It may happen around midnight. That severe cramping sensation coupled with cessation of ostomy flow or watery projectile flow. When the cramping strikes, that memory of having consumed some problem food follows soon afterward. What is the proper course of action for the ostomate? Food blockage is an experience that many ostomates will have at one time or another. The enzymes of the digestive tract cannot digest cellulose or foods with high fiber content. Nuts, corn, popcorn, coconut, celery, Chinese vegetables, fruits and tough cuts of meat are a few foods that may cause blockage problems. Ileostomates who do not chew their food thoroughly, eat rapidly, do not drink sufficient liquids or have dental problems will be more prone to have a food blockage. When food blockages occur, a post-op pouch should be applied. The size of the opening should be a little larger than normal because the stoma may swell and with a clear post-op pouch, the section of the stoma may be observed. The next step, if no nausea or vomiting is present, is to start forcing liquids ...coke, tea, or whatever liquid produces a rapid peristalses movement, is best. A few crackers may be eaten as a pusher. Sometimes a change in body position, such as assuming a knee chest position, may encourage movement of the bolus of food. Massaging of the abdomen may also produce the same effect. Diarrhea may follow the blockage, therefore, it is necessary to replace fluids. Gatorade may be used for replacement of both fluids, and electrolytes. Cheese, bananas, and peanut butter help to slow the diarrhea. It is normal to have a sore spot in the abdomen following an episode of blockage. A low residue diet should be followed for one or two days to allow the intestine to heal. If nausea and/or vomiting occur with the food blockage, one should go to the emergency room immediately. Via: Los Angeles News & Indianapolis Chapter of UOA & Evansville Re-Route |