Tips for managing chronic Small Bowel Obstructions

Posted by jljacoby @jljacoby, Dec 10, 2018

Hey everybody!
I joined this group hoping to find tips for managing recurrent/chronic SBOs. I had a Ladd's procedure at 4 days old which left me with scar tissue.
I started having partial SBOs at 25 but they went misdiagnosed as biliary colic because my anatomy is weird so I presented with RUQ pain mimicking gallbladder issues.
Last year in March I was diagnosed with a closed loop bowel obstruction and had emergency surgery. They found that my intestines were adhered to my liver and gallbladder and the surgeon removed my gallbladder an resected a small portion of my small intestine. That resulted in a 21 day stay in the hospital due to post op complications.
This year in June I had yet another SBO that ultimately resulted in another surgery. My surgeon said it looked like someone had dumped super glue in my abdomen the adhesions were so bad. That surgery resulted in a 26 day hospital stay ( my bowels don't like to wake up post surgery).
I am now following a low fiber/no fiber diet, work out regularly, and drink 124 oz of water daily. I have had at least 2 SBOs since being released which were both managed with an NG. I find that eating any food sets me off and have had to stick to mostly liquids.
Any tips for how to manage this thing??
Jennifer

Interested in more discussions like this? Go to the Digestive Health Support Group.

Profile picture for marciakeren @marciakeren

Thank you for the advice. Unfortunately I have not been able to find a dietician here who understands the issues.. still looking. And your encouragement is sending me back to the hunt!

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@marciakeren

Your GI specialist might be able to connect you with a dietician who can help you.

I would like to know how you are doing. Will you continue to post?

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Profile picture for ashby1947 @ashby1947

I'm new to this group, but not to digestive issues, sigh. Twice, in 2012 and 2013, I was hospitalized with an obstructed bowel. It was unpleasant (NG tube), 12 on the pain scale, and frightening. Fortunately, with conservative hospital treatment, I avoided surgery and recovered. The reason for my obstructions was massive adhesions due to 7 abdominal surgeries. This was after a couple of years of all kinds of bloating, diarrhea, bowel incontinence, etc. After much testing and many trips to the ER, I went to the Cleveland Clinic. More tests - but nothing definitive. My GP was my best resource, and we finally decided that I should not eat any fruit, veggies, nuts, seeds, or fiber. I have an interesting diet! But it's okay. He also put me on Miralax every day to keep everything moving. This was 5 years ago, and I have been without any obstructions during that time. I follow my diet. The Miralax does keep things moving - boy, how I love to hear those peristalsis sounds! I have read several studies that indicate that this is not a healthy habit; however, it works for me, and I suspect the researchers have never suffered with an obstructed bowel! Has anyone else been using Miralax in this matter? I appreciate your comments. Regards, Sue

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Been using it for about a year. Seems to help but not always. Have been in ER 4 times in the last 3 months for obstructed small intestine. Don’t have a diet prescribed. Need to find a good nutrition person to help.

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Profile picture for ashby1947 @ashby1947

I'm new to this group, but not to digestive issues, sigh. Twice, in 2012 and 2013, I was hospitalized with an obstructed bowel. It was unpleasant (NG tube), 12 on the pain scale, and frightening. Fortunately, with conservative hospital treatment, I avoided surgery and recovered. The reason for my obstructions was massive adhesions due to 7 abdominal surgeries. This was after a couple of years of all kinds of bloating, diarrhea, bowel incontinence, etc. After much testing and many trips to the ER, I went to the Cleveland Clinic. More tests - but nothing definitive. My GP was my best resource, and we finally decided that I should not eat any fruit, veggies, nuts, seeds, or fiber. I have an interesting diet! But it's okay. He also put me on Miralax every day to keep everything moving. This was 5 years ago, and I have been without any obstructions during that time. I follow my diet. The Miralax does keep things moving - boy, how I love to hear those peristalsis sounds! I have read several studies that indicate that this is not a healthy habit; however, it works for me, and I suspect the researchers have never suffered with an obstructed bowel! Has anyone else been using Miralax in this matter? I appreciate your comments. Regards, Sue

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Have been taking miralax daily off an on for a year. Helps somewhat but not enough. Lately have had 4 small bowel obstruction ER episodes. Don’t really know what to eat . Need a good nutritionist . Any suggestions?

