BOWEL OBSTRUCTION

BOWEL OBSTRUCTION

Bowel obstruction is a blockage that hinders food or fluid from going through your small or large intestines. Reasons for bowel obstruction may include adhesions or bands  in the abdomen that may form  after a surgical procedure, inflammatory bowel diseases such as Crohn’s, infected pockets in your intestines (diverticulitis), hernias and colon cancer.

The most common causes behind an intestinal obstruction are:

  • Intestinal adhesion’s
  • Colon cancer
  • Hernias or parts of the intestine that extend into another part of your body
  • Inflammatory bowel-diseases, such as Crohn’s
  • Diverticulitis, or infection of the small, distending pockets or diverticulitis in the gastrointestinal tract
  • Twisting of the colon (volvulus)
  • Impacted stools
  • Pseudo-obstruction
  • Paralytic ileus

SYMPTOMS

Signs and symptoms of intestinal obstruction include:

  • Crampy stomach painthat waxes and wanes
  • Loss of appetite
  • Constipation
  • Vomiting
  • Unable to defecate or pass gas
  • Abdominal swelling

DIAGNOSIS

Tests and techniques used to diagnose intestinal obstruction include:

  • Physical exam
  • X-rays
  • Computerizeedtomography (CT)
  • Ultrasound
  • Air or barium swallow/enema

TREATMENT

Hospitalization

Once you are admitted, the doctor will initially give you treatment. Medications may be given through an injection (IV). A nasogastric tube  may be placed in your nose to your stomach.

Treatment for intussusceptions

Barium or air enema is used both as a diagnostic technique and a treatment for children with intussusception. If this works, further treatment is not required.

Treatment for partial obstruction

If you have an obstruction in which some food and fluid can partially pass through, you may not require further treatment after you’ve been stabilized.

Treatment for complete ibstruction

If nothing can pass through the digestive tract, you’ll require surgery to remove  the blockage.

Treatment for pseudo-obstruction

If your doctor suspects pseudo-obstruction (paralytic ileus), the doctor may give medicines and other treatments for the condition.

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