Obstructed Bowel: Symptoms And Treatment For Bowel Obstruction

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
  • Vomiting
  • 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.

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