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May 31, 2017

Ileostomy Blockage Pain Relief - Seeking Advice

This topic is about finding ways to relieve pain and manage self-care when dealing with a suspected ileostomy blockage. The person sharing their experience has had an ileostomy since 2006 and recently faced what seemed like their first blockage. They sought advice on how to alleviate the pain and help the blockage pass. After trying various suggestions, they ended up visiting the emergency room, where a scan showed no actual blockage. They rested, ate lightly, and eventually felt better, though the cause of the pain remained unclear. Here are some helpful tips and insights shared by others:

1. Seek immediate medical attention if you experience vomiting, severe or increasing pain, or signs of dehydration. A CT scan is often performed, and IV pain medication might be necessary.

2. Consider oral products that may help with gas pain or bowel movement:
- Gas-X (simethicone) for cramping gas pain.
- Prune juice, grape juice, regular Coca-Cola, or an over-the-counter laxative.

3. Use heat and massage techniques:
- Apply a heating pad, hot-water bottle, or take a warm shower with a massage shower head, or a hot bath over the abdomen.
- Try gentle abdominal massage and change positions frequently; the knee-to-chest position can be particularly helpful.

4. Engage in physical activity:
- Walk frequently; light movement and stretching can help the bowel shift and relieve pressure.

5. Be mindful of your diet and how you chew:
- Chew all food thoroughly. Be cautious with foods like peanuts, corn, leafy greens, beef, tomatoes, peppers, mushrooms, potatoes, or thick-cut French fries, and fibrous foods.
- Keep a personal list of "safe foods." One suggestion is to avoid foods that would stick to a wall.

6. Manage pain while waiting for relief:
- Some find Excedrin Extra Strength Migraine (acetaminophen/aspirin/caffeine) helpful; use hot compresses if the pain is tolerable.

7. Manage stress:
- Emotional stress can tighten abdominal muscles and worsen pain. Resting, reducing workload, or taking breaks helped one person lessen their symptoms.

8. General tips:
- Stay hydrated.
- Be prepared for different experiences at the ER; some blockages resolve on their own, while others may require admission or more invasive intervention.
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