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Apr 24, 2012

Concerns About Potential Obstruction Post-Colostomy

This topic is about understanding and managing the symptoms of a suspected colostomy obstruction. A person with a colostomy, who had surgery in 2010, has been experiencing symptoms that might indicate an obstruction. These include increased gas, alternating between watery and thicker output, and little relief from abdominal massage or extra fluids. They usually take Imodium before meals but find it ineffective and are looking for others' experiences with similar symptoms.

Here are some helpful insights and advice:

1. Obstruction pain is typically felt directly behind the stoma and can feel like severe cramping or a burning sensation. During an obstruction, output usually stops until the blockage clears.

2. To help prevent obstructions, chew your food thoroughly and sip plenty of fluids, including during meals. Warm beverages, like hot tea, might help ease an obstruction if it's happening.

3. If symptoms persist or get worse, it's important to consult a physician to rule out hernia-related or other mechanical causes.

4. Consider the use of Imodium (loperamide) before meals. As an anti-diarrheal and antispasmodic, it slows bowel activity and might contribute to reduced or absent output. It should be used only under medical guidance and mainly for short-term diarrhea control, such as during travel.

5. For dietary and medication tips, start with easily digested soups, avoid greasy foods, and temporarily stop taking iron supplements or opioids like tramadol, as they can harden stool or slow motility.
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