Community Forums

Stoma blockage and hospital Emergency Room visit  

Page 2 / 2 Prev
  RSS

Kerby
(@lkerby33)
Registered
Joined:6 months  ago
Posts: 70
March 9, 2018 6:59 pm  

I know the name now. Will Google. Thanks


ReplyQuote
john68
(@john68)
Registered
Joined:10 months  ago
Posts: 938
March 9, 2018 7:06 pm  

Kerby, Just to know some of the images can be quite intense! Eric has warned of this previously. If it is this their are many different levels of severity!

ileostomy 31st August 1994 for Crohns


ReplyQuote
bluesgal
(@bluesgal)
Registered
Joined:1 year  ago
Posts: 32
March 11, 2018 2:25 pm  

Hi. I read the card about what to do for a blockage. I have 2 suggestions: (1) for Step One: At Home, #2 - should read "only consume clear liquids". And, even though 'Step 1 at home' says to drink coke, I would be cautious about this because carbonation can increase gas and bloating, thereby producing more intestinal pain. For Step 2 (no output, vomiting), #2, another sentence to read, "Do not drink or eat anything, not even water."

I'm also a bit concerned that the bulk of the instructions for the "uninformed" hospital staff deal with intestinal lavage/food bolus obstructions and not with blockages caused by adhesions. I wonder why no instructions were included for this scenario which is not uncommon. Insertion of a NG tube (yuck!!!!) followed by bowel rest (i.e. IV nutrients only, nothing by mouth) for 3 days is commonly prescribed in order to try to avoid surgery to remove the adhesions.


ReplyQuote
Dona
 Dona
(@dona)
Registered
Joined:1 year  ago
Posts: 467
March 11, 2018 3:12 pm  

Blockages can also be caused by part of your bowel being captured or caught in a abdominal hernia. Symptoms feel pretty much the same as the result is the same, stuff stops going through. Nausea and pain ensures. . The treatment and diagnosis as well as the potential for ongoing problems and serious heath issues are quite different. It happened to me.

Ask questions!

Onset of severe Ulcerative Colitus Oct.2012. Subtotal colectomy with illiostomy July 2015; Peristomal hernia repair ( Sugarbaker, mesh, laparoscopic) May 2017.


ReplyQuote
VeganOstomy
(@veganostomy)
Admin
Joined:4 years  ago
Posts: 1530
March 11, 2018 11:23 pm  
Posted by: bluesgal

(1) for Step One: At Home, #2 - should read "only consume clear liquids". And, even though 'Step 1 at home' says to drink coke, I would be cautious about this because carbonation can increase gas and bloating, thereby producing more intestinal pain.

The important distinction, which might be worth putting in italics or bold is that those specific instructions apply only if there is still output.

If there no output, then I would definitely not recommend carbonated beverages! 

I'm also a bit concerned that the bulk of the instructions for the "uninformed" hospital staff deal with intestinal lavage/food bolus obstructions and not with blockages caused by adhesions. I wonder why no instructions were included for this scenario which is not uncommon. 

They do advise in step 4 to "Obtain flat abdominal x-ray or CT scan to rule out volvulus and determine the site/cause of the obstruction. Check for local  blockage (peristomal hernia or stomal stenosis) via digital manipulation of the stoma lumen."

Blockages due to adhesions probably require more than what's given on the card (friends of mine needed surgery to resolve them).  

Just your friendly neighborhood ostomate.

~ Crohn's Disease ¦ Ileostomy ~


Zvitusk liked
ReplyQuote
Zvitusk
(@zvitusk)
Registered
Joined:1 year  ago
Posts: 377
March 11, 2018 11:47 pm  

You cannot educate the hospital with one page. All you can do is play the odds and hope that they do no harm.

Possible solutions include education of emergency room nurses by WOCN. 

It is a scary world out there .


ReplyQuote
Gimparoo
(@gimparoo)
Registered
Joined:1 year  ago
Posts: 44
March 18, 2018 4:24 pm  
Posted by: VeganOstomy

That was quick! The UOAA published it, but their original link is not working. 

HERE is a copy of the file  :-)

Thank you very much...  hope not to need it, but have in case I do!    :mrgreen: 

T11/12 Paraplegic / Colostomate


ReplyQuote
Littlered1
(@littlered1)
Registered
Joined:1 year  ago
Posts: 3
March 18, 2018 5:20 pm  

Where is the link for this card mentioned for ER visits?


ReplyQuote
VeganOstomy
(@veganostomy)
Admin
Joined:4 years  ago
Posts: 1530
March 18, 2018 5:56 pm  
Posted by: Littlered1

Where is the link for this card mentioned for ER visits?

HERE

Just your friendly neighborhood ostomate.

~ Crohn's Disease ¦ Ileostomy ~


Gimparoo liked
ReplyQuote
Page 2 / 2 Prev
Share:

  
Working

Please Login or Register