What is Ileus or Paralytic Ileus | Types, Symptoms And Treatment

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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