Treating Small Bowel Obstruction

I almost died last year from 70cm of dead septic intestine removal with a large obstruction I spent 6 months of vomiting prior and was in the hospital already for ammonia in the brain which put me in a coma but didn't get rushed in for emergency surgery for obstruction for almost 4 months later, this was after 6 months of vomiting with no notice of problem... I'm lucky to be alive

I have 3 hernias , redundant sigmoid and adhesions. I've had sepsis 2 x. I get blockages . I don't know where to get help

1 day my mom, girlfriend & i were cleaning, plus we had a house full of ants, we spray bleach everywhere. I ingested something, probably bleach on food, was in the most PAIN ever had in my LIFE, 4 hours later, my small Bowel Twisted. I had a EMERGENCY OPERATION 2HOURS LATER 😮. Surgeon Cut 2ft of small intestine. I was so healthy before then, ate fruit vegetables, even jogged. Now I can't do as Much, it changed my Life. I digested food too quick now. If I drink coffee or eat sweetes like Donuts 🍩 or 🍰 cake, Im in the bathroom in 5 minutes. Are any of these new complications happening to any of you guys? How do you handle it? And how can we reverse it or make it better?

Walker Daniel Brown Lisa Hall Edward

Johnson Gary Jackson Lisa Wilson Lisa

Hospitalized 2x for SBO and I
did have surgery when I was 2 days old. My problem was a hernia. After surgery to repair hernia in 2020, I no longer suffered from SBO.

I’ve had 23 small bowel obstructions since 1995 my last one two weeks ago. I’ve had small bowel removal resection times 3 secondary to a nicked bowel during an emergent appendectomy.

I had a decade of several bowel obstructions a year. GI could not diagnose so I was given a bunch of medications. My last obstruction was a solid month of vomiting, excruciating pain, no food. Hubby took me to GI again who wrote a script for a hundred percocet and told me to go home. Hubby handed him the script back and insisted he start doing some tests. Hospital did a CT scan, admitted me and scheduled a resection as soon as I was stable. Surgeon said it was a "bad u-turn" and had to come out. Surgery is big, 11-day hospital stay, long recovery but worth it. Wish it could have happened sooner.

I have Crohn’s disease, I’ve had well over 20 bowel obstructions in my life so far all needing hospitalisations. I have also had adhesions separated then 5 years ago I had to have 52cm of my small bowel removed. This has now left me with sever bile acid malabsorption which has left me housebound due to sever diarrhoea daily….
Mine all started about 6 months after having my appendix removed when I was in my early 20s….then I literally had one after another, every few months for approx 10 years until eventually the docs decided to separate adhesions…. I then went another 10 years free of obstructions to only have another one completely out of the blue 5 years ago.. I had tachycardia, this time I had a loop of distended bowel along with a bowel to bowel fistula and I was tested for Crohn’s disease and was told I needed a bowel resection as I had a narrowing on my bowel as well…The tests all confirmed Crohn’s and I was told I probably had it all my life as my bowel issues started when I was in my early teens (I’m 48 now)
Gastrographin works a charm for me when an obstruction won’t clear on its own with nil by mouth…. But the nasal gastric tubes are awful going down but at least stop you from being sick 24/7
When I had the resection I also had to have more adhesions separated as part of my bowel was stuck to my liver….
A bowel obstruction has to be the most painful thing I’ve ever had in my life alongside the bowel resection. But now since my resection my life has changed dramatically, I can’t go out for fear of not finding a toilet in time as I can’t hold it anymore. I’ve tried bile binding agents but they don’t work and the only thing that stops the runs is immodium that I’ve been told not to take daily as it will mask over my Crohn’s symptoms but needs must unfortunately
If I was offered a colostomy bag I’d snatch their hands off, it might cure the need to rush the loo but won’t cure the Crohn’s disease

Gastrograffin challenge is traumatic, it was put down my ngt and I then vomited for the next 3 hours around my ngt and then had diarrhea that was out of control. Never again, and my surgeon says I may have another SBO. I had surgery 2 months ago to remove adhesions and it took 4.5 hours and then had 30 feet of small bowel, my entire small bowel internally herniated which was not expected.

I let a doctor remove my gallbladder when I was 36 years old. I should have had a second opinion, because all my symptoms that I’d been told were gallbladder related returned after six weeks. I was experiencing bouts of nausea lasting anywhere from a week to several months. This went on for another 25 years before I discovered my problem. I’ll get to that.

A few months after that surgery I had my first sbo. I needed surgery right away; well, within two days. Six months later all my sbo symptoms returned and my ob/gyn did a laparoscopic procedure and that held for five years. Then it happened for the third time, and back to the operating room I went. By the grace of God that last surgery worked and I haven’t had a problem for over 25 years.