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Profile picture for ashby1947 @ashby1947

I'm new to this group, but not to digestive issues, sigh. Twice, in 2012 and 2013, I was hospitalized with an obstructed bowel. It was unpleasant (NG tube), 12 on the pain scale, and frightening. Fortunately, with conservative hospital treatment, I avoided surgery and recovered. The reason for my obstructions was massive adhesions due to 7 abdominal surgeries. This was after a couple of years of all kinds of bloating, diarrhea, bowel incontinence, etc. After much testing and many trips to the ER, I went to the Cleveland Clinic. More tests - but nothing definitive. My GP was my best resource, and we finally decided that I should not eat any fruit, veggies, nuts, seeds, or fiber. I have an interesting diet! But it's okay. He also put me on Miralax every day to keep everything moving. This was 5 years ago, and I have been without any obstructions during that time. I follow my diet. The Miralax does keep things moving - boy, how I love to hear those peristalsis sounds! I have read several studies that indicate that this is not a healthy habit; however, it works for me, and I suspect the researchers have never suffered with an obstructed bowel! Has anyone else been using Miralax in this matter? I appreciate your comments. Regards, Sue

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Try smooth Move tea. It has been the best bowel movement

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Profile picture for ashby1947 @ashby1947

I'm new to this group, but not to digestive issues, sigh. Twice, in 2012 and 2013, I was hospitalized with an obstructed bowel. It was unpleasant (NG tube), 12 on the pain scale, and frightening. Fortunately, with conservative hospital treatment, I avoided surgery and recovered. The reason for my obstructions was massive adhesions due to 7 abdominal surgeries. This was after a couple of years of all kinds of bloating, diarrhea, bowel incontinence, etc. After much testing and many trips to the ER, I went to the Cleveland Clinic. More tests - but nothing definitive. My GP was my best resource, and we finally decided that I should not eat any fruit, veggies, nuts, seeds, or fiber. I have an interesting diet! But it's okay. He also put me on Miralax every day to keep everything moving. This was 5 years ago, and I have been without any obstructions during that time. I follow my diet. The Miralax does keep things moving - boy, how I love to hear those peristalsis sounds! I have read several studies that indicate that this is not a healthy habit; however, it works for me, and I suspect the researchers have never suffered with an obstructed bowel! Has anyone else been using Miralax in this matter? I appreciate your comments. Regards, Sue

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What to eat?

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Profile picture for mmco @mmco

What to eat?

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@mmco Welcome to Mayo Clinic Connect. You will see that your post is now in this discussion:
Obstructed bowel prevention - Miralax everyday
https://connect.mayoclinic.org/discussion/obstructed-bowel-prevention-miralax-everyday/
so you can meet people like @nlb28 and @carolcantor

Can you share some more information about your situation and what has/has not worked for you?

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Profile picture for ashby1947 @ashby1947

I'm new to this group, but not to digestive issues, sigh. Twice, in 2012 and 2013, I was hospitalized with an obstructed bowel. It was unpleasant (NG tube), 12 on the pain scale, and frightening. Fortunately, with conservative hospital treatment, I avoided surgery and recovered. The reason for my obstructions was massive adhesions due to 7 abdominal surgeries. This was after a couple of years of all kinds of bloating, diarrhea, bowel incontinence, etc. After much testing and many trips to the ER, I went to the Cleveland Clinic. More tests - but nothing definitive. My GP was my best resource, and we finally decided that I should not eat any fruit, veggies, nuts, seeds, or fiber. I have an interesting diet! But it's okay. He also put me on Miralax every day to keep everything moving. This was 5 years ago, and I have been without any obstructions during that time. I follow my diet. The Miralax does keep things moving - boy, how I love to hear those peristalsis sounds! I have read several studies that indicate that this is not a healthy habit; however, it works for me, and I suspect the researchers have never suffered with an obstructed bowel! Has anyone else been using Miralax in this matter? I appreciate your comments. Regards, Sue

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Hello,

I have been on TPN with a PICC line for 15 months. My goal is to wean off of TPN at some point, but I am limited in the types of food that I can eat and the amount of food that I can eat.

