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Chronic small bowel obstruction from adhesions

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

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@docmeehan

Hi, I am new to this group and am finding it very helpful. I am a seventy-eight year old maleI had a hemi-colectomy/appendectomy twenty one years ago and had my first partial SBO six months ago. It was cleared in the hospital without surgery but I have continued to have abdominal and back pain. I recently went to a colorectal surgeon and had laparoscopic surgery. He said I have a lot of adhesions. My stomach and part of my transverse colon were adhered to the abdominal wall. He freed these and some other areas with lysis. I am still having pain, both from the surgery and the adhesions, but can tolerate a low fiber diet most of the time. When I have a flare-up I drop back to a liquid diet until it passes. My doctor says we won't know if the surgery was successful for six months or so.

Every doctor that I have seen says that I should be able to tolerate a regular diet but I find that to be untrue.

My question is does anyone take Miralax ? I have been taking Miralax daily to keep things moving and find that it works pretty well but I'm having trouble determining when and how much to take.

I would very much appreciate any advice I can get.

docm

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Replies to "Hi, I am new to this group and am finding it very helpful. I am a..."

Hi! I’m so sorry that you’re having SBO and pain. I have had 10 abdominal and pelvic surgeries and I’ve had two small bowel obstructions and two small bowel resections. I’ve had multiple surgeries for Lysis of adhesions and the adhesions seem to reform worse than before. I’m prescribed Lubiprostone and I use Miralax too.

Just an update on my previous post. I had a partial small bowel obstruction last August and I had abdominal adhesion lysis January 6th. I'm getting by on the low residue/low fiber diet and occasionally need to switch to the liquid diet for a day or so. I'm taking Miralax daily but I need to know how to regulate my stools. I have daily bowel movements but they are always diarrhea and I don't know a way to change this without risking constipation or bowel obstruction. How do other people deal with this? Can I safely introduce MetaMucil while taking the Miralax? I am healthy otherwise.

Thanks in advance for any advice on how to manage this situation and God bless you if you're having to deal with this too.

docm