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Hi all,

First time post on here for me, found this forum really helpful so far!

I had a suspected partial blockage mid way through January and suspected it was cleared when I started passing liquid stools regularly over a day-2 day period. This was after a few days of a liquid diet. I started building up foods slowly without any issues. I managed to clear this at home with drinking fluids, hot water bottles, hot baths etc.

I was having bland food such as soup, scrambled eggs, mashed potatoes during meals, however, I have felt as if I was passing less stools then usual. My suspicions have been proven as I have moved to soups, yoghurts and lots of liquids, and am still going to the toilet, however, nowhere near as much as I would’ve done on this diet type pre first blockage. I have not thrown up at all during this period and have remained hungry throughout the process.

To add further context, I was diagnosed with chronic pouchitis and am on regular Cipro and have been for nearly a year. I regularly took loperamide and psyllium husk also. My suspicion was that the blockage was caused from having psyllium husk with not enough water.

From the details above, does this sound like adhesions/bowel kinks or twisting?

Any recommendations on when is the right time to head to the hospital?

Thanks

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The key risks with a blockage are dehydration and bowel rupture. Sometimes a kink can cut off the blood supply to the gut. If you can’t tolerate fluids or your urine is getting dark then you’re going to need IV fluids at the hospital. If the pain is intense or you start vomiting then you’re going to need to be at the hospital to be ready for surgery, if it comes to that.

Judging when to go in can be tricky. The pain can come and go, each of us has different pain tolerances, and the ER is a miserable place that can’t always spell “J-pouch.” They generally do know how to handle a small bowel obstruction, though.

Agree with Scott on this. Things seem OK right now. If you have not already, stop the fiber supplements and loperamide until you are certain you are back to baseline. Then, still hold off on the fiber until you follow up with your GI. You may have a stricture or adhesion that only presents when you have enough roughage to damage things up. Ideally, this is dealt with without emergency care. But, sometimes the only way to diagnose is to wait for the more urgent situation. Your pain level is usually a good indicator, particularly if there is vomiting.

Jan

Hi both,

Thanks for your replies, that’s really helpful.

Out of anxiety and pain, I ended up in A&E last night to double check what exactly was going on. I’m back home, as they couldn’t find anything on the CT scan and blood results were all fine. This begs the question, what on earth is going on?!

Truly am at a loss now

I am truly happy you are okay now!

If your blockages are not caused by strictures then a few tricks that I have learned from avoiding blockages are: drinking water before, during, after every meal. Drinking water each time after I empty my bag, and drinking water throughout the day. If I do this, then I never get blockages. I add salt to my water so my sodium levels do not go down. I am not sure if this method will work for you but I think its worth a try to prevent blockages.

How are you feeling now?

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