Apologies for length, but I know the combined wisdom of this group can't be underestimated, and want to give the full picture of what I am dealing with.
I've got a slight stricture at the pouch inlet described in the pouchoscopy report as mild stenosis. As such I avoid insoluble fiber. 14 months post take-down things continued to improve, regular (if slow) bowel movements. Longer uninterrupted sleep. Then I mistakenly ate half an artichoke and 5 hrs later experienced onset of what became horrific cramping and distention. I recognized the symptoms as familiar from my sole similar episode while I had the temporary ostomy. (That time it was sweet potato.)
My local GI convinced me to go to the ER the next morning around 7 as I was still distended and in a lot of pain. As these things go, by the time they got me on the CT table that afternoon, the stool (or enough of it) had made it into the pouch and abdomen was softer, pain greatly reduced.
Back at home and hydrated with the IV, not having eaten for 24 hrs, and not having had advice not to, I ate plain oatmeal, something I eat every day. Again nausea and cramps though quite not as bad as the prior evening.
Following day could barely manage liquids without cramping & nausea but did sleep some.
It's Thursday evening. I haven't had a bowel movement since a small one in the hospital Tuesday. Since then a few dime-sized amounts of stool. None today.
I've not been able to keep my antibiotic down. I'm afraid to eat. Today in addition to some Gatorade, I tried less than 1/4 cup of dry cheerios - not all at once - and a few spoons of yogurt. I've got loud gurgling, fullness in the abdomen (not the pouch) and cramping along with some nausea through the day.
I'm scheduled for a pouchoscopy with Dr. Shen next month, which had been planned before this as a follow-up to my banding procedure and have a call with his NP Monday. But I may be missing something in the history - maybe the artichoke was a coincidence and something else is goin on?
Any opinions on what this is or advice out there on what I should be doing, eating if at all. Ugh!