What is Ileus?
Ileus is defined as disruption of normal propulsion (forward movement) gastrointestinal motor activity.
Types of Ileus
Paralytic ileus
- Or it is also called as paralysis of intestine sufficient to stop passage of food through intestine leading to blockage.
- Paralytic ileus is usually a post operative complication.
- It may also result from use of certain drugs or illnesses like fibromyalgia.
- Hypokalaemia may also lead to paralytic ileus.
- Paralytic ileus leads to constipation and bloating sensation in abdomen.
- On examination
- Auscultatory findings reveal peristaltic activity is heard as bowel is inactive.
Post-operative ileus
- It is temporary paralysis of a portion of the intestine especially after an abdominal surgery.
- Therefore, patient is to be kept nil by mouth until peristaltic activity is regained.
Symptoms of Ileus
- Abdominal discomfort.
- Constipation.
- Nausea and vomiting especially after meals.
- Lack of bowel movement and or flatulence.
- Excessive belching.
Treatment for Ileus
- Patient is kept nil by mouth.
- Naso gastric tube suction and parentral feeds are needed until passage is restored.
- Causative agents like drugs if any causing ileus are to be discontinued.
- Drugs like lactulose may be prescribed to stimulate bowel movement.
- Correction of electrolytes is done in case of hypokaleamia.
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