Blockages aren't generally caused by food, though piling food behind them can lead to real misery. Surgically altered bowel can get narrowed, by twisting or kinking around an adhesion, or swelling, or forming scar tissue. Bowel hurts like heck when it's stretched, and it stretches plenty as it contracts to push food, etc. through a closed (or partially closed) pipe. The ER gets involved to deal with or prevent two basic complications: dehydration and bowel rupture. Both are worth avoiding. A partial blockage can make you miserable, but if you are gentle with yourself and stick to liquids neither complication is likely as long as the pressure is getting relieved and fluid is flowing. A complete blockage is a different story, and if it doesn't resolve itself professional help is needed. In both cases solid food is the least important thing to think about.

People have various positions, maneuvers, beverages, and prayers that they use, but time is the common factor. Blockages have been discussed here frequently - here's a post/thread from last year: https://www.j-pouch.org/topic/a...1#491213757277141771

Do some searching and you can find the wisdom of many folks, instead of just the ones on the site today.

Thanks for your answer.  The pressure is not getting relieved.  Today I cannot even pass gas.  The pain comes and goes in intense waves.  I am close to vomiting. It even hurts to drink liquid at times.

How do I know when it has turned into a full blockage?  Also, what are my chances it will turn into a rupture, and what are the signs?  What happens should that happen?

I still have an open wound that won't heal.  My skin was so tight that there was not enough fat to stitch me normally so they left a hole there for skin to grow over.  I do not know what this technique is called but it has not healed.  I wear a new bandage every day.

I do not know if I'm physically well enough to make it to the ER on my own.  Is it unheard of to call an ambulance for this?  Or is this not enough of an emergency?

If you're not physically well enough to make it to the ER on your own, that's why ambulances exist. Be aware that ambulances are expensive, and ER visits for blockages can be very, very frustrating. If you are still keeping liquids down you're probably not on the verge of bowel rupture, but if you start vomiting or stop peeing then the time has come to get some help.

I've had my j pouch since 2007 and just had my second child last month , 3 days later had an emergency surgery for a bowel obstruction.  Since then I've been on severe pain like described above. I went to the er this week i couldn't take the pain. A ct scan still showed an 8 cm bowel loop and looked just a bad as the ct scan I had done last month before surgery. I'm still having bowel movements so my surgeon doesn't think I have an obstruction but the pain is just too much I feel like something is wrong, I've been in extreme pain since the surgery even my incision still hurts, and also stil has an open hole part.

courtneyjade you need to call your doctor and seek their direction. extreme pain may be sign of an abscess ie an infection post surgically which can happen and must be treated. obstructions are indicated by bloating and lack of bowel movements, often resulting in vomiting ie the peristalsis has nowhere down to go so it comes up, and waves of pain as the peristalsis persists. it is extreme but it is also in waves, from what you are describing I would guess more of an abscess type issue. please contact your doctor as they can help facilitate an ER visit should that be necessary. otherwise as Scott suggested above ER visits can be awfully frustrating.