An interesting article I found. Firstly below is noted the symptoms versus treatment plan. Here is also another article on the treatment and diagnosis of Small Bowel Obstruction.
Partial vs Complete • Flatus • Residual colonic gas above peritoneal reflection • Adhesions • 60-80% resolve with non-operative Mx • Must show objective improvement, if none by 48h consider OR • Complete obstipation • No residual colonic gas on AXR • SBFT may differentiate early complete from highgrade partial • Almost all should be operated on within 24 hours.
I was re operated on Two weeks from the time of symptoms starting, and one week after C.T diagnosis. I had no form of nasal gastric suction, which would have relieved some distension and vomiting, because my plea's of some sedation to tolerate insertion of a nasal gastric tube were denied. They reply was always "We don't do that". Yet someone having a Gastroscopy or under special circumstances can receive some form of sedation. I did have special circumstances.
I have been trying to find any information which suggests that making a patient eat with an Ileus will resolve the situation. So far I have found nothing. Yet I was bullied into eating for the duration of my Bowel Obstruction. I never saw a Bowel/General surgeon either during my sojourn. I believe the only thing that kept me going was my kids, inner strength, and T.P.N feeding to balance out my declining electrolytes. The whole time I felt unheard, and was made to believe the whole debacle was from my own doing. I was neglected and abused while suffering from a Bowel Obstruction for two weeks, it was torturous on top of the major surgery I had already had.
Next week my new surgeon and I are to discuss more options regarding surgery for the stone and revision of stoma. I am nervous, I am scared, it has bought up my fears due to my horrific experiences once again.