History of small bowel obstruction. Have CHF. Caused by soluble or insoluble fiber?
Patient: I have had numerous episodes of small bowel obstruction which the doctors say is probably caused by ruptured appendix surgery when I was 3.  I am now in a 70's with CHF and would  like to know what type  of food I should be eating.  I have been told by every physician I have consulted that it  does not matter what I eat but I am sure it is related to the amount of fiber I consume.  Is soluble or insoluble fiber causing this ?  It seems to be related to fiber and I have tried to reduce my intake but it  is difficult since I am then prone to constipation and hemorrhoids.  Any advice would be appreciated. Thanks. Doctor: Hello,If it is a post surgical obstruction then it may due to adhesions in the lumen of the intestines.Fiber diet is very important in your age because it prevents constipation, hemorrhoids, hyperlipidemias, heart blocks and even colonic cancer.The only thing is that the diet should be easily digestible.So cook the fiber well(Vegetables, greens).Preferable you may take soluble fibers.