strangled gut/knotted intestines/blockage

NoTimeForCancer
NoTimeForCancer Member Posts: 3,358 Member

Good afternoon everyone, I am a visitor from the Uterine board and have a question for you all I am hoping you can help me with.  

I have a friend who found her ovarian cancer has spread so much that they had to take part of her colon and now she has a colostomy bag and is suffering her third blockage.  Is there any advice any of you can give I can pass along re: diet, etc...to avoid blockage.  She did not have radiation, only chemo.  

If you know of one of the threads that has already addressed this, please just point me in that direction.  Thank you, warriors, in advance for any assistance. 

Comments

  • Lovekitties
    Lovekitties Member Posts: 3,364 Member
    edited May 2016 #2
    Blockage

    Blockages can have a number of causes...the food being eaten, amount of fluids, medications, exercise and of course medical.

    If your friend is taking any opiates for pain, that can cause a blockage.

    Has she discussed this issue with any of her doctors?  If not, then that is where she should start.  They can assess the situation and perhaps recommend a dietitian who can discuss food choices.  They may also want to do some tests to insure there is no medical reason for the blockages.

    Since she is having a recurring problem, the doctor is the first choice for help.  I hesitate to offer "self help" advise until she has the consult.

    You are a good friend to be checking on this for her.

    Marie who loves kitties

  • NoTimeForCancer
    NoTimeForCancer Member Posts: 3,358 Member
    edited May 2016 #3
    Thanks, Marie!  I don't

    Thanks, Marie!  I don't believe she is on opiates.  She is a runner and just completed a mini-marathon.  

    I did do a search of 'blockage' in the Colorectal board and read quite a bit written in the past.  I see many wrote how an NG tube was such a relief for those suffering and am hearing that is the current course of treatment she is receiving.  

    I see a LOT of water what was recommended by survivors, as was low fiber diet supplemented with non-chemical laxative-type OTC.  

    I have seen where some of the cervical cancer women have talked about blockages but I figured this group is probably the best to shoot straight.  Thank you for taking the time to reply.  

  • John23
    John23 Member Posts: 2,122 Member
    Intestinal Blockages.....

    Intestinal Blockages.....

    Any abdominal surgery can result in blockages due to adhesions and hernias.

    Adhesions are the most common case of blockages, and any surgery to remove an adhesion (or hernia) usually results in more blockages.

    Adhesions are the normal process of the body healing itself. Calluses are formed around damaged intestine and organs to help protect them, but the calluses can act as a strangling tourniquet too. Wrapped around a section of intestine, it can narrow the passage enough to block the substance inside from passing through easily. The intestine can also adhere (stick to) another organ, keeping it from flexing normally to allow the passage of substance that may need extra room to pass through.

    Chewing food well, is the usual customary answer to how to avoid a food blockage, but it matters little once an adhesion has formed. The passageway will get narrower as time passes and as the adhesion grows, until nothing will pass through easily. Water will back up.... a blockage can be total and life threatening at that stage.

    Adhesions may be somewhat avoidable if the proper procedures are taking during abdominal surgery. There are agents that can be placed around organs and intestines to help protect them from sticking together. It's not a guarantee, but it's one helpful way to help avoid the situation. It's the best reason to locate a well experienced colorectal surgeon prior to surgery. Many General surgeons, and those without extensive experience with abdominal/digestive surgery, are unfamiliar with the practices that more specializing surgeons have acquired.

    If the patient is susceptible to adhesions, not much will prevent them from forming; it's part of the normal healing process, like it or not.

    If you feel like you have a blockage, have stomach pain, bloating, nausea, fever, and extreme distress, get ready for a trip to the ER. They can locate a blockage using a sonogram.

    If the symptoms are bad, but not yet severe, drinking a warm beverage and massaging the abdomen can be helpful. Laying on the left side helps the passage of food.

    Using an 18 hp "ShopVac" with their special anal adapter can work wonders also.
    (ok, a little levity here....)    Seriously, JUST KIDDING - DO NOT TRY THAT

    Do what can be done to relieve the obstruction, but -do not- take pain killers or ignore the progress of the obstruction. If matters seem to be getting worse, get to the ER and tell them you think you have an intestinal obstruction. If the blockage gets worse, it can be life threatening. It's nothing to fool with. Having your intestine burst inside you is worse than "messy", it is life threatening.

    And if you're presently feeling OK, it's a great time to locate an experienced colorectal surgeon and have them at your call should you need them. It's better to have someone to call, than to depend on the hospital to drag a surgeon in at the last minute....... Be prepared. You have cancer? Always be prepared.

