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 suzzz9 @suzzz9

I have the same
My small intestines are very narrow
Had surgery to untwist it
Then went to a Myofascial professional who taught me how to keep my very sluggish bowels open and moving. I do this every day
First start by massaging in counterclockwise circles the illiocecal sp? Valve at bottom right of intestines , then keep going up to the right then under the ribs ..at the center of V in rib cage there is another valve. Massage under rib cage .focus on that then keep going and gently dig fingers in and massage & activate large intestine
You are following the direction that the intestines flow. At the end put your fingers on your belly button and twist counter clockwise.
Keep doing the entire procedure until you feel/hear them gurgle.
Repeat the entire thing gently but firmly
Then massage belly lightly
It will start to produce gas and you will know it is activated !
I also take a lower bowel stimulator by Natures Sunshine when I am really bound up. Warm prune juice too
I have kept my bowels moving for 7 years AVOIDING a trip to the hospital with an NG tube in me!
Make sure that you are laying back and relaxed when you do this xo

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@suzzz9 Combined with yoga poses which also massage your intestines!
https://www.truemeds.in/blog/exercise-for-constipation

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Profile picture for shaleenv @shaleenv

I was hospitalized on December 18th after a cat scan showed that I had a small bowel obstruction. Since then I am learning to eat smaller meals and a low fiber diet. I keep a journal of what I eat and how often I am passing stools and gas. What concerns me is that since it happened my stomach is always uncomfortable. Does this ever stop? The uncomfortable feeling? Sometimes it's a pain like when you drink to much water on am empty stomach then exercise, that sharp pain in the left side of my stomach. Does anyone else have this problem?

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Well I went to the mayo clinic and met with one of their GI docs and they referred me to their nutritionist but can't get me in until March 24th. Meanwhile my diet has not been great but I'm slowly learning things I can eat and chewing way more than I used to. She also ordered a new CT scan with contrast just to make sure there is nothing else going on in there. I am really looking forward to meeting the nutritionist as I have lost quite a bit of weight since this started.

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Profile picture for shaleenv @shaleenv

I was hospitalized on December 18th after a cat scan showed that I had a small bowel obstruction. Since then I am learning to eat smaller meals and a low fiber diet. I keep a journal of what I eat and how often I am passing stools and gas. What concerns me is that since it happened my stomach is always uncomfortable. Does this ever stop? The uncomfortable feeling? Sometimes it's a pain like when you drink to much water on am empty stomach then exercise, that sharp pain in the left side of my stomach. Does anyone else have this problem?

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Yes I have exactly the same symptoms and I too had to go into hospital 29 Dec and surgery on New Year’s Day as adhesions causing small bowel obstruction.
Now at home recovering with the same you are having ? It’s horrible and wonder will I get back to normal ?

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Profile picture for shaleenv @shaleenv

Well I went to the mayo clinic and met with one of their GI docs and they referred me to their nutritionist but can't get me in until March 24th. Meanwhile my diet has not been great but I'm slowly learning things I can eat and chewing way more than I used to. She also ordered a new CT scan with contrast just to make sure there is nothing else going on in there. I am really looking forward to meeting the nutritionist as I have lost quite a bit of weight since this started.

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Maybe I need that scan and the dye too, I have exactly the same symptoms and I can hardly eat without getting bloated and feeling terrible

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Profile picture for shaleenv @shaleenv

I did a follow up with my surgeon, even though he ended up not doing surgery, and he told me that it's normal. I asked him to refer me to the mayo clinic, they have accepted me but are waiting to schedule me on e they get more of my records. I also have a follow up with my regular doctor on Tuesday and I am going to tell her as well. It is more just discomfort than pain. I did a bowel test yesterday and it seems to have helped. I feel like I live in fear of food now. Everytime I pass gas or make a bowel movement I am thanking the Lord.

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What kind of bowel test is that ? how is it done ?

