Prevention of a Small Bowel Obstruction

Some ovarian cancer survivors are at high risk for a small bowel obstruction. This may be due to surgical adhesions or the tumor itself. First it is important to know what the signs and symptoms are of a partial small bowel obstruction.

Some symptoms may be cramping, gas, bowel changes, nausea and vomiting. Vomiting and increasing abdominal girth and pain may indicate a total obstruction. Keep in mind that symptoms may vary by individual and severity of the obstruction. It is important to notify your doctor immediately.

Dietary Changes
With a partial small bowel obstruction, there may be dietary changes to prevent a complete obstruction. These include:

• Eat smaller meals, more frequently throughout the day.

• Follow a low fiber diet. Avoid fruits and vegetables with skins and seeds; avoid whole grains, nuts and seeds. White bread, white flour based pasta and peeled potatoes may be tolerated. Low fiber cereals include: puffed rice, Cheerios, cream of rice, cornflakes.

• Avoid fatty and greasy foods. These are much more difficult to digest and may stay in the stomach longer causing greater discomfort.

• Drink plenty of fluids: water, broth, tea, gelatin and juice may help you stay well hydrated. Some people find that full liquids: hot cereals, puddings, milkshakes and nutritional drinks are tolerated. If nausea is persistent, switching to nutritionally concentrated liquids is worth trying.

• Avoid lactose containing drinks if gas or milk intolerance is noted.

• Avoid gas-forming foods such as gassy vegetables (ex: broccoli, cauliflower), soft drinks, beans and chewing gum.

For more individualized assistance contact the registered dietitian at 215-829-6560.

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