    Best wishes,

    John

  • NoTimeForCancer
    NoTimeForCancer Member Posts: 3,358 Member
    John, thank you for your

    John, thank you for your response.  The things I read here have given me further knowledge on an area I knew nothing about. I am hoping her NG tube helped and will keep the advice in mind when I have a chance to speak again with her sister-in-law. 

    P.S. - LOVE your avitar

  • John23
    John23 Member Posts: 2,122 Member
    Glad to be of any help!

    Glad to be of any help!

    The "NG" tube goes in the nose, out the back and down the throat and into the stomach to allow gas to escape. It's the buildup of gas that causes the pain, so aside from all the medical reasons for releasing the gas, removing the incredible discomfort is another important reason.

    The insertion of the NG tube is what anyone that's ever had one, hates. I told 'em to "put me out" if they're going to attempt giving me one. They don't of course. You have to act totally nuts and convince them that you're going to kill anyone within 10 feet of you that tries to stuff that thing up your nose, before they'll seriously consider your "request".

    I swear, the things they try to stuff into your orifices while you're in there so helpless......!

    They're sick, demented, perverted, and sadistic individuals.

    But they posted the pictures of my procedure as I requested on YouTube,
    so there's some redeeming value of their horrific actions on me.

    Be well. Wishing youse guys the best.....

    John

  • kiyone44
    kiyone44 Member Posts: 1
    strangled gut/knotted intestines/blockage 2

    As a Colon Cancer survivor with removal of my sigmoid colon in 2007, I too struggle daily with abominal adhesions and narrowing areas in my right upper quadrant and left middle quadrant (created by the surgery & the healling process). I can only offer my experiences and coping strategies. I hope they can help. Have gone through the complete gauntlet of imaging and studies in hopes of finding a treatment plan that would correct this tangled mess, but am "discharged from care or offered the bizarre option of a colostomy" (from the colorectal medical and surgical services at University of Rochester Medical Center). The medical team recommended PEG laxative which I found to be electrolyte depleting....How do I cope? My plan of care is using Lane Labs H2Go 2-6 tabs (I use 4 tabs before bed). This gives me partial motility where there was none. Then a detoxifiying "coffee" enema in the a.m. to assist with full evacuation. (See Merck's medical manual http://coffee-enema.ca/merck.htm also http://www.needs.com/product/Wellness_Against_All_Odds/bk_Sherry_A_Rogers_MD). Seems reverse osmotic pressure is pulling everything that would normally be retained in the narrowing areas down and coffee is not electrolyte depleting like a tap water or other type enema. Taking oral probiotics like yogurt and kimchi to compensate for slow digestion also helps.  Bringing hope to another with similar challenges brings comfort to this tortured body. Wishing your friend comfort and better days.

  • NoTimeForCancer
    NoTimeForCancer Member Posts: 3,358 Member
    edited June 2016 #8
    kiyone44 said:

    strangled gut/knotted intestines/blockage 2

    As a Colon Cancer survivor with removal of my sigmoid colon in 2007, I too struggle daily with abominal adhesions and narrowing areas in my right upper quadrant and left middle quadrant (created by the surgery & the healling process). I can only offer my experiences and coping strategies. I hope they can help. Have gone through the complete gauntlet of imaging and studies in hopes of finding a treatment plan that would correct this tangled mess, but am "discharged from care or offered the bizarre option of a colostomy" (from the colorectal medical and surgical services at University of Rochester Medical Center). The medical team recommended PEG laxative which I found to be electrolyte depleting....How do I cope? My plan of care is using Lane Labs H2Go 2-6 tabs (I use 4 tabs before bed). This gives me partial motility where there was none. Then a detoxifiying "coffee" enema in the a.m. to assist with full evacuation. (See Merck's medical manual http://coffee-enema.ca/merck.htm also http://www.needs.com/product/Wellness_Against_All_Odds/bk_Sherry_A_Rogers_MD). Seems reverse osmotic pressure is pulling everything that would normally be retained in the narrowing areas down and coffee is not electrolyte depleting like a tap water or other type enema. Taking oral probiotics like yogurt and kimchi to compensate for slow digestion also helps.  Bringing hope to another with similar challenges brings comfort to this tortured body. Wishing your friend comfort and better days.

    Thank you, kiyone44.  I

    Thank you, kiyone44.  I appreciate you taking the time to post a response to my inquiry.