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In Serious Need of Help

Posted by Sven, on Tue Oct 08, 2013 4:16 pm
So, I was told that scar tissue can wrap around the intestine or in some way prevent food from passing, cause pain, etc. I don't know if that's what's wrong with me right now, but I have been to the ER three times in the last week with intense vomiting, nausea, and abdominal pain. I can't hold hardly anything down, and when I have gone to the ER, they have merely given me something for the pain and vomiting, fluids, and sent me home.
The first time this happened, a month ago, I was admitted for roughly a week, given pain meds, anti-nausea meds, and had a tube down my nose into my stomach to empty it out. A doctor told me it was possibly scar tissue and, when I could hold down food, I was sent home. This time, no one seems too keen on helping me at that hospital. The only other one nearby is even worse and I refuse to go there. I'm at my wit's end and need help, but I can't see my GI doctor for nine days.
Reply by ron in mich, on Tue Oct 08, 2013 10:35 pm
hi sven you didnt mention if you had any output or not but if you do then i would go with a low residue diet until you see your gi doc, or at the minimum liquids. i had emergency surgery for scar tissue blockage and had the same symptoms as you but no output at all. good luck
Reply by Ewesful, on Wed Oct 09, 2013 11:55 am
That was one of the worst events that happened with my dad - sounds like adhesions are involved and posibly some tumor masses that really snagle things -- I have a wonderful team here  in NH but I cannot imagine that this is a wait and see thing -- good luck...
Reply by friends13, on Thu Oct 10, 2013 1:37 pm
I had the same experience last week and was told the same reasons why - fortunately my doctor was very helpful and sent me straight to hospital. I was immediately put on a drip and bloods taken. After six hours I was able to go home, extremely sick all through the night, dehydrated, drank lots of water, spent the next day in bed and after four days felt a lot better.
Reply by Sven, on Fri Oct 11, 2013 8:43 am
Throughout that last week, whether or hot I had output has been random, although, when I did, it was mostly liquid. So sometimes I would have output, and sometimes not so much.
This Wednesday I spent all day in bed, drinking mostly water and gatorade, eating very little, and - while I had no output during the day - while I slept that night, I had a decent amount of output.
Yesterday, there was no way I could avoid work, so I went. Didn't get to drink nearly as much, ate a good bit of semi-solid food - Mashed potatoes, soup, things like  that - and have had only about 3mL of clear liquid output in the last 24 hours.
Now, this morning, I've got some bowel sounds - I'm guessing that's gas moving around - but still nothing. So, another guess I'm making is that this is, in fact, a blockage.
The (darkly) amusing thing is that the hospital took three CT scans and four X-rays and didn't see one. So clear liquids for today it is, and we'll see what happens tomorrow.
Reply by Lifelong Learner, on Wed Oct 16, 2013 2:48 am
Sven, you don't say if you had an MRI or CT Scan during your trips to the ER.  I recently found out (after feeling the way you do and visiting the ER) that I have 3 hernias under my stoma.  The doctor said it was a tangled mess, but I was too high risk for surgery.  I am also wondering if you were diagnosed with diverticulitis.  The surgeon said that both the hernias and diverticulitis can cause vomiting, fever and pain.  The difference is the pain from diverticulitis is in the lower left quadrant and pain from the hernias would be in the lower right quadrant.
Reply by violet-hummingbird, on Wed Oct 16, 2013 12:36 pm
sven - it sounds as though you have got 'sub-acute obstruction, so the guts are blocking off a little and can settle with a fluids/low residue diet over a few days. They will have relieved the ' back up' of undigested foods/stomach fluids when you had the naso gastric tube passed.
Presumeably you have got an ileostomy?

If you arent passing wind , have belly pain, feel unwell and have no stools for a few days , then you definitely must see your GI surgeon.
Reply by vollovr, on Wed Oct 16, 2013 7:56 pm
Hey Sven,
  From what I have read from you and other people's input I really don't think you have an obstruction.I have an ileostomy from Crohn's,have had 6 surgeries.With each surgery over time the intestine becomes narrow from removal of disease and adhesions or scar tissue forms and narrows the area. Depending on what is eaten some foods can get stuck or obstructed.Trust me you will most definitely know without any doubt that you have an obstruction. The pain will be so intense and excrutiating on a scale of 1-10 a 10! And you will NOT have any output at all.This has happened to me several times over the years in fact now when it happens I just suffer it out at home until it passes which it will.Somtimes it has taken 20 hrs. I hope this helps and that you do get an accurate diagnosis. All the best to you,Rhonda
Reply by nwcurtis, on Fri Oct 18, 2013 12:01 am
Sven,

I went through that and I had scar tissue blockage after my surgery 13 yrs prior.  Yep, the same symptoms, however mine was complicated by an enlarged appendix.  Let me put it this way, I was a walking timebomb.  The blockage was about to blow and my appendix was about to burst.  After a week in the hospital I had surgery, but the docs didn't discover the appendix until surgery.  They actually tried to relieve the blockage every way possible including the old tube thru the nose to the stomach trick.  I just looooovved that . The surgery included another slight resection, but the blockage was resolved.
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