How does something have to be to cause a blockage?

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80sChick
Veteran Member


Date Joined Oct 2009
Total Posts : 1054
   Posted 8/7/2010 2:40 PM (GMT -6)   
Hi all,
So recently my multivitamin has been coming out whole (I have since switched to chewables). It made me think, how big does something have to be to cause a blockage? Becuase I would think that a multivitamin is pretty big, and felt no problems with that. Are things like lettuce and skins on fruits a problem because they build up and create a sort of "wall"? Like if you just ate like ONE grape or a little bit of lettuce would it be ok? Because that could never get as big as a multivitamin. I'm confused, and perhaps overthinking this.
Stephanie, 28 years old
Diagnosed with Crohn's Colitis March 2000
Possible diagnosis of IBS-D
Total Proctocolectomy and Permanent Ileostomy 3/18/10! :)
Blockage/Ileo revision 6/8/10 :/
 
Tried: Asacol, Remicade, 6mp, Humira, Xifaxan, Apriso, Imuran, Rowasa Enemas, Colocort Enemas, Psyllium Seed Powder... Tried Probiotics: Align (with no change except bloating) and VSL #3 DS (AWFUL diarrhea).
 
Currently taking: Prenatal Vitamin, Vitamin B 12 Complex, Biotin, Vitamin D, Calcium, Flomax (for urinary retention). 

summerstorm
Veteran Member


Date Joined Aug 2006
Total Posts : 6571
   Posted 8/7/2010 3:42 PM (GMT -6)   
i dont know i think it just depends on how it gets in there.
Like with a vitamin i think it sort of slides on through, plus, it would probably break down in there after a while.
I think what happens with skins and nuts is those CAN"T be digested by anyone, so the sort of try to go through whole and tangle around with each other. Thats what i see in my head anyway.
UC for 8 years, before finally kicking its butt and having a permanent ileostomy April 17 2007!
-I have gone to find myself, if i get back before i return, keep me here-
No matter what kind of day you are having, take five minutes to sing loudly and dance like a fool!

TMC
Regular Member


Date Joined Jul 2010
Total Posts : 88
   Posted 8/7/2010 4:29 PM (GMT -6)   
Everyone is a little different, but after a couple of months, you can get braver. I can eat a little lettuce, but it depends on what kind. Iceberg will always give me diarrhea. You will probably find that chewing thoroughly will help a lot - I even eat a few peanuts, but only one or two at a time chewed completely. If you just throw a handful in your mouth, you will inevitably swallow a few whole and they will shoot straight through. Try new things one a time and in small amounts to see how you react.

Equestrian Mom
Veteran Member


Date Joined Mar 2008
Total Posts : 3115
   Posted 8/7/2010 8:25 PM (GMT -6)   
you are definitely over thinking this...but that's because you've had a few set backs...it's normal!

I don't know how, but pills always make it out, and they can be big or small!

Personally, I don't have a problem with those items you mentioned, I just don't over eat and chew. I always recommend trying one or two of something you are worried about, and if you don't have any issues, try a few more the next time.

Another way is to work into the 'tougher' foods. For example, I started with with Boston Lettuce, and progressed to Romaine, when I didn't have an issue.

Just be careful with grapes and make sure they are chewed since they are ROUND and the perfect size for bad things...lol!
Crohn’s dx 1989
some terrible years before my
Proctocolectomy in 2008

summerstorm
Veteran Member


Date Joined Aug 2006
Total Posts : 6571
   Posted 8/7/2010 10:07 PM (GMT -6)   
oh with lettuce, but the shreds, or cut it up really small, that way its already tiny when it goes in!
UC for 8 years, before finally kicking its butt and having a permanent ileostomy April 17 2007!
-I have gone to find myself, if i get back before i return, keep me here-
No matter what kind of day you are having, take five minutes to sing loudly and dance like a fool!

