Good morning,

It has been a while since I have been on this site. Two weeks ago I had a blockage due to scar tissue around the small intestine. It is so frustrating since things have been fine for five years. Still sore and can't lift the toddler for 4 more weeks. Concerned more scar tissue will come back.
Original Post
Yes, unfortunately, anyone who has abdominal surgery, intestinal surgery in particular, is forever at risk for small bowel obstruction. But, you can't let it consume your thoughts or make you afraid to eat or be active, since there is nothing you can do to prevent it.

The good news is that just because you had this complication, it does not mean you are doomed to repeat it. It generally is quite random, which I guess is part of the anxiety it provokes. It may be difficult at first, but you will soon put ths behind you and get back to your life.

Jan Smiler

Just curious...can the scar tissue form years after the surgery or is it something that was always there and can "surprise" someone with a blockage at any time?
Adhesion scar tissue forms within a week or two of surgery, so it has pretty much been there from the beginning. The adhesions can soften and stretch over time, but they are permanent unless they are cut or snap lose from a fall or sudden movement. There are some physical therapists/massage therapists who will work the abdomen to release adhesions.

Your intestines are in constant motion, so they really don't look like those diagrams or models of the internal organs, those are just general representations. Adhesions prevent the intestines from moving freely, as intended.

Things can go along smoothly for weeks, months, years, or decades and out of the blue, your gut zigs against an adhesion when it should have zagged, and you wind up kinked and obstructed. Fickle finger of fate.

Some people form more adhesions than others, and they think that may be a genetic thing. The more abdominal surgery you've had, the more adhesions you'll have. Also, if you had peritonitis, you would have way more adhesions than others. Another interesting thing is that some people can be loaded with adhesions and never have problems, while some with just a few adhesions have chronic pain and recurrent obstructions. I imagine that it is the location of the offending adhesions that is key, along with your own unique anatomy that either adapts or not.

Hope that explains it.

Jan Smiler
Thanks Jan for the explanations. I am trying to not let it consume my thoughts. I just would like to not let it happen again. I have been up and walking a lot since surgery. I am hoping that movement helps the healing process.
Couldn't hurt!

No, seriously, activity is the best way to heal more quickly. Make sure to stand up straight too.

Jan Smiler

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