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Doctor insights on: Chronic Intestinal Pseudo Obstruction

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Gastric biopsy result: antral mucosa revealing mild to moderate chronic inflamation with associated extensive intestinal metaplesia. What that mean?

Gastric biopsy result: antral mucosa revealing mild to moderate chronic inflamation with associated extensive intestinal metaplesia. What that mean?

Precancer: The antrum is that portion of the lower stomach above the pylorus. Having chronic inflammation with extensive intestinal metaplasia is the precursor for developing gastric cancer. Left alone one would find an eventual gastric ulcer and invasive cancer. Partial gastrectomy would probably be indicated at this time. ...Read more

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 is chronic intestinal pseudo-obstruction?

What is chronic intestinal pseudo-obstruction?

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

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Is chronic intestinal pseudo obstruction ever considered to be psychosymatic?

Is chronic intestinal pseudo obstruction ever considered to be psychosymatic?

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

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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.

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 more

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What is intestinal pseudo-obstruction?

What is 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 more

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How is intestinal pseudo-obstruction treated?

How is intestinal pseudo-obstruction treated?

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

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What is primary intestinal pseudo-obstruction?

What is primary intestinal pseudo-obstruction?

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

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How is intestinal pseudo-obstruction diagnosed?

How is intestinal pseudo-obstruction diagnosed?

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

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Why is intestinal pseudo-obstruction common in patients with lupus?

Why is intestinal pseudo-obstruction common in patients with lupus?

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 more

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Is a pseudo obstruction ina 45 yr old woman usually indicative of an underlying condition?

Is a  pseudo obstruction ina  45 yr old woman usually indicative of an underlying condition?

Bowels: pseudo obstruction in the bowels does not necessarily indicate any condition. narcotic pain medications are a primary cause of this condition. Is that what you mean? ...Read more

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4 year old suspected of pseudo obstruction due to severe abdominal distention. What is the best test for this?

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

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30 y right flank pain chronic known to have irretable bowel syndrome only ist from IBS or pelvouretric junction obstruction (+ve family hx)what to do?

30 y right flank pain chronic known to have irretable bowel syndrome only ist from IBS or pelvouretric junction obstruction (+ve family hx)what to do?

Hydronephrosis: Get checked for hydronephrosis from the urtero-pelvic obstruction. May have a congenital stenosis. I have seen 2 cases & can save the kidney if diagnosed early. Consult an urologist for an ultrasound for the kidneys. Good luck. ...Read more

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Have chronic constipation, bloated, thin stools and severe gut pain...ER found no evidence of gallstones. Crohns? Bowel obstruction?

Have chronic constipation, bloated, thin stools and severe gut pain...ER found no evidence of gallstones. Crohns? Bowel obstruction?

See gastroenterologi: You will need a colonoscopy to make sure you are not obstructed and rule out colitis. Possibilities include spastic colon, obstructive process or inflammatory process. Later usually causes diarrhea. Try increasing fiber and fluid plus osmotic agent like polyethyline glycol (Miralax). If those do not work, try Amitiza (lubiprostone) or Linzess ...Read more

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I have IBS & chronic constipation . My stomach has been swollen for several weeks . If u have bowel obstuction will your stomach b real large & hard?

I have IBS & chronic constipation . My stomach has been swollen for several weeks . If u have bowel obstuction will your stomach b real large & hard?

Bowel obstruction: Yes a hard stomach can be a sign of obstruction if it's painful and with other symptoms. Symptoms of bowel obstruction include on and off cramping belly pain, vomiting, bloating, constipation and no gas if fully blocked or diarrhea if partially blocked. If the pain is constant and severe, this is an emergency. ...Read more

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Intestinal obstruction symptoms?

Intestinal obstruction symptoms?

Bowel obstruction: The patient feels sick, bloated abdomen, loss of passing gas/stool, nausea, fever and vomiting. Hospital admission becomes necessary for intravenous fluids and evaluation. ...Read more

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How to cure intestinal obstruction?

How to cure intestinal obstruction?

NG tube or surgery: If intestinal obstruction is due to adhesions post surgery, an attempt to reverse the partial twist using a nasogastric tube is a first attempt to be used. If the amount of ng drainage increases and gas does not pass per rectum, surgery is needed. Here, removal of adhesion and untwisting of bowel can help. Occassionally a side to side bypass has to be used. ...Read more

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What are the symptoms of intestinal obstruction/ occlusion?

What are the symptoms of intestinal obstruction/ occlusion?

Abdominal pain: It is usually associated with abdominal pain, distention, nausea, vomiting and absence of bowel movements or passing gas. It has many different causes and it is a medical/surgical emergency requiring expert management in a hospital setting. ...Read more

Obstruction (Definition)

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


Dr. Milroy Samuel
6 doctors shared insights

Occlusion (Definition)

This refers to how the teeth come together. There are 3 classifications: normal or class i, an excessive overbite or class ii, and an ...Read more