Obstructed bowel occurs due to mechanical impairment, occlusion or a blockage of the passageway of the contents of the bowel.
Obstructed Bowel Symptoms
The following are the manifesting symptoms of an obstructed bowel:
- Abdominal pain around the epigastrium (upper part of the abdomen) and umbilicus
- Complete constipation and no bowel movement at all.
- If strangulation of the blood vessels or gut occurs, there is excruciating pain and tenderness
- Shock and oliguria ( no passage of urine) may develop in extreme cases
Treatment For Bowel Obstruction
- Once the diagnosis is made, immediate treatment is very important. Hospitalization is almost always mandated in all patients.
- Naso-gastric suction is done to expel accumulated fluid
- Intravenous fluids and anti-biotics are given
- A urinary catheter is inserted. It helps keep an eye on the fluid out-put.
- Electrolyte substitution is done to make up for deficits.
- Duodenal obstruction is handled by a resection, if however, t is not possible to remove the mass, gastro-jejunostomy needs to be carried out.
- If one has a complete bowel obstruction, it is effectively managed with laparotomy, even though it is okay to delay the operation by 3 hours in order to perk up the urine output and fluid status.
- cholecystectomy and enterotomy are done to eliminate gall stones.
Recurrences should be prevented by performing certain procedures, like a repair of a hernia, elimination of a foreign body, and cutting away of adhesions.