Bowel obstructions caused by adhesions following abdominal surgery

Posted by Sandi @idnas, Mar 20, 2015

I just joined this site and am looking to see if anyone talks about bowel obstructions caused by adhesions following abdominal surgery. I had successful sugery for colon cancer in 2008. About 6-months later I was hospitalized for 5 days with a bowel obstruction (that did resolve without further surgery). It took several months for my system to get back to "proper working order," but it did and for the past 5-years everything worked normally. Then, out of the blue, I had another bowel obstruction 2-months ago. I was hospitalized for 6-days, but again, no surgery. At this point I can only have bowel movements by taking Miralax and then I have diarrhea. I'm trying to eat a normal diet, just smaller amounts at a time and more frequently. I'm paranoid about another bowel obstruction, and also that my guy will not get back to normal. Has anyone had experience with this?

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Profile picture for docm @docmeehan

I was hospitalized with partial small bowel obstruction six months ago which was cleared non-surgically. I had laparoscopic lysis six weeks ago for multiple adhesions which were from a hemi-colectomy/appendectomy over twenty years ago. I have had no improvement in symptoms since then. I know that things can get worse but what I want to know is do things ever get better?

I'm hoping for a reason to become more optimistic about my situation.

docm

Jump to this post

My son at the age of 5 had a partial bowl obstruction (Illeus paralized bowel). This lasted a week. He was in so much pain, begging us to kill him. It was awful.!
Had CAT scans every day to see if the bowel was moving. And finally the doctor recommended, we give him milk of magnesia. It irritates the colon from above to get it working so it can move again. And it worked! Had to give him milk of Mag for 2 months every morning. He is 29 now and he’s never had an issue with his colon since that time!!
When I had my second child by C-section, my bowels became paralyzed from the air hitting the intestine. They advised me to use milk of magnesia to get the bowels moving again… And it worked!
I’m not saying you should try this without checking with your physician first or doing your own research.
Good Luck🤞

REPLY
Profile picture for jacqueline1961 @jacqueline1961

I am interested as well. I was just hospitalized with a small bowel obstruction, 3 weeks ago,,, I had the NG Tube down the nose to stomach for 6 days of misery until I said enough and took it out,, ticked off my surgeon who after discharge dumped me as a patient , even though he has been my surgeon for 9years since I first had cancer in my colon... The ER I went to did the all the right things,, I had come in after 5 days of suffering and horrific pain thinking this will pass. While moved to my ex surgeons hospital he said they would get it reversed with out surgery,, later when discharged he joked , but he is not funny, so the comment he made that maybe it was just an air pocket was hideous. also telling the other Drs that he would be afraid to do surgery on me,. as I am too thin and the problems he had with my original colectomies (which caused this) were due to me not having any thing to adhere to on my gut,,,, I knew in hospital I needed my GI DR,, no one waws consulting with him or my cardio... The next day out my GI put me back on liquids,, read the second ct from ER that hot shot surgeon didn't read just shushed it ooff as why did they do another,,, if he had read it it clearly shows the obstruction and the stricture as well as major narrowing of intestines,,, had a colonoscopy as well, biopsies taken.., I am toldby all I am at high risk of this happening again,,,, so I am very careful with what I eat,, I keep losing weight, I know I need to drink tthe protein drinks but forget... so something has to be done,,, I was thinking what you had??? so when you ask when do symptoms go away what kind of symptoms are you having and what are you eating ,, are you on a special diet??? What did they tell you to expect after the surgery,,,, have you had a colonoscopy to see where things are,, I would appreciate any info and I wish you pain free days, I know they are horrible,,

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I am sorry you are going so much hell with your intestines. I would suggest that you not hesitate to change doctors as needed until you find someone who can help you.
In my case I wound up with a coli-rectal surgeon sixty miles away who did laparoscopic surgery on me and did lysis to cut or remove a lot of the adhesions which were the cause of my blockage. He told me that IF the procedure was going to work it could take a year or longer and that there were no guarantees of success. Fortunately, after a little more than a year, I have about 90% improvement. I'm still careful with what I eat, mostly avoiding fiber and greasy foods, and have gained back a good bit of the weight I lost. I also have very little pain.

In my case I also have episodes of colitis which results in liquid diarrhea for which I take Meta Mucil daily which at least firms up my stools. It's a pain to do but it helps.

I would urge you to keep looking. The right doctor is out there. Most of the doctors don't want to perform surgery due to the unpredictable success rate but pain free days are definitely possible. All the best.

