Can Apple Or Brown Bread Cause A Blockage?

Hi

I've had a stoma (ileo end) since November 2010 and up until yesterday everything has been fine. However,
I had a really painful cramping during the early hours of Wednesday and sure enough no output. I was sick once early
yesterday after drinking water and I had to eat a few tinned prunes and their juice (which usually passes through me rapidly

)

Anyway I stayed off food & fluids until this morning and am pleased to say I'm back to normal with, at initially plenty of liquid output
and now more normal output.

I'm racking my brains trying to work what may have been the issue, food wise. I did eat a large apple and have been having brown bread,
rather than white. Could either of these cause a blockage?. For now, I'm going to stay off the apples!

I'd be grateful for any comments. Thanks.

1/17/138:06 AM

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Original Post

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Jan DollarModerator, RN, retired

I put my money on the apple, especially if you did not chew really well and ate the skin with it... You probably don't have to swear off apples, just be sure you chew it up well.

Jan

1/17/1311:18 AM

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Steven MusterMember

Thanks Jan, I thought that could be the case! I used to have so many blockages with the j pouch and pain!!! So, I
know very well the symptoms to look out for. I did eat the apple with the skin, but normally chew really well. Maybe it
just all builds up in a small ball and blocks. Anyway for now I'm keeping off the damn things

1/17/1311:22 AM

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Jan DollarModerator, RN, retired

I find that I chew better if I cut the apple into thin slices, rather than just eating the whole apple. Of course, applesauce would be fine...

Jan

1/17/1311:33 AM

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liz11Member

yup for me apple skins are a no-no. But I eat apple all the time. I peel then and cut them up into little wedges.

1/18/1310:24 AM

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Steven MusterMember

Thanks Liz. The odd thing is that I've been munching on apples for 2 years since I got the stoma. However I did the silly thing of not chewing so well with a large apple! It was very nice but caused 24 hours of discomfort & staying off food/liquids (due to vomiting).

I've learnt my lesson

1/18/1310:39 AM

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skn69Member

Steven,
it is not just what you eat but what you eat it with and when...If I eat an apple all by itself (peeled and cut up first) I am fine...If I eat it after a sandwich then it is no holds bared...I am blocked for 18hrs or more...fruits alone are fine but mixed with other food groups can cause unmentionable pain.
Sharon
And yes...chew, chew, chew

1/20/139:37 AM

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Steven MusterMember

Thanks Sharon

It's all quite odd! I was eating apples before a main meal to ensure it 'goes down first' and always (or nearly) chewed very well. Anyway for now, I'm going back to tinned fruit, like sliced peaches

Many thanks again from snowy Chigwell, Essex, UK

1/20/139:58 AM

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skn69Member

You are welcome...Bet you that we have as much if not more snow than you! Just got the most snow ever here in Paris (or next to it!)...the city is paralyzed!
Good luck on your end and chew those peaches well!
Sharon

1/20/131:22 PM

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SelmaMember

I have blockages after tough corn on the cob, then not enough water with it. Ended up in the hospital with that one and ng tube for four days. I also had problems with a dry pork chop. I massaged the spot since I know where it is now, narrowing due to scar tissue. I just make sure I chew really well and drink water with anything that is dry including sandwiches.

1/24/137:15 PM

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Steven MusterMember

Thanks Selma. Useful advice! Drinking after eating is something I was told by the stoma nurse, but easily missed out. I'll certainly do that after anything dry as you suggested.

1/25/132:28 AM

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