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Doctor insights on: Bowel Perforation Pathophysiology

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How do people treat bowel perforation?

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. Umesh Patel
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36 years in practice
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Intestine (Definition)

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


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What symptoms does someone with bowel perforation always have?

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. Umesh Patel
Board Certified
36 years in practice
345K people helped
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What are the tests for bowel perforation?

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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For how long can someone live with a bowel perforation?

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. Umesh Patel
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36 years in practice
345K people helped
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What to do if i'm afraid of losing my natural flora and also of bowel perforation. How likely are these risks?

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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Explain the condition called a bowel perforation.?

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

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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Big risk of bowel perforation during a routine colonoscopy?

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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Any risk of bowel perforation during hysterectomy?

Yes: The bowel is adjacent to the uterus so it is at risk of injury during surgery to remove the uterus. This is especially of concern if there are adhesions or scar tissue due to endometriosis, previous surgery, or cancer. I recommend bowel preps before a davinci or laparoscopic hysterectomy to minimize risks of a bowel perforation and to facilitate repair if it should occur. ...Read more

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Dr. Alexander Barkan
42 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


Bowel (Definition)

The bowel is the intestinal tract in the body. The small intestine ...Read more


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Dr. Umesh Patel
Board Certified, Cardiology
36 years in practice
345K people helped
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