REPLY
Profile picture for jacqueline1961 @jacqueline1961

I am interested as well. I was just hospitalized with a small bowel obstruction, 3 weeks ago,,, I had the NG Tube down the nose to stomach for 6 days of misery until I said enough and took it out,, ticked off my surgeon who after discharge dumped me as a patient , even though he has been my surgeon for 9years since I first had cancer in my colon... The ER I went to did the all the right things,, I had come in after 5 days of suffering and horrific pain thinking this will pass. While moved to my ex surgeons hospital he said they would get it reversed with out surgery,, later when discharged he joked , but he is not funny, so the comment he made that maybe it was just an air pocket was hideous. also telling the other Drs that he would be afraid to do surgery on me,. as I am too thin and the problems he had with my original colectomies (which caused this) were due to me not having any thing to adhere to on my gut,,,, I knew in hospital I needed my GI DR,, no one waws consulting with him or my cardio... The next day out my GI put me back on liquids,, read the second ct from ER that hot shot surgeon didn't read just shushed it ooff as why did they do another,,, if he had read it it clearly shows the obstruction and the stricture as well as major narrowing of intestines,,, had a colonoscopy as well, biopsies taken.., I am toldby all I am at high risk of this happening again,,,, so I am very careful with what I eat,, I keep losing weight, I know I need to drink tthe protein drinks but forget... so something has to be done,,, I was thinking what you had??? so when you ask when do symptoms go away what kind of symptoms are you having and what are you eating ,, are you on a special diet??? What did they tell you to expect after the surgery,,,, have you had a colonoscopy to see where things are,, I would appreciate any info and I wish you pain free days, I know they are horrible,,

Jump to this post

I am sorry you are going so much hell with your intestines. I would suggest that you not hesitate to change doctors as needed until you find someone who can help you.
In my case I wound up with a coli-rectal surgeon sixty miles away who did laparoscopic surgery on me and did lysis to cut or remove a lot of the adhesions which were the cause of my blockage. He told me that IF the procedure was going to work it could take a year or longer and that there were no guarantees of success. Fortunately, after a little more than a year, I have about 90% improvement. I'm still careful with what I eat, mostly avoiding fiber and greasy foods, and have gained back a good bit of the weight I lost. I also have very little pain.

In my case I also have episodes of colitis which results in liquid diarrhea for which I take Meta Mucil daily which at least firms up my stools. It's a pain to do but it helps.

I would urge you to keep looking. The right doctor is out there. Most of the doctors don't want to perform surgery due to the unpredictable success rate but pain free days are definitely possible. All the best.

REPLY
Profile picture for docm @docmeehan

I was hospitalized with partial small bowel obstruction six months ago which was cleared non-surgically. I had laparoscopic lysis six weeks ago for multiple adhesions which were from a hemi-colectomy/appendectomy over twenty years ago. I have had no improvement in symptoms since then. I know that things can get worse but what I want to know is do things ever get better?

I'm hoping for a reason to become more optimistic about my situation.

docm

Jump to this post

I had a partial colectomy in May of 2019 (LAR in two areas). Three months after, I developed an obstruction. I had the NG tube and they did CT every day to see if it was clearing. After day 7 with no progress (and a small bowel follow through where I started throwing up stool and contrast) they did surgery. I was full of adhesions. During the small bowel surgery, my bowel was inadvertently cut and I developed a fistula. Ultimately, that led to months of issues and huge weight loss. In November of that same year I developed a perforation and became septic.

It is now almost five years later and I have not had another obstruction. I was very careful with what I ate initially because I was so fearful of another obstruction it was so painful and so scary. But I now eat pretty much anything, including fruits and veggies (except celery). One day I ate several pieces of celery and next day felt similar feelings of obstruction.

The first year after these surgeries, I did a ton of abdominal massage after eating. There are you tube videos that show you and it really helped. Drink tons of water and move around

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Profile picture for ppat4pr @ppat4pr

I think hotshot surgeon need to be reported to the hospital, at the very least. So sorry you had to go through all that & still not well. Different hospital, maybe?