Christine1946
Veteran Member


Date Joined Aug 2008
Total Posts : 5965
   Posted 8/8/2010 9:31 AM (GMT -6)   
I LOVE salad but decided NOT to eat one ever again. I sure don't want a blockage and it is a small price to pay. How about crabcakes? They used to send me into a flare when I had UC but I wonder if I could eat them now? I sure love em!

summerstorm
Veteran Member


Date Joined Aug 2006
Total Posts : 6571
   Posted 8/8/2010 11:31 AM (GMT -6)   
after you have had your ostomy for a while you wont have to worry so much about blockages, you are still new at this! dont rule out salad just yet!

i dont know about crabcakes, what's in them? if they are like salmon patties then i would say the are fine.
UC for 8 years, before finally kicking its butt and having a permanent ileostomy April 17 2007!
-I have gone to find myself, if i get back before i return, keep me here-
No matter what kind of day you are having, take five minutes to sing loudly and dance like a fool!

suebear
Forum Moderator


Date Joined Feb 2006
Total Posts : 5698
   Posted 8/8/2010 5:55 PM (GMT -6)   
I agree with all the veteran's! In time you should be able to eat anything; just because you had a blockage soon after surgery or within your first year of surgery, does not mean you will always have blockages. I had blockages with oranges and pineapple my first year but I never stopped eating those fruits, I just paid more attention when I did eat them. Sitting down and eating an entire one pound bag of lettuce or carrots is not recommended but you should be able to enjoy those foods without problems. Try not to get in your head that you have to avoid this or that--be adventurous and cautious until you understand your new physiology better.

sue
dx proctitis in 1987
dx UC in 1991, was stable until 1998

1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics

2000 lost all my B-12 stores and became anemic

2001 opted for j-pouch surgery- now living life med-free

Allison77
Regular Member


Date Joined Feb 2005
Total Posts : 421
   Posted 8/10/2010 11:37 PM (GMT -6)   
Steak gave me a blockage, but was scarfing pumpkin seeds all week-end with no problems. Go figure. LOL.


-Allie
RX Crohn's 1999, over 30 surgeries, 3 strokes, permanent colostomy and rectum removal.
 
"The most unfortunate thing that happens to a person who fears failure is that he limits himself by becoming afraid to try anything new."

Ladysundance
New Member


Date Joined Jul 2010
Total Posts : 19
   Posted 8/11/2010 12:47 PM (GMT -6)   
I was given a list of foods that cause odor, gas etc. that has the food blockage list for Ileostomy Patients.
 
Vegetales                          Fruits                              Meats and Alternatives
 
Bean Sprouts                 Dried Fruit                          Tough Fiberous Meats
Raw Carrots                   Fruit Skin and Seeds           Casings of Sausges and other Meats
Celery                            Pineapple                            Nuts and Seeds
Cabbage                                                                   Coconut
Cucumber Skin                                                         Popcorn
Green Pepper Skin                                                   
Mushrooms                           
Olives
Peas
Pickles
Spinach
Lettuce
Vegetable Seeds
 
It also says: Chew all foods throrougly and drink fluids with meals to reduce the risk of blockage.
Note: Try New Foods One At a Time. Tolerance  To Certain Foods Varies With Each Person.
 
I dont have an Ileostomy. I have the regular ole fashioned colostomy. I was told I could eat anything. I ate Mushrooms the other night for the first time, chewed them up real good, and they still came out into my bag. I also see the small seeds from Hamburger Buns. After like 2 bites, I realize the seeds are on there and I pull them off, that,  or me and my Husband switch the bun. I get the bottom, and he gets the tops!         

summerstorm
Veteran Member


Date Joined Aug 2006
Total Posts : 6571
   Posted 8/11/2010 9:36 PM (GMT -6)   
ugh sesame seeds are the worst they are so gross!
they used to come out of me whole before i had an ileo, and with an ileo they still do, so i dont eat them!
if i go somewhere i ask for two bottom buns and just say i cant have sesame seeds, most people assume i am allergic
UC for 8 years, before finally kicking its butt and having a permanent ileostomy April 17 2007!
-I have gone to find myself, if i get back before i return, keep me here-
No matter what kind of day you are having, take five minutes to sing loudly and dance like a fool!
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