I don't really know for sure it's a twisted bowel until it releases. The first time it happened I could literally feel it untwist and it felt like my intestines gave birth to a new organ...like something just spewed out of it. There was a big whooshing sound and feeling.
In a partial blockage, some liquid will go through, but there's more dense stool behind it that can't pass. Very painful! But when it finally does pass, the pain stops immediately.
Complete blockage for me is when nothing will pass at all. My abdomen gets distended with gas, it hurts too much to scream...I can only whimper. I can also feel it when it passes through, there is so much pain, but as soon as it goes through it's such a relief! When those get too unbearable is when I go to the ER, but like I said, I end up waiting a long time for a doctor or for a CT scan and it always goes through while I'm waiting. Sometimes even on the way to the hospital.
No one ever seems too concerned about it when I show up. They have me filling out paperwork while I feel like I'm about to die from the pain, then have me wait in the waiting room for a long time, and when they bring me back they take some vitals, they will do an ekg which is always fine, but then I just wait...until it passes on its own.
But you're right, I never think to call 911 because I'm so used to it clearing up on the way to the hospital, now I just tell my husband to take me to the hospital parking lot...LOL
I know for sure at the first sign of getting cold like that, I will call 911. That was the first time it had ever gotten that bad in over 20 years. I did immediately warm up as soon as it corrected itself.
The way it cleared up? ...Had to be God.
Thanks for your suggestions!