Doctor insights on:
How To Treat Blocked Bowels
Bowel Obstruction: Small bowel obstructions (sbos) manifest themselves as the acute onset of vomiting, cramping pain, bloating, and absence of passage of gas or stool. They are most often due to adhesions from prior surgery; less commonly, due to hernias or cancer. In the context of prior surgery, non-operative management is often successful, provided that there are no signs of intestinal compromise. ...Read more
If it is a true: And complete intestinal obstruction, surgery is needed. If it is constipation, laxatives and enemas will usually suffice. But there are other conditions, such as pseudo obstruction and adynamic ileus, that can mimic 'blocked bowels' so it is important that you consult a doctor for specific recommendations in your case. ...Read more
Surgical / medical: It all depends on the cause of "blockage". It can be due to a functional cause or a mechanical one. Mechanical causes include tumors, adhesions, volvulus, intussusception, foreign objects, and hernias. Many times, these require surgery. Functional causes are more difficult and require patience and time. If you are referring to constipation, then stool softeners, laxatives, and enemas are used. ...Read more
Bowel Obstruction, 2: Large bowel obstructions (lbo) present with similar symptoms as sbos yet have distinct findings on x-ray. They may be due to colorectal ca, twisting ("volvulus"), inflammation (diverticulitis, inflammatory bowel disease). When complete, these require emergency surgery; when incomplete, time may be taken to identify the cause and treat appropriately. ...Read more
Usually loudly: Mechanical bowel obstructions are often characterized by quite loud bowel sounds as the intestine upstream from the blockage try to overcome the obstruction by contracting stronger than normal. These contractions are responsible for the cramping pain associated with bowel obstructions. A telltale sign of a worsening obstruction is when the bowel sounds diminish, as the bowel function subsides. ...Read more
You cannot: Bowel obstruction is a medical emergency and you should go to an er right away. It can be caused by foreign objects, tumors, serious vascular problems, bowel twisting, or an infolding termed intussecption. These may need surgical intervention and the er is the point of entry for the next steps. ...Read more
No home remedies: Bowel obstructions are potentially life-threatening emergencies that require urgent hospital evaluation and management: first, to diagnose the exact cause, and then to come up with a treatment plan. Some may simply require bowel rest, IV fluids, tube decompression of the stomach, and "time"; others will require emergency surgery. ...Read more
The doctor did a ct scan and said looks like a small bowel obstruction but I have severe diarrhea could it be something else and how's it treated?
Not likely: A ct scan is not the best test for a functional bowel obstruction. A small bowel series is a better option. The cynics a one time picture and the fact that you are having diarrhea probably rules out the chance of a vowel obstruction. I think there is something else going in. Stool cultures are in order and possibly more testing. ...Read more
SURE: If you have a small bowel obstruction, usually from surgical adhesions from prior procedures, the colon, downstream from the small bowel, will still have material in it at the moment of sbo. So, for a day or two, a patient with an sbo can have a bowel movement, but they'll be distended, nauseated, and have cramping pain. Good luck. ...Read more
Serious: A true bowel obstruction is most commonly from adhesions or scar from past surgery. A true bowel obstruction results in increasing abdominal pain, vomiting, fever, lack of bowel movement, dehydration. The bowel is at risk for ischemia or internal rupture. It can result in serious sepsis and death if untreated. Note: constipation alone is not a true bowel obstruction. ...Read more
Depends: Did you have surgery to treat the obstruction? Were you hospitalized and treated medically only? Are you describing bowel constipation? Takes 4-6 weeks to recover from surgery. Takes a few days to recover after medical treatment. Would need much more detailed medical information to answer further. ...Read more
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 more
Combination: Bowel obstruction is diagnosed using a combination of patient history, physical exam, and scans (x-rays, ct, etc.). Sometimes the physical exam findings are so obvious that scans are not required. Some partial bowel obstructions can be very difficult to diagnose and may elude doctors and patients for months. ...Read more
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 more
Common symptoms: Are crampy abdominal pain, abdominal distention, nausea, vomiting, and obstipation, in someone who has had previous abdominal surgery or has a hernia. Only medical evaluation will differentiate intestinal obstruction from other causes of abdominal pain. You need to seek immediate medical attention if you have these symptoms. ...Read more
Depends: It depends on whether it was managed conservatively with bowel rest or required surgery. Also depends on definition of recovery. If you refer to eating regular food and having bm's that can be 1-2 days but may take even longer depending on the degree of obstruction. If surgery was required, full recovery to unlimitted activity is 4-6 weeks. ...Read more
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
"blocked pipes": The intestinal tract is one, long distensible pipe from the stomach to the anus consisting of 30-40 ft of small intestine (for nutrient absorption) and 5 ft of large intestine (for water absorption). Obstruction may occur at any point, causing upstream distention, cramping pain, vomiting, and obstipation (no gas or bm out the bottom). Rx may require surgery depending on the cause. ...Read more
Intestinal: Or colon obstruction is a mechanical blockage usually caused by twisting of intestine or colon. Fecal impaction is just that, your fecal material gets stuck in the colon and can cause an obstruction. The former can commonly lead to strangulation, so operation is frequently needed. The latter almost never requires surgery, just mechanical removal of impacted stool. ...Read more
IT'S A RISK FACTOR: Repeated abdominal surgeries might increase the likelihood of developing abdominal adhesions. In simple terms like cobwebs. These can sometimes be the cause of partial or complete bowel obstructions. The mechanism is different because the source is external as compared to a mass growing inside the bowel. Talk to your doctor about your concern. ...Read more
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