Doctor insights on:
Causes Of Intestinal Pseudo Obstruction
Ogilvie's syndrome: A patient can present with symptoms of obstruction, such as abdominal discomfort, bloating, nausea and vomiting, and radiological examination shows marked dilitation of the colon, but no obvious source for mechanical obstruction is found. Naso gastric suction, and colonoscopy for decompression of the colon may help up to 75% of the time, but in severe cases, surgery may help. ...Read moreSee 1 more doctor answer
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
Depends: This condition can have various causes. First, you treat the underlying cause (orthopedic problem, heart condition, electrolyte imbalance, etc). If that doesn't work, sometimes colonoscopy is useful. There is also a medication (neostigmene) which in certain patients is appropriate. Surgery is reserved for complications of this condition. ...Read more
Non-mechanical block: 'primary' means cause unknown. Intestinal = small intestine (about 20 feet long) or large intestine (about 6 feet long) leading to rectum. 'pseudo-obstruction' means a blockage thatis not mechanical, such as caused by a tumor, or fibrous adhesions from prior surgery, or stool impaction. The cause is an abnormality of the nerves leading to the muscle of bowel wall (lupus, scleroderma, parknsns). ...Read more
Gut motility: This is a disorder of the motility of the intestines, which produces dilated loops of bowel which are similar in appearance to bowel that is mechanically obstructed, but there is no obstruction. It results from a disturbance in the nerve supply to the intestine or an abnormal response of intestinal smooth muscle. Symptoms can be abdominal pain, bloating, vomiting or constipation. ...Read more
Labs and X-rays: First you have to make sure there aren't any other causes of true obstruction. This is done with a combination of x-rays or scans, physical examination, review of the medical history, and laboratory tests. After other causes have been eliminated, then the patient is treated for pseudo-obstruction, also called ogilve's syndrome. ...Read more
Might be considered.: There is a very strong link between gut sensation and the mind. "butterflies in my stomach, " gut feeling, " "gut wrenching experience, " etc. If gut motility is so altered by emotion / anger / fear etc. Is it then psychosomatic or is it real? Call it what you want, but i don't think the distinction is useful. The gut, the neural input to the gut and the perception of the gut must be treated. ...Read more
Can occur, not c'mon: Systemic lupus is a disease that can affect blood vessels, nerves, connective tissue any place in the body. It can be a slowly progressive disease one lives with for many years, to a devastating disease that can aggressively ravage the kidneys, heart, nervous system, joints, lungs...That can shorten ones life to months. If nerves/muscles in the intestine are affected, pseudo-obst may occur, rarely. ...Read moreSee 1 more doctor answer
Is chronic intestinal pseudo obstruction a disease? My GI diagnosed it but primary doc and gyno say they do not understand why 'disease' is used.
Or a disorder: When a person has a symptom, doctors look for the cause of the symptom. If a cause is found, then the cause is called the disorder or disease. If no cause is found, then the symptom itself can be called a disorder or disease. It's just how people use words. ...Read moreSee 1 more doctor answer
Can chronic intestinal pseudo obstruction be from a muscular disorder and also affect muscles and joints in most of my body? I was dignosed with cip.
Hernia, scar tissue: The two most common causes are hernias and scar tissue. A hernia is a defect in the abdominal cavity. The intestine gets stuck in this defect, causing a blockage. If it stays too long, this portion of the intestine can die. Similarly, scars in the abdomen, usually from previous surgery, can result in a blockage when the intestine gets tangles around the scar tissue. Other causes are less likely. ...Read more
Within and without..: The obstrction can be form something within the lumen (the passage) or within the wall or from externally (within the abdomen but outside the si). With this in mind it is possible to work through the possibilites and reach a conclusion... ...Read more
Many things: True intestinal obstruction has many possible causes, depending on the individual. Hernia, scar tissue (adhesions) from previous surgery, tumors, and intussusception are among these. Most obstructions are partial, as when they are complete, it becomes a surgical emergency to prevent perforation and peritonitis. ...Read moreSee 1 more doctor answer
Don't eat them!: You would have to eat a huge number of flax seeds for them to cause a partial obstruction. You need to consider alternative causes. The treatment would be the same for any partial small bowel obstruction - NG tube to decompress the stomach, no eating, and the tincture of time. Surgery only if it does not resolve with conservative measures. ...Read more
M58, could hernia cause intestinal obstruction with out any pain or typical hernia inflammation. Thanks?
Yes,but atypical: Atypical presentations to common problems in medicine and surgery occurs but not very often. If the blockage from a hernia is partial, slowly progressive to allow compensation and not associated with peritoneal inflammation it may have very few to no symptoms at times, however the condition will soon go over a tipoff point and symptoms of incarceration and ultimately strangulation will develop. ...Read more
You'llNeedFluidsToo: "They" say(whoever "they" are)that we all need about 25-30 grams(say, one ounce) of fiber a day. The cheap way would to eat about 4 paper towels.Yummy! But I wouldn't recommend that, unless you were stuck on an island with a lollipop & a roll of T.P. Better to get from veggies,grains & beans(both soluble and insoluble fiber).And no, it won't obstruct you unless you have an underlying problem. ...Read more
4 year old suspected of pseudo obstruction due to severe abdominal distention. What is the best test for this?
Abdominal x ray: If she has abdominal distention with vomiting , she needs to go to ER for immediate attention . ...Read more
M58, could chewing 10 teaspoon fulls of flax seed cause intestinal obstruction at the site of hernia.(i am person with large inguinal hernia)?
Flaxseed problems: Flaxseed has been reported as a contributing factor to bowel obstruction, particularly when taken in large amounts with inadequate water intake. Additionally, flaxseed can lower blood sugar, so regular glucose monitoring is essential . Flaxseed has many health benefits when taken in moderation in otherwise healthy people. ...Read more
Can an intestinal obstruction cause Diarreah?? I've been having terrible constipation even with Miralax (polyethylene glycol) and now Diarreah but it's pure water??
Post obstructive di?: The obstruction causes constipation, but once the treatments work (& the obstruction resolves) often patients experience post-obstructive diarrhea. The body adjusts to relief by producing excess fluid & moving fluid through faster for a period of time before it adjusts to the new normal. If your symptoms persist, however, see a doctor. It may be something different or serious. ...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
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