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Profile picture for shaleenv @shaleenv

I was hospitalized on December 18th after a cat scan showed that I had a small bowel obstruction. Since then I am learning to eat smaller meals and a low fiber diet. I keep a journal of what I eat and how often I am passing stools and gas. What concerns me is that since it happened my stomach is always uncomfortable. Does this ever stop? The uncomfortable feeling? Sometimes it's a pain like when you drink to much water on am empty stomach then exercise, that sharp pain in the left side of my stomach. Does anyone else have this problem?

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She called it an enterography. They put some kind of dye in you that looks grs up your bowels when they do the CT scan. She told me this will show any other possible problems causing my obstructions or discomfort. Depending on what I eat I feel bloated a lot. Some days are worse than others. I keep a journal of everything I eat and drink trying to learn what aggravates me and what doesn't.

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Profile picture for shaleenv @shaleenv

She called it an enterography. They put some kind of dye in you that looks grs up your bowels when they do the CT scan. She told me this will show any other possible problems causing my obstructions or discomfort. Depending on what I eat I feel bloated a lot. Some days are worse than others. I keep a journal of everything I eat and drink trying to learn what aggravates me and what doesn't.

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Yes, it's called a CT enterography. That's the scan I do every year or two to keep track of the severity of strictures in my intestines from my abdominal adhesions. It's a scan specifically used to locate bowel obstructions.

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Profile picture for shaleenv @shaleenv

I was hospitalized on December 18th after a cat scan showed that I had a small bowel obstruction. Since then I am learning to eat smaller meals and a low fiber diet. I keep a journal of what I eat and how often I am passing stools and gas. What concerns me is that since it happened my stomach is always uncomfortable. Does this ever stop? The uncomfortable feeling? Sometimes it's a pain like when you drink to much water on am empty stomach then exercise, that sharp pain in the left side of my stomach. Does anyone else have this problem?

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FYI: My gastroenterologist did some research and found out that enterography can also be done with MRI. Last September I had a test called MRI abdomen enterography. I had to drink one kind of contrast material before the test and then another contrast material was given via IV during the test. Basically it showed everything that the previous CTs showed but without having to be exposed to x-rays. It showed the size of my mass, the "tethers" that extend from the mass to the small bowel loops, and evaluation of Bowel Motility: "Reduced peristaltic activity." It also showed "Small volume ascites." "IMPRESSION: Lobulated calcified 5.9 cm lesion centered at the root of the small bowel mesentery with associated tethering of loops of small bowel. Findings favored to represent calcified retractile sclerosing mesenteritis." I have also posted elsewhere in the sclerosing mesenteritis section as this is what I am presumed to have even though two sets of doctors have concluded biopsy is not possible (too risky) due to the location of the mass. I follow a low fiber, low fat, high protein diet to avoid bowel obstructions. FYI: I never had any kind of abdominal surgery prior to the discovery of this mass, so my case is highly unusual. I am now on a trial of prednisone and tamoxifen to see if it will cause the mass to shrink. Surgery is not possible for me. Best wishes to all suffers of bowel obstructions. No fun at all!

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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🤞

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I've been managing my chronic paralytic ileus for the past year taking Milk of Magnesia every 4th day (The only one of 4 different laxatives I've tried that works reliably.)

One year ago at age 96 I was discharged from my 4th episode
of a blocked intestinal tract. First episode way back 60 years ago they removed a section of my intestines and spliced it together. Last 3 episodes self-resolved with week of nasal tube draining bile from stomach. Last session (CAT scan confirmed no blockage) but have manifested paralytic ileus ever since and have been managing it over the past year with liquid protein and puree canned vegetables and fruit diet with laxative every 4th day.

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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

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I have had 3 small bowel obstructions. Had to have all but 2ft of my small intestines removed. I have alot of symptoms with only having 2ft. left.
High protein, high carb.low fiber diet and limited plain water. Is the diet I am on. Some people don't absorb enough fluids with plain water, some people need sodium and glucose (sugar) in their fluids for the body to absorb. I also have IV fluids 5 days a week to keep from getting dehydrated. For a partial small bowel obstruction foods should be easy to digest and foods should be cooked well undercooked foods can cause more problems for the small intestines.
I still suffer every day with my Short gut syndrome and my last surgery was in 2019.

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