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Aug 31, 2010

Frequent Small Bowel Obstructions with Urostomy - Advice Needed

This topic is about dealing with frequent small bowel obstructions after having a urostomy. A person with a urostomy is experiencing these obstructions, which can be either complete or partial, and is seeking advice from others who might have faced similar issues. Despite undergoing multiple CT scans and lower-GI investigations, no anatomical problems have been found, yet the obstructions continue to occur. Here are some insights and advice shared by others:

1. Adhesion-related issues: Many people mention that adhesions, which are bands of scar tissue that can form after abdominal surgery, are a common cause of obstructions. Surgeons often say that not much can be done unless the obstruction becomes life-threatening.

2. Symptom-breaking strategies: Some individuals have found that intense vomiting can sometimes relieve a partial obstruction, leading to a reduction in pain.

3. Hydration: One person suggests that drinking a lot of fluids at the first sign of pain might help clear the blockage more quickly.

4. Diagnostic follow-up: A small-bowel series done right after an obstruction episode showed "kinks," indicating that the narrowing might be temporary rather than a permanent stricture.

5. Gas management: To help with trapped wind pain and abdominal cramping, a doctor recommended taking peppermint oil capsules before meals.
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