad cramping before the waste  comes out it feels weird taking busapan for it

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tello
Nov 21, 2010 4:13 am
I don't have have ileostomy (yet) but I have a friend who does.  She said when she feels she has a blockage she drinks warm-hot tea and also grape juice.  She does a lot of walking and within a few hours her "output" starts up again.  I hope this works for you.  Do you have an ileostomy or a colostomy?
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margie
Nov 21, 2010 8:29 am
I had some kind of blockage yesterday. I got worried and called up the out of hours  health line. i was quite quickly referred to a hospital clinic where i saw a doctor. He was very nice and   jolly but to my horror he suggested putting a suppository into the stoma ,which I eventually agreed to. It worked and quite quickly things were moving again. The point that I want to make is that all the health professionals took the situation quite seriously. and obviously a blockage could have serious consequences. I think that the problem for us is to be able to figure out when it is serious-time to see a doctor, or when a cup of tea and a walk can do the job.  

Marjorie
mooza
Nov 21, 2010 12:40 pm


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hi i have ileo and yep i think we always gwt sum blockages i get them now and then its very painful and the lady was right cuppa tea or hospital ..I usually go lie down on my side prob shouldnt but i kinda lie on the stoma a bit kinda like roll on it just a bit can take awhile or not long. Have had so many i really cant i cant avoid all the food i have eaten some food cant resist then blockage then eat it while after maybe few months and no probs..But the serious 1 i had a blockage i ate a small choc. bar The pain was sooo bad sweating vomiting i rang my stoma nurse she said ring ambulance i was soo bent over yep 1n look and i was in 4 1 week NO FOOD just pumping water too flush my abdo was so sore they said adhesions and small twist in the bowl OMG so do what u think is best me luv..MARE -mooza xxx

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eddie
Nov 21, 2010 8:08 pm


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Try these suggestions

Eddie

HOW TO TREAT ILEOSTOMY BLOCKAGE


Symptoms:
Thin, clear liquid output with foul odor; cramping

abdominal pain near the stoma; decrease in amount of or


dark-colored urine, abdominal and stomal swelling.


Step One: At Home


1. Cut the opening of your pouch a little larger than normal because


the stoma may swell.


2. If there is stomal output and you are not nauseated or vomiting,


only consume liquids such as Coke, sports drinks, or tea.


3. Take a warm bath to relax the abdominal muscles.


4. Try several different body positions, such as a knee-chest


position, as it might help move the blockage forward.


5. Massage the abdomen and the area around the stoma as this might


increase the pressure behind the blockage and help it to โ€œpop


out.โ€ Most food blockages occur just below the stoma.


Step Two: If you are still blocked, vomiting, or have no stomal


output for several hours:


1. Call your doctor or WOC/ET Nurse and report what is


happening and what you tried at home to alleviate the


problem. Your doctor or WOC/ET Nurse will give you instructions


(e.g., meet at the emergency room, come to the office). If you are
told to go to the emergency room, the doctor or WOC/ET Nurse


can call in orders for your care there.


2. If you cannot reach your WOC/ET Nurse or surgeon and


there is no output from the stoma, go to the emergency

room immediately.


3.
IMPORTANT: TAKE THIS CARD WITH YOU TO THE EMERGENCY

ROOM AND GIVE IT TO THE PHYSICIAN.


4.
IMPORTANT: TAKE ALL OF YOUR POUCH SUPPLIES

(e.g., pouch, wafer, tail closure, skin barrier spray, irrigation


sleeve, etc.)


United


Ostomy


Associations of


America, Inc.


United Ostomy Associations of America


P.O. Box 66


Fairview, TN 37062


800-826-0826, www.uoaa.org


EMERGENCY ROOM STAFF:


ILEOSTOMY OBSTRUCTION


Symptoms:
No stomal output; cramping abdominal pain; nausea

and vomiting; abdominal distention, stomal edema, absent or faint


bowel sounds.


1. Contact the patient's surgeon or WOC/ET Nurse to obtain history


and request orders.


2. Pain medication should be initiated as indicated.


3. Start IV
fluids (Lactated Ringer's Solution/Normal Saline)

without delay.


4. Obtain
flat abdominal x-ray or CT scan to rule out volvulus

and determine the site/cause of the obstruction. Check for local


blockage (peristomal hernia or stomal stenosis) via digital


manipulation of the stoma lumen.


5. Evaluate
fluid and electrolyte balance via appropriate

laboratory studies.


6. If an
ileostomy lavage
is ordered, it should be performed by a

surgeon or ostomy nurse using the following guidelines:


โ€ข Gently insert a lubricated, gloved
finger into the lumen of the

stoma. If a blockage is palpated, attempt to gently break it up with


your
finger.

โ€ข Attach a colostomy irrigation sleeve to the patient's two-piece


pouching system. Many brands of pouching systems have


Tupperwareยฎ-like
flanges onto which the same size diameter

irrigation sleeve can be attached. If the patient is not wearing


a two-piece system, remove the one-piece system and attach a


colostomy irrigation sleeve to an elastic belt and place it over


the stoma.


โ€ข Working through the top of the colostomy irrigation sleeve, insert


a lubricated catheter (#14โ€“16 FR) into the lumen of the stoma


until the blockage is reached. Do not force the catheter.


โ€ข
Note: If it is possible to insert the catheter up to six inches, the

blockage is likely caused by adhesions rather than a food bolus.


โ€ข Slowly instill 30โ€“50 cc NS into the catheter using a bulb syringe.


Remove the catheter and allow for returns into the irrigation sleeve.


Repeat this procedure instilling 30โ€“50 ccs at a time until the


blockage is resolved. This can take 1โ€“2 hours.


7. Once the blockage has been resolved, a clean, drainable


pouch system should be applied. Because the stoma may be


edematous, the opening in the pouch should be slightly larger



than the stoma.

 

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airforce1
Nov 22, 2010 1:50 am
Hello tello



i have had an illeostomy for one year
nessy
Nov 22, 2010 4:01 pm
Thanks eddie, very useful, wish I had known that before,when I was having blockages.

I found a shot of demerol would do the trick, 'cept last time I drove myself to emerg. and they gave me an analgesic instead , took 5 days to clear that one.

Cheers Bob
โ†‘