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Jun 02, 2025

Constipation with an Ileostomy: Anyone Experienced This?

This topic is about dealing with constipation when you have an ileostomy and wondering if it might be due to narrowing in the small intestine. Here are some helpful pieces of advice and insights:

1. It's important to seek professional evaluation quickly. Many people suggest contacting your primary care physician or your ostomy/IBD team for an assessment. They might recommend imaging tests like a CT scan, MRI, or a small-bowel follow-through to check for any obstructions or strictures.

2. Imaging tests are crucial as they can definitively confirm or rule out any narrowing in the small bowel.

3. Take a look at your diet. Changes in your diet or a low-fiber intake might be contributing to slower output. It's a good idea to discuss your dietary habits with your healthcare provider.

4. Consider any underlying conditions or scar tissue. Inflammation from conditions like Crohn’s disease or postoperative adhesions can lead to strictures, which might eventually need surgical correction. Some people have shared experiences of needing a bowel resection after many years.

5. Constipation could be a sign of a blockage, so treat it as potentially serious until a doctor gives you the all-clear.

6. There's a trick some people with ostomies use for a partial blockage: drinking a can of Coca-Cola to help move a minor obstruction. However, only try this if your care team advises it.
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