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 dc10 @dc10

I am currently in the hospital with my 6th SBO. They began 3 years ago and are becoming more frequent. I’ve had all the tests that gastroenterologists do, all the endoscopes and colonoscopies. They think I have some scar tissue from a laparoscopy that I had back in 1980. When I feel an obstruction coming on, it’s like a moving train that I’m unable to stop, and progresses to the point where I’m so violently ill, that I have to get to the hospital to get pain and nausea medication, and of course, the terrible NG tube. My obstructions have resolved on their own in the hospital with their usual protocol, but I have not had any helpful information from the numerous doctors I’ve seen about how to prevent them. It is beyond frustrating and I basically don’t know where to turn to get help with this. Otherwise I am very healthy, but to say that it’s impacting my life is an understatement.

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Hi, I just came across your post and it is identical to what is going on with me. I just had my 6th SBO/w hospital stay and NG tube. This last one told me it had to do with adhesions, not the 2 hernia's I also have from previous surgery. If you find out how to prevent them, let me know and vice versa. We are looking at Mayo and Cleveland Clinic for possible surgery to fix the hernia's (one could possibly make me have a colostomy bag the rest of my life since it is at the site of a temporary colostomy) and remove the scar tissue/adhesions to see if this helps. I am tired of living life like this - afraid another SBO is around the corner if I eat something decent.

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I'm sorry you're going through this too! Just a word of warning/advice. A few years ago a laparoscopic surgeon assured me that he could remove my adhesions so that the SBO's would stop. I will try just about anything except for that Clear Passage thing (which sounds to me like a scam), so I went ahead with the surgery. It broke my heart when I had several SBO's after that!
So I would ask a LOT of questions--how likely would the colostomy bag be (that would be awful), and do they really think that they can remove ALL of the adhesions? The other thing to consider is that from what I understand surgery to remove scar tissue can sometimes cause MORE scar tissue, especially if they end up having to do open (instead of laparoscopic) surgery--and sometimes they don't know if they will have to do that until they've already "gone in."
I'm not saying that you shouldn't consider it, but ask a lot of specific questions about efficacy versus risk.
Good luck, and keep us posted!

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Profile picture for nancybev @nancybev

I'm sorry you're going through this too! Just a word of warning/advice. A few years ago a laparoscopic surgeon assured me that he could remove my adhesions so that the SBO's would stop. I will try just about anything except for that Clear Passage thing (which sounds to me like a scam), so I went ahead with the surgery. It broke my heart when I had several SBO's after that!
So I would ask a LOT of questions--how likely would the colostomy bag be (that would be awful), and do they really think that they can remove ALL of the adhesions? The other thing to consider is that from what I understand surgery to remove scar tissue can sometimes cause MORE scar tissue, especially if they end up having to do open (instead of laparoscopic) surgery--and sometimes they don't know if they will have to do that until they've already "gone in."
I'm not saying that you shouldn't consider it, but ask a lot of specific questions about efficacy versus risk.
Good luck, and keep us posted!

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The more surgery, the more scar tissue. I had surgery 8 months ago for excision adhesion's & there was a tear in my small bowel so the surgery was not completed. Now I'm suffering more pain than ever. Be careful & I wish you the best of luck.

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Profile picture for grammiec @grammiec

Hi, I just came across your post and it is identical to what is going on with me. I just had my 6th SBO/w hospital stay and NG tube. This last one told me it had to do with adhesions, not the 2 hernia's I also have from previous surgery. If you find out how to prevent them, let me know and vice versa. We are looking at Mayo and Cleveland Clinic for possible surgery to fix the hernia's (one could possibly make me have a colostomy bag the rest of my life since it is at the site of a temporary colostomy) and remove the scar tissue/adhesions to see if this helps. I am tired of living life like this - afraid another SBO is around the corner if I eat something decent.

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Hi! I am so sorry that you are dealing with this as well. It is not fun. I've had two open bowel resections with removal of adhesions. My last surgery was in June of 2018. They spent 6 hrs removing every adhesion they could find. I have had 7 SBO's since that surgery. I have seen 2 GI docs, a motility specialist, and 4 surgeons. All of them have told me that surgery to remove the adhesions will only make the problem worse because it will simply cause more adhesions to form. I will be traveling to Mayo in a couple of months to see a battery of specialists there who, I am hoping, will help me figure out how to live with the condition I have and hopefully prevent more surgery. Ask lots of questions! And fight for yourself and your care! I have had to push to get as far as I have and I WORK in the medical field. Good luck and keep us posted.

