I was in the hospital for eight days last month for a partial bowel obsturction. Mine is caused from adhesions also. I get them frequently and have been hospitalized four times so far. But, there are times I can work it out too. Yes, you have the pain and nothing, or nearly nothing, goes in the pouch. I don't head to the hospital until vomiting sets it. BUT you need to stay on clear liquids only. Don't eat food. That just packs things more...like a stopped up drain. Also, try purple grape juice. I has helped me numerous times. Also hot tea. Hot showers help relax you and sometimes that works along with massaging the area. Watch a movie or get on the computer...anything to get your mind off of what is going on. That can sometimes cause you to relax and things start moving again. I try all of this and, if vomiting occurs and nothng is coming in the pouch, I head to the hospital.