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Emergency lysis surgery for adhesions, now constipated

Hi, everyone. I was doing so well for 6 years after cancer surgery. My j pouch worked beautifully. Twelve days ago I ended up in emergency with a painful blockage which I thought was food bolus and would pass, but my doctor said I need supportive care and IV fluids and told me to head to the Emergency Room.

After a CT scan, I ended up in emergency surgery where they opened up my old site and performed lysis, and removed a lot of adhesions in a 3 hour surgery.

Recovery was hard, I suffered horrific acid reflux that was so bad I begged for an NG tube. It went in for 2.5 days, much relief. The “vacuum” removed almost 2 litres of sludge. They put me on clear fluids, then low residue diet. I produced bile, solid stool, and passed gas. After 10 days, my doctor was pleased enough to send me home with hydromorphone pain management.

Once I got home the twisting and cramping became unbearable. I took 2.5 hydromorphone over 10 hours, which dulls the cramps but does not touch what I think are gas pains.

The problem is I have not passed gas at all for 12 hours. No stool either. Not even the urge. I am very frightened. I haven’t eaten much, just sips of clear soup, and sips of water. I’m afraid of acid reflux if I drink too much. I am burping actively as soon as I sip water. The idea of an NG tube again is a nightmare.

I was given Restorilax in case of constipation but I have not taken it yet, hoping things can move on its own.

If I was producing stool and gas in hospital, why has it stopped at home? The cramping on a pain scale of 1 - 10 is a 9 at least. It comes in waves. I do not feel nauseous, and I have not vomited. I can walk with great difficulty.

Would it be safe to take some Restorilax? Or something else? Wait it out?

Thank you, everyone.

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