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Thank you.. Yes I found another surgeon at another Hospital who is a colon /rectal specialist,, around here I do my own medical research, I see him at the end of the month, in the mean time office set up series of small bowel studies,, he read my records and agreed to take me as a patient, In the meantime I am still eating ok but the same things every day,, chicken carrots cottage cheese with banana, gave of carb, water. Taking creaon from GI Dr, pancreas not working... ironically the other day I was in one of the stores here and who do I see but my surgeon of 9 years who cancelled my follow up appt, from hospital,, I smiled and waved , so did he,,, Then he ends up in my line as if nothing happened telling me good to see me up and about, Im looking good,,,, I said I have been meaning to call "you",, acts stupid like why.... I said because of the way your staff treated me , telling me I am not your patient,.. I repeated i have been your patient for 9 years. You were the one who transferred me from the er to your hospital , I basically called him out,, I am very out spoken.. I used to be afraid of him not anymore. He says "oh the ladies said you called to have surgery".. BS, I did not,, they know why I called, made the follow up and lied., So I said ,.. I will call you.... he says I don't want to have surgery, well of course I don't,. who does... I want to know what my options are as what I have does not fix it self and I am on pins.. and needles daily feeling is this happening again, I hate it,,, It was very awkward he tells me to call him... sure...No I have no reason to ,, he doesnt even know the actual extent of my condition because he is too arrogant to check,, The same surgeon who told me and my family 9 years ago going into bowel surgery that I didn't have much longer to live due to the fact I had a very rare cancer, but he would do what he could once he opened me up. I should have hated him , I am alive , I made stupid decisions based on his statements as if he was God.. who he thinks he is,,, This is a small town, His Hospital he is now with is a new Boutique hospital where all the better Drs are... I wouldn't touch him... Ive already got a reputation where Drs are afraid of me,, thank you for your advice and support. I wish you well.. 🙂

REPLY
Profile picture for docm @docmeehan

I was hospitalized with partial small bowel obstruction six months ago which was cleared non-surgically. I had laparoscopic lysis six weeks ago for multiple adhesions which were from a hemi-colectomy/appendectomy over twenty years ago. I have had no improvement in symptoms since then. I know that things can get worse but what I want to know is do things ever get better?

I'm hoping for a reason to become more optimistic about my situation.

docm

Jump to this post

i had partial small bowel resection because of Crohns disease. back in 2009. they took out about 18 inches. because nothing was getting through. except diarrhea. or just liquids. when they put it back together, they removed my appendix. they connected the small bowel to where the appendix was at the end. it took quite a while to heal. for that part and my abdomen. which left a scar about 10 inches long. the scar runs about 5 inches below my ribs down right through the middle of my navel. i was put on Remicade infusions. and right now, i'm in remission. so the bowel resection for obstruction, if done right will help immensely. but make sure that you have a gastroenterologist who knows what they're doing and cares about you. actually the doctor who did me was a general surgeon. he was awesome. good luck, d

REPLY
Profile picture for fessenbeck65 @fessenbeck65

My son at the age of 5 had a partial bowl obstruction (Illeus paralized bowel). This lasted a week. He was in so much pain, begging us to kill him. It was awful.!
Had CAT scans every day to see if the bowel was moving. And finally the doctor recommended, we give him milk of magnesia. It irritates the colon from above to get it working so it can move again. And it worked! Had to give him milk of Mag for 2 months every morning. He is 29 now and he’s never had an issue with his colon since that time!!
When I had my second child by C-section, my bowels became paralyzed from the air hitting the intestine. They advised me to use milk of magnesia to get the bowels moving again… And it worked!
I’m not saying you should try this without checking with your physician first or doing your own research.
Good Luck🤞

Jump to this post

I had 3 small bowel obstructions last year and was admitted to the hospital each time and this week had 2 nights of extreme pain but it finally stopped after many tylenol. I ate lightly for 2 days and today feel almost back to normal. I didn't go to emergency as the wait time is about 7 or more hours (in pain). I didn't think this time it was obstructed as I was still passing gas.

It is interesting that you mention milk of magnesia as my family doctor once said it was the best thing (old fashioned idea) to get things moving. Right now I am on 2 different prescriptions given by my GI specialist but still take restoralax daily. If I get this terrible pain again would it be safe to take a milk of magnesia?

REPLY
Profile picture for jacqueline1961 @jacqueline1961

I am interested as well. I was just hospitalized with a small bowel obstruction, 3 weeks ago,,, I had the NG Tube down the nose to stomach for 6 days of misery until I said enough and took it out,, ticked off my surgeon who after discharge dumped me as a patient , even though he has been my surgeon for 9years since I first had cancer in my colon... The ER I went to did the all the right things,, I had come in after 5 days of suffering and horrific pain thinking this will pass. While moved to my ex surgeons hospital he said they would get it reversed with out surgery,, later when discharged he joked , but he is not funny, so the comment he made that maybe it was just an air pocket was hideous. also telling the other Drs that he would be afraid to do surgery on me,. as I am too thin and the problems he had with my original colectomies (which caused this) were due to me not having any thing to adhere to on my gut,,,, I knew in hospital I needed my GI DR,, no one waws consulting with him or my cardio... The next day out my GI put me back on liquids,, read the second ct from ER that hot shot surgeon didn't read just shushed it ooff as why did they do another,,, if he had read it it clearly shows the obstruction and the stricture as well as major narrowing of intestines,,, had a colonoscopy as well, biopsies taken.., I am toldby all I am at high risk of this happening again,,,, so I am very careful with what I eat,, I keep losing weight, I know I need to drink tthe protein drinks but forget... so something has to be done,,, I was thinking what you had??? so when you ask when do symptoms go away what kind of symptoms are you having and what are you eating ,, are you on a special diet??? What did they tell you to expect after the surgery,,,, have you had a colonoscopy to see where things are,, I would appreciate any info and I wish you pain free days, I know they are horrible,,

