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Doctor insights on: Bowel Perforation Pathophysiology

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Dr. Alexander Barkan
Board Certified, General Surgery
19 years in practice
930K people helped
1

1
How do people treat bowel perforation?

Dr. Alexander Barkan
Board Certified, General Surgery
19 years in practice
930K people helped
How do people treat bowel perforation?

Bowel perforation: Treatment is mostly by surgery if patient has peritonitis. If diverticulitis causes a perforation sometimes long term antibiotics are needed, and surgery may be avoided. ...Read more

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Dr. Warren Strudwick
Board Certified
25 years in practice
361K people helped
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Dr. Warren Strudwick
Board Certified
25 years in practice
361K people helped
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Dr. Alexander Barkan
44 doctors shared insights

Bowel Perforation (Definition)

Gastrointestinal perforation is a hole that develops through the entire wall of the stomach, small intestine, large bowel, or gallbladder. This condition ...Read more


Dr. Alexander Barkan
Board Certified, General Surgery
19 years in practice
930K people helped
2

2
What symptoms does someone with bowel perforation always have?

Dr. Alexander Barkan
Board Certified, General Surgery
19 years in practice
930K people helped
What symptoms does someone with bowel perforation always have?

Bowel perforation: Usually associated with severe abdominal pain, the patient is usually not able to move much, and laying still helps decrease the pain. Fever and increase in WBC count is also a finding as well as free air on xrays. ...Read more

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Dr. Warren Strudwick
Board Certified
25 years in practice
361K people helped
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Dr. Warren Strudwick
Board Certified
25 years in practice
361K people helped
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Dr. Mark Hoepfner
Board Certified, General Surgery
34 years in practice
17M people helped
3

3
What are the tests for bowel perforation?

Dr. Mark Hoepfner
Board Certified, General Surgery
34 years in practice
17M people helped
What are the tests for bowel perforation?

Physical examination: Intestinal perforation is a very serious and life threatening condition that requires immediate physical examination by a doctor. This is an emergency situation. Blood tests, x-ray, and ct scan are likely the first tests performed. ...Read more

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Dr. Johnny Green
Board Certified, Colon and Rectal Surgery
36 years in practice
317K people helped
4

4
For how long can someone live with a bowel perforation?

Dr. Johnny Green
Board Certified, Colon and Rectal Surgery
36 years in practice
317K people helped

A few painful days: A perforation of the bowel, by any cause, usually causes leakage of intestinal fluid into the abdomen around the intestine. A very severe infection starts rapidly that typically leads to a painful death in only a few days. Operation to repair the perforation and clean out the infection as well as antibiotics are usually needed. ...Read more

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Dr. Warren Strudwick
Board Certified
25 years in practice
361K people helped
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Dr. Sanjay Bhat
Board Certified, Gastroenterology
31 years in practice
77K people helped
5

5
What are the symptoms that accompany bowel perforation?

Dr. Sanjay Bhat
Board Certified, Gastroenterology
31 years in practice
77K people helped
What are the symptoms that accompany bowel perforation?
Dr. Zbigniew Moszczynski
Board Certified, General Surgery
24 years in practice
60K people helped
6

6
What are some warning signs of bowel perforation? Especially if it's minor, like a small hole or tear?

Dr. Zbigniew Moszczynski
Board Certified, General Surgery
24 years in practice
60K people helped
What are some warning signs of bowel perforation? Especially if it's minor, like a small hole or tear?

Abdominal pain : It all depends whether it is stomach, small bowel or large bowel. Most of them will present with a quite severe abdominal pain, nausea, vomiting, fever in an otherwise healthy patient. Most of these patients will end up in the hospital quickly due to the pain. The symptoms may be much les prominent in an immunocompromised patients. ...Read more

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Dr. Steve Howe
Board Certified, Thoracic Surgery
24 years in practice
86K people helped
7

7
What to do if i'm afraid of losing my natural flora and also of bowel perforation. How likely are these risks?

Dr. Steve Howe
Board Certified, Thoracic Surgery
24 years in practice
86K people helped
What to do if i'm afraid of losing my natural flora and also of bowel perforation. How likely are these risks?

Unlikely: These are unlikely scenarios if your bowel is otherwise healthy, you do not have inflammatory bowel disease, take antibiotics chronically, or are being treated with chemotherapy. Eating sensibly allows the body to keep its natural bowel flora in balance. ...Read more

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Dr. Mark Hoepfner
Board Certified, General Surgery
34 years in practice
17M people helped
8

8
Explain the condition called a bowel perforation.?

Dr. Mark Hoepfner
Board Certified, General Surgery
34 years in practice
17M people helped
Explain the condition called a bowel perforation.?

See below: A bowel perforation is an emergency, serious condition where the intestines are leaking internally. Usually it is associated with severe abdominal pain, vomiting, fevers. There are many causes of perforation such as stomach ulcer, small bowel injury from scar tissue, perforated appendicitis, perforated diverticulitis, etc. All these are serious and will require emergency surgery. ...Read more

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Dr. Barry Rosen
Board Certified, General Surgery
29 years in practice
24M people helped
9

9
If you had to boil it down, what is bowel perforation?

Dr. Barry Rosen
Board Certified, General Surgery
29 years in practice
24M people helped
If you had to boil it down, what is bowel perforation?

Hole in the Bowel: Bowel perforation is often a life-threatening emergency that usually requires emergency surgery to treat. Common causes include a perforated ulcer, diverticulitis, or intestinal cancer. The contents from the bowel is very toxic to the body, requiring emergent intervention. The surgical approach is dependent upon one's health, preoperatively evaluation, and preference of the surgeon. ...Read more

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Dr. Jeffrey Crespin
Board Certified, Gastroenterology
23 years in practice
1M people helped
10

10
Big risk of bowel perforation during a routine colonoscopy?

Dr. Jeffrey Crespin
Board Certified, Gastroenterology
23 years in practice
1M people helped
Big risk of bowel perforation during a routine colonoscopy?

Very small: The literature quotes rates of 1 in 3000. I have done over 10, 000 with no perforations. The risk increases with age and previous abdominal surgeries as well as nutritional status. ...Read more

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Dr. Warren Strudwick
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25 years in practice
361K people helped
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