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Chronic small bowel obstruction from adhesions

Digestive Health | Last Active: Feb 12, 2023 | Replies (212)

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@marciakeren

So just back from a visit with the local nutritionist, who had a lot of great suggestions about dealing with a low fiber - low residue - low everything diet. Since I am vegan, the big issue for me was how to get enough protein. She had a lot of good ideas... things I hadn't thought about... like grinding oatmeal before preparing it (to cut back on residue).. basically eating cream of oats, like cream of wheat... and she said that while whole grain pasta was ok, I should avoid brown rice.. things like that. In all, very helpful .. and reminded me to chew chew chew... she said that whatever I am eating should have the texture of pudding before I swallowed it.. Not sure if anyone else has had this type of consult.. but I strongly believe that one way to control my condition is to control what I eat...

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Replies to "So just back from a visit with the local nutritionist, who had a lot of great..."

I was on strict low residue for 3 months, then as soon as I tried to re introduce some fiber, the blockage and diverticulitis hit again. On antibiotics for a week, then 10 days later back in ER with almost a total blockage, but this was down in sigmoid. I then got the small bowel backing up into stomach and had dreaded NG tube. But since this last surgery everything has been ok thank God. Being very careful about what types of fiber I eat. No nuts, seeds or raw veggies yet and no fruit with skins

I too was advised by the hospital nutritionist to eat nothing with more than 2 grams of fiber. So for the past 2 years that's what i try do. If its something I like such as oatmeal and the label says that 1/2 cup is 3 grams of fiber I use 1/3 cup which I hope cuts the fiber count down. And I cook it until its like a soft pate. Its still good!! Its still hard to manage my diet though. I eat a lot of white rice and white bread and white potatoes for some bulk plus of course acceptable veggies and fruits but I miss things like baked or refried beans and lentils. Being a long-time vegetarian those foods were a large part of my diet. Eating low fiber though has cut my stomach attacks down to about 2 per year. The attacks, when they come, are after my succumbing to the urge to eat something higher in fiber that is tempting me and a very painful reminder to cut it out and get back with the program. My adhesions started after 25 days of pelvic radiation and they aren't going to go away. I am trying to stay low fiber and welcome any food suggestions that this old vegetarian might add to perk up my diet.