Doctor insights on:
Bowel Obstruction Cancer Patients
Need more info.: How soon after the surgery did the bowel obstruction occur? Is it a large- or small bowel obstruction? Do the doctors believe the obstruction is due to recurrent cancer or adhesions? Is it an incomplete or complete obstruction? Please ask these questions of the treating physicians for a better understanding of this complex problem. Read moreSee 1 more doctor answer
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
Friend, Pan can stage 4. No chemo for 3 months because of complications. Pain, bowel obstruction, pneumonia now. Will the cancer start growing again?
Not the issue: Stage IV pancreatic cancer has a very poor outlook with overall survival rate measured in months, not years. With complications of bowel obstruction, pneumonia, weight loss, etc., the patient should not be pursuing chemotherapy but rather hospice care. Please discuss this with his/her physician for compassionate end-of-life care. Read moreSee 2 more doctor answers
Not necessarily: Constipation is not necessarily a sign of colon cancer. Constipation is usually caused by problems with diet - not enough fiber, not enough fresh fruits/ veggies, not drinking enough water, etc. It can also be caused by low activity level. Some patients have IBS (irritable bowel syndrome) which can cause recurrent constipation. If the constipation is new with none of the above changes, see doc Read more
DX w small bowel obstruction, recovering so dx correct but I have none of the listed issues (hernia, cancer, scarring) nor vomiting. What else causes?
Had chemo & debulk surgery for 4th stage ovarian cancer had 2 surgery for bowel obstruct now have hernia & bowel obstruction what's my life expectancy?
Variable: While the percentage of patients alive at five years from many stage 4 cancers is low, it is not zero, and you never know which group you are in as an individual. That doesn't mean to ignore the stats, but in the end, you are not a statistic, but an individual. It should be mostly about quality of life rather than quantity for most folks, so don't give up hope, and have an active say in your care. Read moreSee 1 more doctor answer
Pain and distension: First comes abdominal pain followed by abdominal swelling + tenderness. Then vomiting of stomach contents followed by greenish (bile)vomiting. May feel like passing flatus, but cannot + bowel movements will cease. Abdominal sounds will be absent due to ileus. Plain abdominal xray will demonstrate distended bowel loops with "air fluid levels. See dr. For severe pain, abdo distension + green vomitus. Read moreSee 1 more doctor answer
Intestinal blockage: Bowel obstruction can involve either the small or large intestine. There are many causes of obstruction - for the large intestine, masses including cancer, inflammation or twisting (volvulus), for the small intestine, scar tissue from previous surgery, congenital twisting, congenital band, tumor or hernia. Partial obstruction may resolve without surgery but complete obstruction requires surgery. Read moreSee 1 more doctor answer
Lousy.: A small bowel obstruction usually occurs due to scar tissue from prior abdominal surgery, causing the bowel to kink like a garden hose. This causes the intestinal contents to back up, leading to cramping abdominal pain, nausea, vomiting, bloating, and, most tellingly, the absence of passage of stool or gas--we call this obstipation. Management requires hospitalization and sometimes even surgery. Read more
Constipation and bowel obstruction are two completely separate things.
If you have: distention, vomitting and can't keep anything down - head straight to the emergency room for further evaluation. That is obstruction.
If however, you simply aren't going to the bathroom, and are not vomitting - then constipation. Can be seen in the office for further evaluation. Read more
The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more
Anything that creates a blockage of the intestinal tract. You may think of the intestinal tract (stomach, small bowel, large bowel) as somewhat akin to a garden hose. If you kink the garden hose, or twist it, or block it inside, you have created an "obstruction". Most obstructions are a results of previous surgery and most of these ...Read more