Question: How are ileostomy blockages treated in the ER, and do they usually use an NG tube or go through the stoma?

Answer: The forum discussions provide several insights and recommendations for managing ileostomy blockages and related symptoms:

1. Immediate Actions for Blockage:
- Increase fluid intake, including water, fruit juices, and warm beverages like tea.
- Engage in gentle physical activities such as walking to stimulate movement in the intestines.
- Apply a heating pad or take a warm bath to relax abdominal muscles and alleviate discomfort.
- Gently massage the abdomen around the stoma to help relieve the blockage.

2. Dietary Adjustments:
- Avoid high-fiber foods and chew food thoroughly to prevent blockages.
- Consider a low-residue diet to manage and prevent blockages.
- Avoid foods known to cause blockages, such as nuts, seeds, and fibrous vegetables.

3. When to Seek Medical Help:
- If symptoms persist, such as severe pain, vomiting, or no output for several hours, seek medical attention promptly.
- In cases of severe blockages, medical interventions like the use of a nasogastric (NG) tube may be necessary.
- Avoid using laxatives without consulting a healthcare provider, as they may complicate the situation.

4. Swollen Stoma and Watery Output:
- Swelling of the stoma can occur and may be influenced by dietary choices. It typically resolves on its own.
- Watery output can be common with ileostomies, but if accompanied by other symptoms like pain or fever, consult a healthcare provider.

5. General Advice:
- Stay hydrated and maintain a balanced intake of electrolytes to prevent dehydration.
- Monitor symptoms closely and keep a food diary to identify potential triggers for blockages.
- Engage with healthcare professionals, such as a stoma care nurse or gastroenterologist, for personalized advice and management strategies.

Check out these links for more information:


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