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I had surgery at the Mayo Clinic last year for excision of adhesion's but mine are so bad. They are thick & dense & plastered in all different directions on different organs. as careful as the dr. was there was tear in the small bowel & I had to have 2 stitches. I'm worse now than I ever was & now I have feet & leg neuropathy on top of it. Surgery only causes more scar tissue & I have had plenty in my life time bc I also have a history of endometriosis.

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Profile picture for jljacoby @jljacoby

Hi! I am so sorry that you are dealing with this as well. It is not fun. I've had two open bowel resections with removal of adhesions. My last surgery was in June of 2018. They spent 6 hrs removing every adhesion they could find. I have had 7 SBO's since that surgery. I have seen 2 GI docs, a motility specialist, and 4 surgeons. All of them have told me that surgery to remove the adhesions will only make the problem worse because it will simply cause more adhesions to form. I will be traveling to Mayo in a couple of months to see a battery of specialists there who, I am hoping, will help me figure out how to live with the condition I have and hopefully prevent more surgery. Ask lots of questions! And fight for yourself and your care! I have had to push to get as far as I have and I WORK in the medical field. Good luck and keep us posted.

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Your right. I don't want any more surgery. Thanks for the info. Best of luck to you & keep me posted.

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Profile picture for stuckonu @stuckonu

Hello pain sufferers. I'm brand new to the mayo connect groups. I joined after accidentally finding the " SBO " discussion while doing my own research. When I clicked on " join a group " and typed in " SBO " and small bowel obstruction, I discovered this group and I'm looming forward to reading about your experiences and thoughts about " PAIN " and pain management.
Now I'm going to continue to search for the SBO group but I'll be back.

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You have no idea how kind and helpful people are here. You can learn more from us, than your doctors. Good luck with your pain. Feel free to share anything you want. I have neuropathy in my feet, and live with pain, day in, day out. Looking forward to your posts. Lori Renee

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Hello pain sufferers. I'm brand new to the mayo connect groups. I joined after accidentally finding the " SBO " discussion while doing my own research. When I clicked on " join a group " and typed in " SBO " and small bowel obstruction, I discovered this group and I'm looming forward to reading about your experiences and thoughts about " PAIN " and pain management.
Now I'm going to continue to search for the SBO group but I'll be back.

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Hi @stuckonu you may have noticed I moved your post to this existing discussion on small bowel obstruction so that you can learn and connect with others who have similar experiences. Simply click VIEW & REPLY in your email notification to get to your post.

I'd like to thank @lorirenee1 and also tag fellow Connect members @tigreyes2004 @jljacoby and @nancybev as they have experience with small bowel obstructions and may be able to offer you support and share their experiences.

Back to you @stuckonu are you comfortable sharing more on your experience with small bowel obstruction?

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Profile picture for Ethan McConkey, Moderator @ethanmcconkey

Hi @stuckonu you may have noticed I moved your post to this existing discussion on small bowel obstruction so that you can learn and connect with others who have similar experiences. Simply click VIEW & REPLY in your email notification to get to your post.

I'd like to thank @lorirenee1 and also tag fellow Connect members @tigreyes2004 @jljacoby and @nancybev as they have experience with small bowel obstructions and may be able to offer you support and share their experiences.

Back to you @stuckonu are you comfortable sharing more on your experience with small bowel obstruction?

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Hello once again Ethan and TY for moving my post to the correct place. I responded to your reply on hypnosis.
Before I posted anything I sent a “ private message “ to Theresa’s email ( I’m speculating that “ private messages “ go to ones email but at this time I’m not sure how things work here, hence posting in the wrong place. I’m sure with time I’ll learn the ropes. And yes I have had my own experiences with SBO that I’d really like to share here. As I replied to one lady who’s posted several times there: “ I don’t want to hijack some else’s post to talk about my own experiences and thoughts. As of yet I haven’t figured out how to do that since there is no “ group “ here called “ SBO “ for me THAT would make it easier to figure out. Does that make sense? I hope so
Thanks once again

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