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41,405 members
Dec 01, 2024

Dealing with Intense Gas Pain After Ostomy Reversal Surgery

This topic is about someone who recently had their ileostomy reversed and is now experiencing intense gas pain and suspected partial blockages. After initially smooth recovery, they began having severe gas pain episodes about a month ago, which led to an emergency room visit. Here's a summary of their experience and some advice shared by others:

- A CT scan suggested a bowel obstruction, and the person was kept without food, which eased the pain after 48 hours.
- A follow-up X-ray showed that the contrast had reached the rectum, and the hospital planned to discharge them.
- They are monitoring their diet but haven't identified specific foods causing the pain and are looking for ways to prevent future episodes.

Additional information includes:

- Gas eventually escapes, and stool passes, bringing relief.
- The hospital suspects a narrowing at the former ileostomy site, and the person plans to consult their regular surgeon.
- Since arriving at the ER, their bowel has been moving freely.

Advice and insights from others include:

1. Possible Cause & Next Steps
- Many believe these episodes are partial blockages, as pain dissipates once the obstruction releases. It's recommended to consult a colorectal surgeon or gastroenterologist for further imaging or testing.

2. Diet / Short-Term Management
- Stay on a full liquid or low-residue diet until seen by a surgeon to reduce the risk of another blockage.

3. At-Home Techniques to Help a Partial Blockage Pass
- Keep moving with walking or gentle stretching.
- Apply a warm or hot compress to the abdomen and massage the area.
- Increase oral fluids, as IV fluids are used in hospitals to combat dehydration during blockages.

4. Caution About Self-Treating
- Whether to eat or drink depends on the cause; adding volume can worsen a fixed stricture or twist but may help if excessive fiber is the issue.
- If pain is severe or the cause is uncertain, it's advised to go to the ER rather than self-treat.

5. "Emergency" Beverage Some Members Use
- Some keep Kedem 100% Concord Grape Juice on hand; sipping 1–2 cups may help loosen a suspected blockage. Note that whole grape skins might be too fibrous for some.

6. Pain Pattern
- The pain is often sharp and bending-over, disappearing instantly when the blockage releases. Inability to pass gas is often the first symptom.
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