I was diagnosed with uterine cancer in January 2020. I had a total hysterectomy and dissection of a lymph node that was malignant. I underwent chemo and radiation following my surgery.

The radiation that I received damaged my intestines and also caused appendicitis in me at 66 years old, which ended with an appendectomy. Radiation has not been my friend. I had 2 bowel blockages that required 2 small bowel resections. I had 4 surgeries in 2 years. After the last small bowel resection, my surgeon believed that my bowels were open and that I would be able to eat. My bowels are open, but unfortunately, eating causes me cramping pain, excessive gas, diarrhea, and nausea/vomiting.

I do not know how to proceed with eating at this point since the results can be so unpredictable. I currently receive 80 grams of protein and 1400 calories a day in my TPN bag. Any thoughts or suggestions would be appreciated.

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Profile picture for rainbow92 @rainbow92

Hello,

I have been on TPN with a PICC line for 15 months. My goal is to wean off of TPN at some point, but I am limited in the types of food that I can eat and the amount of food that I can eat.

I was diagnosed with uterine cancer in January 2020. I had a total hysterectomy and dissection of a lymph node that was malignant. I underwent chemo and radiation following my surgery.

The radiation that I received damaged my intestines and also caused appendicitis in me at 66 years old, which ended with an appendectomy. Radiation has not been my friend. I had 2 bowel blockages that required 2 small bowel resections. I had 4 surgeries in 2 years. After the last small bowel resection, my surgeon believed that my bowels were open and that I would be able to eat. My bowels are open, but unfortunately, eating causes me cramping pain, excessive gas, diarrhea, and nausea/vomiting.

I do not know how to proceed with eating at this point since the results can be so unpredictable. I currently receive 80 grams of protein and 1400 calories a day in my TPN bag. Any thoughts or suggestions would be appreciated.

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My diagnosis is radiation enteritis. Thank you!

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Profile picture for ashby1947 @ashby1947

I'm new to this group, but not to digestive issues, sigh. Twice, in 2012 and 2013, I was hospitalized with an obstructed bowel. It was unpleasant (NG tube), 12 on the pain scale, and frightening. Fortunately, with conservative hospital treatment, I avoided surgery and recovered. The reason for my obstructions was massive adhesions due to 7 abdominal surgeries. This was after a couple of years of all kinds of bloating, diarrhea, bowel incontinence, etc. After much testing and many trips to the ER, I went to the Cleveland Clinic. More tests - but nothing definitive. My GP was my best resource, and we finally decided that I should not eat any fruit, veggies, nuts, seeds, or fiber. I have an interesting diet! But it's okay. He also put me on Miralax every day to keep everything moving. This was 5 years ago, and I have been without any obstructions during that time. I follow my diet. The Miralax does keep things moving - boy, how I love to hear those peristalsis sounds! I have read several studies that indicate that this is not a healthy habit; however, it works for me, and I suspect the researchers have never suffered with an obstructed bowel! Has anyone else been using Miralax in this matter? I appreciate your comments. Regards, Sue

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Yes! I had surgery in November. I take 1 cap of Miralax daily and a high fiber cereal called Poop like a Champion that I buy on Amazon or the Poop website.
No constipation!

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My husband has had a partial bowel obstruction. It has opened on it's own. Would like to know what foods he should and should not eat.
He is being set up to swallow small camera, to see if they can find out why this keeps happening.

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