Wednesday, May 11, 2011

Intestinal obstruction symptoms and bowel obstruction treatment

LISTEN YOUR ABDOMEN......
MALFUNCTIONING OF THE BODY THEREBY BLOCKING THE INTESTINE
Undergo HOW to prevent and Treat ?


INTESTINAL OBSTRUCTION

The mall-functioning of the body thereby blocking the gut and preventing the movement of product of digestion. Its a mechanical or  useful impediment  of the gut ,veto the normal transit of the products of digestion. it can become at some level distal to the duodenum of the small gut an is a medical emergency. Although many cases are not treated surgically , is  a surgical problem.


CLASSIFICATION

  • ACUTE OBSTRUCTION : Occurs in small intestine.
  • CHRONIC OBSTRUCTION :  Occur in large intestine.
  • ACUTE-ON-CHRONIC OBSTRUCTION : Spreads from large gut to involved small intestine.
ETIOLOGY
DYNAMIC OBSTRUCTION

  Here an obstructive agent is present.


     LUMINAL OBSTRUCTIONFecal impaction
  • Gall stone ileus
  • worms eg ascariasis.


     INTRINSIC LESION OF BOWL WALL
  •  Inflammatory stricture
  • Malignant stricture
  • Intussusception


     EXTRINSIC COMPRESSION
  •  Adhesions
  • Hernias
  • Volvulus


ADYNAMIC OBSTRUCTION

Here's no obstructive agent is present.


PARALYTIC ILEUS
  • Postoperative
  • Peritonitis
  • Reflex
  • Uremia
  • Hpokalemia


 MESENTRIC VASCULAR OCCLUSION
  • Embolism
  • Thrombosis


SIGNS AND SYMPTOMS

Based on the extent of impediment involved, viscus impediment can result into abdominal pain, abdominal distension, vomiting and regurgitation. (This a information where half-digested concern is remove from the gut into the stomach by contraction and muscle movement, forcefully expelled through the oesophagus and finally outside from the mouth. This is not actually faecal concern that is vomited, but it smells similar). The information of viscus impediment haw be worsen by extraction and electrolyte abnormalities (acid-base imbalance) cod to vomiting. In diminutive gut obstruction, the discompose are cramping and consistent in nature. The discompose is more central and mid-abdominal. Constipation comes after vomiting. In case of large viscus impediment , the discompose is felt in the lower conception of the abdomen. Constipation occurs first and regurgitation haw be irregular.


INVESTIGATIONS


Test that shows obstruction
  • Barium enema
  • Abdominal CT scan
  • Upper GI and small bowl series
  • Abdominal film

The field diagnostic tools are blood test, X-rays of the abdomen, CT scanning (computer tomography) and or ultra-sound. In a case of identifying mass, biopsy haw be employed to determine the nature of the mass. Radio logically viscus impediment shows viscus distension and the presence of multiple gas-fluid levels. Contrast enema, diminutive gut series or CT construe can be used to define the level of obstruction, as in either partial or complete and helping to know the cause of the obstruction. In colonoscopy,small gut are diagonalised using ingested camera,while endoscopy is an instrument used to get medical information from inside the embody and laparoscopy is a form of new technique aimed at carrying out abdominal activeness through diminutive incision.unlike the usual large surgical procedure.


TREATMENT

GASTRODUODENAL OR GASROINTESTINAL SUCTION DRAINAGE
REPLACEMENT OF FLUID AND ELECTROLYTES
RELIEF OF OBSTRUCYION BY OPERATION
ANTIBIOTICS 

The treatment for diminutive viscus impediment is both non-surgical called conservative and surgical. Non-surgical treatment involves a nasogastric tub, correction of extraction and electrolyte abnormalities. For patients with cut pain, Opioid discompose reliever haw be used. Antiemetics haw be administered to regurgitation patient. Intestinal Obstruction in Children Intestinal atresia is the main causes of fetal and neonatal viscus obstruction. This is characterised by narrowing or absence of a conception of the intestine. The atresia are usually discovered before birth via Sonagram and treated with using laporotomy after if the area infected is small, surgeon haw be able to remove the damaged conception and the gut is joined back together. In a information where the narrowing is longer and the area is damaged, a temporary stoma haw be placed.


SURGERY

The surgery is performed while you are under general anaesthesia. This means you are unconscious and pain-free .A cut is prefabricated  in your abdomen. The disease conception of the super bowl is distant and the digit healthy ends of bowl are seamed back together ( resected ).The cut is winking , if the entire colon and rectum is distant , it is titled a proctocolectomy. A bowl resection haw be performed as a traditional 'open' machine or as a minimally invasive laproscopic procedure.

PREVENTION


It depends on the cause,treatment of conditions ( such as tumor and hernias ) that are attendant to obstruction,may reduce the risk.some causes of obstruction are not preventable.



EXPECTATION


The outcome varies with the cause of obstruction.



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