Ten years ago I was having terrible belly pain and vomiting but I knew it was different than a small bowel obstruction. That time I chose to visit my chiropractor and he diagnosed my several decades of chronic nausea as a problem with my pancreas. It took him only a minute to figure it out. Now I take pancreatic enzymes and I’ve got my health back.

The lesson I learned is to always get a second opinion on elective surgery. And don’t be afraid to consult an alternative health care provider if you know of a good one. If I had done that in the first place I wouldn’t have had my gallbladder removed which led to adhesions requiring three additional surgeries.

I had a sbo in Jan 2023, and today March 2024 have had 6 surgeries with many complications

Maybe a colonic irrigation , gravity fed water only .

Please why don’t we add analgesics in conservative management? With NG decompression etc

How do i prevent sbo? I use opiates and am having a hard time using the bathroom? I get smo once a month, what can i take or do to prevent?

I’ve had complete sbo twice and multiple partial sbos, due to removal of my left ovary in 2005. This caused adhesions. The first time they treated it conservatively. NPO, NG tube, pain meds and iv fluids. They did this for 4 days. They finally decided to go in laparoscopicly to see what was going on. Turns out the adhesion had surrounded the small bowel and cinched it off. Once that was released I made a full recovery. Since then I’ve had partials , which I treat at home, npo with liquid only. It can take from a day to a couple of days to resolve. I know that is I begin to vomit or the pain is to much to handle, I go to the hospital. Can you do a video on partial obstruction. Great video, thanks!

Just stumbled on your website ( had very mildly obstructive loooking pt last night ) ---love the boom, boom, boom delivery of salinet points, rapid workup , decison makig point by point, imaging, conservtive treatmant v. right to OR. Fantastic! Super apprecaited.

Wife throwing up thick dark green, major pain in abdomen, went to ER and has sbo… started passing gas but no#2.. released after 5 days but still no # 2 .. what should I do ?

I was admitted with sbo, had the ng tube and i had the g challege. I started to pass gas and have some diarrhea, was able eat. So they realeased me. Well im the second day out and im starting to have trouble passing gas again and only having small bowel movements. No pain or bloating. Should i go back to the hospital to get checked out or are my bowels just slow to move again?

I dont poop for 3 weeks .till it goes to critical mass then repeat....docs are no help.

Hello, for the last 5 months I have on and off episodes (lasting 48 hrs) of abdominal pain (Pain level 10) and vomiting (NO FEVER). Last year I went to the emergency room and the SCAN confirmed that I had bowel obstruction. I was immediately rush to surgery ( Laparoscopy), the surgeon told us that there was no obstruction observed while in surgery or it resolved itself. After this episode, 6 months later, i was in the ER again same symptoms and the SCAN confirmed bowel obstruction, i was admitted to the hospital (no surgery), the bowel obstruction resolved itself. Last week, i was again in the ER again same symptoms and the SCAN confirmed bowel obstruction. I refused to go to the hospital and it seems that the obstruction resolved itself (no pain, no vomiting, eating and drinking) bowel movement is mixed. THE QUESTION IS... how can i prevent future obstructions, this is VERY STRESSFUL . Please let me know if you have advise.

Awesome content… very helpful

a racing heart beat as well as horrible pain coming in spasms. And after a couple of days, watery diarrhea to the point of 50 times in a 24 hour period. Incomplete and intermittent volvulus

Good job

Do all sob need sugery

Hi!my baby had intussusception surgery in jan 2023 now she have adhesion sine 7 month .her belly swollen every time pain and weight lose due to we give her low fiber liquid.but we dont under stand what to do.plz guide us

I was diagnosed with small bowel obstruction but I'm afraid of operation 😢🙏

Does laproscopic inguinal hernia repair give you a big risk for sbo?

Thank you sir the video was extremely informative indeed. I just wanted to inquire about pain control from the moment the patient presents to the ER till the surgery is done.

Awesome video, keep it up I’ll be looking forward to more surgical cases 👏🏼

I can’t comment on the content of this as it is way beyond me but I am sure it is superb! Impressed as always at your total commitment and dedication to this! Happy weekend!

Thanks Doc.🙏

Great as usual 👏🏻
Just in case of intussusception specially in pediatrics as it mostly idiopathic and there is no leading point but surely could be , in such cases what is the role of gastrograffin challenge?
If it relieves the obstruction, is there need for further imaging to look for (secondary cause) ? as we usually depend only on US to dx intussusception.
And if it fails , do we repeat it? Or go for surgery ? Specially if patient condition stable and no complications developed yet.
* the most valuable part to me is the scientific approach to the subject with the mention of the recent updated articles about it 👌✨

Great content as always!