Managing and seeking help for ostomy-related obstructions can be a challenging experience. This topic is about understanding what it's like to deal with blockages in the stoma or intestines and how to manage them effectively. Here are some insights and advice shared by others who have been through it:
- Pain level and symptoms can vary widely. Some people experience mild discomfort with reduced output, while others face severe cramping, vomiting, and a complete stoppage. In some cases, medical attention, including IV fluids and pain relief, is necessary, while others manage at home once output resumes.
- Common causes of obstructions include:
1. Adhesions from previous surgeries, often cited by surgeons.
2. Scar-tissue stenosis related to Crohn’s disease.
3. Certain foods that are hard to digest, like pineapple fibers, mushroom pieces, and pizza toppings.
4. Internal hernias that cause the bowel to kink.
- If you need to go to the hospital, choose the one that would handle an emergency transfer if surgery becomes necessary.
- For partial blockages, some self-management techniques include:
1. Staying well-hydrated with water, tea, or warmed fruit or grape juice.
2. Sticking to clear liquids until output returns.
3. Trying gentle positional changes or knee-chest crunches to relieve kinks.
4. Using heat, like warm fluids or a heating pad, to relax abdominal muscles.
- Warning signs that require immediate medical care include:
1. Persistent, worsening pain that doesn’t improve with position changes.
2. Repeated vomiting or no stoma output for several hours.
3. Significant abdominal swelling or signs of hernia strangulation.
- Surgical solutions that some have undergone include:
1. Adhesion "take-down" operations, which allowed some to eat normally again.
2. Bowel resection for stenosis related to Crohn’s disease.
3. Hernia repair with mesh to prevent future kinking.
- After experiencing a blockage, take precautions such as:
1. Slowly reintroducing solid foods.
2. Chewing thoroughly and avoiding high-risk foods like stringy vegetables, citrus membranes, tough skins, large mushroom pieces, and pineapple fibers unless they are well-cooked or minced.
3. Keeping hydrated to ensure the output remains thin.
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