KP - sorry to hear about all that. I've had two blockages - but over a 35 year period - NG tube (which did not hurt a bit, btw - nothing to be afraid about) - and I've struggled with adhesions. In a weird way - I had to have a really big surgery - full opening about an unrelated issue - this was about 15 years ago - the surgeon "cleaned it up" in there - said I was full of scar tissue, etc. - and I think they have something - a chemical? a dressing of some type? they put in there to help reduce the formations of more adhesions? I'm not sure. It was a really difficult experience - but I have had fewer issues with blockages - I can feel it and I can fix it - for me, gaterade, lying on one side, then the other, heating pad - takes care of it now. I am grateful for that. I have friends with adhesions not even related to jpouch and they can be a really difficult problem. I wish you all the best - I know it's not easy. People on here care.