This topic is about managing acute episodes caused by adhesions in individuals with an ileostomy. The person sharing their experience has had an ileostomy for 40 years and has been dealing with these episodes for the past 20 years. They are exploring treatment options and are curious about whether irrigation is suitable for their situation.

Here are some helpful insights and advice:

1. Irrigation is not suitable for ileostomy patients. It is specifically designed for those with colostomies who have a functioning colon and enough bowel length to manage the water flush.

2. If you experience symptoms like vomiting and no output from the stoma, which may indicate a complete blockage, it is crucial to seek immediate evaluation at an emergency department. Surgery might be necessary to relieve the obstruction.

3. For persistent or recurring pain due to adhesions, it is important to consult a gastroenterologist. If needed, an experienced colorectal surgeon can assess the situation. Surgical options, such as lysis of adhesions or re-sectioning, have helped some patients by relieving pain and restoring function.

4. It is important to differentiate between blockages caused by adhesions and those caused by food. Certain foods, like corn, popcorn, and raw vegetables, which were previously tolerated, might later cause partial obstructions. Monitoring your diet and making adjustments can help prevent some episodes.