Last 4 years have suffered 21 episodes of intestinal blockage which they assume is caused by radiation fibrosis the result of radiation received in 1963. Local doc's are afraid to mess with it and possibly make it worse. Anyone have any idea how to prevent this from happening or how to stop the process before it gets to dehydration, muscle cramps, and unconsciousness. At present when it starts I get into the gatorade and pediatric electrolytes plus Levsin, Phenagren, Bentyl, Donnatal and Acetaminophin W/codeine for the stomach cramps, Vomiting and diarrhea. The episodes last from 12 to 24 hours and don't seem to have any specific trigger. Any ideas out there?
I know abdominal adhesions can form at any time, but, um 35 years later? have you seen a GI and been evaluated for strictures: colonoscopy, barium enema, UGI w/ small bowel follow thru, ct scan, etc? even if it is adhesions due to the remote history of radiation, the frequency of your obstructions warrants treatment, even if just lysis of adhesions. I would recommend going to the nearest university hospital that has a good GI department.
as far as coping with the obstructions, you sound like you are doing the right thing. I follow a pretty strict low residue diet and eat small frequent meals. when I do feel an obstruction starting, I usually use the OTC liquid supplements (Boost, Ensure, etc). gatorade has too much sugar in it for me and tends to speed up my gut transit time which definitely doesn't help the situation. you might want to talk to your doc about something other than the codeine, since that can be quite constipating, usually more so than other narcotics.
Thanks for the response. Yeh 35 years later seems like a stretch. My doc calls radiation the gift that keeps on giving. Had all those tests but still no solution. Plan on a visit with the doctor soon to see if we can get this sorted out. I'm trolling for ideas to put on the table. Going to a university hospital is one that I will put out there. Thanks.
good luck with the doc visit. have they done motility studies? the only other thing that I have run across that results in repeated obstructions where there is no identifiable underlying disease, is something called chronic pseudo obstructive disease. which I think is a motility disorder.
take care, and best of luck in trying to get this straightened out.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.