What
to do in case of Food Blockage
It may happen around midnight. That severe cramping sensation
coupled with cessation of ostomy flow or watery projectile flow.
When the cramping strikes, that memory of having consumed some
problem food follows soon afterward. What is the proper course of
action for the ostomate? Food blockage is an experience that many
ostomates will have at one time or another. The enzymes of the
digestive tract cannot digest cellulose or foods with high fiber
content. Nuts, corn, popcorn, coconut, celery, Chinese vegetables,
fruits and tough cuts of meat are a few foods that may cause
blockage problems. Ileostomates who do not chew their food
thoroughly, eat rapidly, do not drink sufficient liquids or have
dental problems will be more prone to have a food blockage. When
food blockages occur, a post-op pouch should be applied. The size of
the opening should be a little larger than normal because the stoma
may swell and with a clear post-op pouch, the section of the stoma
may be observed. The next step, if no nausea or vomiting is present,
is to start forcing liquids ...coke, tea, or whatever liquid
produces a rapid peristalses movement, is best. A few crackers may
be eaten as a pusher. Sometimes a change in body position, such as
assuming a knee chest position, may encourage movement of the bolus
of food. Massaging of the abdomen may also produce the same effect.
Diarrhea may follow the blockage, therefore, it is necessary to
replace fluids. Gatorade may be used for replacement of both fluids,
and electrolytes. Cheese, bananas, and peanut butter help to slow
the diarrhea. It is normal to have a sore spot in the abdomen
following an episode of blockage. A low residue diet should be
followed for one or two days to allow the intestine to heal. If
nausea and/or vomiting occur with the food blockage, one should go
to the emergency room immediately.
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