what is he eating? soft foods, chew thoroughly and chased with water so its as mushy as possible. not eating when hungry as that will cause one to eat too fast. those are things that helped me. but eventually I had small obstruction surgery and then have moved on to biologic meds paired with an immunomodulator as the chronic pouchitis led my doc to amend my dx to crohns. seems by reading others posts here that some are just dx'ed and treated for same. it will work out. truthfully it seems that the biologic med (Humira) and small dose of methotrexate has largely kept me out of the hospital. I happen to have strictures in my jpouch and those get dilated quarterly and that also keeps me out of the ER.

Blockages from adhesions come and go - they're caused by the bowel twisting or kinking around the adhesion. Choice of food only seems to matter when things are blocked (fully or partially). This is very different from a stricture, which won't open up much unless mechanically dilated or surgically removed.

Thanks for the notes.  He seems to be eating soft foods ok today just scared to eat too much and scared to eat much of anything if it isn't mush.  This stuff is really tough - wish it was easier for him.  

I've had partial blockages a few times over the years and for me it has always been peanuts - ate too many too fast and bam, I'm in rough shape. I always keep some grape juice on hand and drink a bunch when I feel anything close to a partial blockage - it tends to move everything through pretty fast.

Otherwise I avoid grape juice (and wine) since they go right through me. Fast.

I was just in the hospital for the same thing.  It often seems like I know more than the doctors in the ER.  They are not familiar with the effects of a j-pouch.  How are strictures diagnosed? 

that's interesting Scott didn't know adhesions kink or twist, but I guess that makes sense. I guess the question is how do you know its happening, and then avoid the culprit foods? I guess to my mind its not too different from contending with a stricture long term, but that's to my mind.

Christine, my strictures were diagnosed during a pouchoscopy. MRE is also a reasonably good test or so ive heard, that might also be of help especially further up?

I think if you're feeling fine (and don't have a stricture) then food choices won't cause a blockage. If you have some discomfort, and have had trouble in the past, it might be wise to alter your food choices (and perhaps stop solid food altogether) until the discomfort passes.

Blockages are not universal. Most J-pouches never get an obstruction. Once you know you're prone to them you have to adapt, but otherwise just eat food.