Jump to this post

My mom had stomach pain doctors kept telling her diverticulitis give he antibiotics send her home. 5 week in a row I brought her to ER. Nothing done 6 time she was in bad shape called 911 and an ambulance got her, the paramedics said poor luck at that hospital let's go to another. We did that night emergency surgery for 3 feet of her intestine was dead they had to remove, when you get old if 1 health care facility does not help you change right away mom was within hours of her death according to last surgeon.

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Profile picture for docm @docmeehan

I was hospitalized with partial small bowel obstruction six months ago which was cleared non-surgically. I had laparoscopic lysis six weeks ago for multiple adhesions which were from a hemi-colectomy/appendectomy over twenty years ago. I have had no improvement in symptoms since then. I know that things can get worse but what I want to know is do things ever get better?

I'm hoping for a reason to become more optimistic about my situation.

docm

Jump to this post

I a so sorry to read of your Moms journey.. Grateful that you were there to help her. I am very outspoken as I had been dx with rare cancer 9 years ago when I felt great , then it all changed,, now it seems because of that and I am still alive I have to keep being my own DR, . you have to do the same. I take care of both of my parents as well. The truth is most medical these days truly sucks.. you are lucky to make it out alive unless you are lucky to be at one of the better clinics around the Country.. You don't have to be old , I wasn't that old I just had lousy Drs but thankfully a few good ones,, With your Mom,,, someone should have done a ct on her from day 1, all kinds of things can happen in the Colon . If she wasn't better in the first few weeks with diet and meds then a series of scans and scopes should have been done,,, No one will speak up for you,, I have learned I have to tell the DRs what I need and that doesn't always work,,,. hence my current situation did not turn out the way I expected,, but I am taking it in my hands to make sure everything is done. I hope your Mom is feeling better today ,, and I wish you both well,, stay on top of all Drs,,,, Use google!! I know I do.

REPLY
Profile picture for docm @docmeehan

I am sorry you are going so much hell with your intestines. I would suggest that you not hesitate to change doctors as needed until you find someone who can help you.
In my case I wound up with a coli-rectal surgeon sixty miles away who did laparoscopic surgery on me and did lysis to cut or remove a lot of the adhesions which were the cause of my blockage. He told me that IF the procedure was going to work it could take a year or longer and that there were no guarantees of success. Fortunately, after a little more than a year, I have about 90% improvement. I'm still careful with what I eat, mostly avoiding fiber and greasy foods, and have gained back a good bit of the weight I lost. I also have very little pain.

In my case I also have episodes of colitis which results in liquid diarrhea for which I take Meta Mucil daily which at least firms up my stools. It's a pain to do but it helps.

I would urge you to keep looking. The right doctor is out there. Most of the doctors don't want to perform surgery due to the unpredictable success rate but pain free days are definitely possible. All the best.

Jump to this post

Hi and thank you for sharing your story with me.. I am curious of course, what is the lysis procedure you had done? I have been googling everything possible to see what my options are. I did find another surgeon, who is a colon and rectal specialist at one of the other hospitals I hardly use. He saw my records and agreed to take me,, I can't get in to see him until the 29th but his MA has been very good . already set up a series of small bowel studies starting next week.. I am doing so so, not as bloated but My diet is so boring,.,,cottage cheese and banana, chicken breast grilled , no spices and steamed baby carrots every night,, and I can not help but eat fresh made sourdough bread every day,,, one of my customers loves to bake it, I will eat it,,, I diverted and had some tiny pasta with diced tomatoes for dinner one night, they were seasoned with garlic, rosemary , basil,, Off the list now, gave me horrible heartburn I rarely get , the next day was not pleasant,, I am pretty much low to no fiber and I don't know when can I have a salad again, or an apple peeled,,,., is that safe. Since my original cancer 9 years ago which was actually stage 4 lung cancer that mets to the colon... and terminal. between the extensive chemo and colectomies etc my entire system is messed up so I was taking the MiraLAX and dulcolax,, then the miralax I stopped for some reason but still need the dulcolax, nothing else will work. Hence I end up liquid,,, and unpredicatable... What was your initial problem that caused the scar tissue? Do you get regular scans and how is your pain levels now,, Thank you for sharing, 🙂

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