I just had my first SBO a month ago. Since then my gut feels tender. It's like every time I eat I can feel the food moving through my small intestine. I was wondering if obstructions can be caused by food/just diet or are they caused by adhesions? I'm worried about this because I've had my pouch for 7 years without any issues. Does this become a chronic thing? I can't go through losing my quality of life again, I won't survive it. 

I wrote to you on your other post.  Food/diet can certainly cause obstruction - one of mine was because I ate too much coconut - I figured that out afterwards.  Adhesions are definitely not the only thing that causes obstructions - food can do it.  There is no magic diet for the pouch - people will give you all sorts of advice, but I've found over the years that what works for one person does not work for another - it really is trial and error.  I used to eat tons of fruits and veggies as I wanted to be healthy - through the years I have made the choice to still eat them, but in smaller quantities - especially some fruits.  An apple a day was one of my mottos - but then I realized apples are really hard on me - even if I chew them like crazy.  So, I will have a quarter of an apple or something.  Just trial and error. I decided not having all that pain in my GI was worth more than whatever I was losing regarding nutrition.  I think, if I could go back and do it all over, I would have been more proactive in finding a nutritionist who specialized in GI issues and would have tried to figure out a better diet plan.  Back then, it was like, "surgery went great - off you go" and I did.  Well, how ridiculous is that?  I went through a lot of suffering in terms of GI pain and discomfort through the years when perhaps had I slowed down and gotten some help, I could have managed the pouch better.  I was very young and very determined and I just pushed on through and then really broke down at age 45 - looking back, I would have gotten more help.  I would have found a way to get a job that was less stressful, etc. - that's my two cents.  Don't panic about adhesions.  If you ever do have to have them removed, as I did once years later due to another surgery - he just cleaned it all up in there while he was doing something else - that was a great upside of going through those surgeries.  And, I think they have better stuff (I am no a medical person - others will know what it is) now they put in there to help restrict the growth of so many adhesions.  Hang in there!!

Maddie, I have to respectfully disagree with Angie, but only in a small way. Food alone (eaten within reason) will not obstruct a pristine gut. OTOH, we've all had abdominal surgery, and most of us have some adhesions as a result. Most of those adhesions cause us no problems, some cause occasional problems, and occasional ones cause frequent problems. If you get slightly blocked from an adhesion, the food you eat will tend to pile on, causing pain as the gut tries to push it through. I agree with almost everything Angie wrote about trial and error, though I think we *sometimes* blame a specific food when it just happened to be eaten at a vulnerable time.