Since my reverse ileostomy (for j pouch repair) a few months ago, I have had four partial blockages. Right now, I am experiencing soul crushing, morale defeating pain. It's going on Day 4 now and I've had to change my underwear multiple times because liquid is just leaking out of me. (I know that sounds gross, sorry.)
Could you please tell me how blockages occur? I am assuming it's something I ate (salsa for the first time since surgery). But I would like to understand how it happens. Does the blockage occur in the pouch, and then backs everything up? Or does the blockage occur elsewhere, like near the stoma because of the excess scar tissue, and the backup starts there? I guess I am asking what part does it affect that causes a chain reaction?
Is there ANYTHING I can eat? Or is it just water, broth, grape juice, etc? I did have some minor bowel movements, somewhat solid but mostly liquid. However, not enough to relieve pain. My stomach is super distended and I am walking hunched over because of the pain and swelling. At what point does one even consider going to the ER? Also, should I lie on my side until it clears? That's what I did before. And it seemed to help but not this time around. It is excruciating.
Would a muscle relaxer help? Also, my new surgeon, Dr Fleshner, says this is normal and a trip to the ER is not necessary, that I have to wait until it passes. However, if I did end up there, what would they do? He doesn't want me getting any invasive tests until a few more months have passed because of scar tissue. I am supposed to see him tomorrow but I don't know if I can even make it to the appointment because I cannot physically move very well, and I fear crapping myself in the Uber.
Please advise. Thank you!