Top
30
Doctor insights on: Ileus

Share
Dr. Heidi Fowler
67 Doctors shared insights

Ileus (Overview)

A slowing, or non-functioning condition of the gastrointestinal tract. Usually caused by trauma or injury, often by surgery itself.


1

1
What is the definition of spastic ileus?

What is the definition of spastic ileus?

Ileus: Ileus is the development of distention of the intestines as a result of decreased peristaltic motility. Usually this is the response of the gut to some type of noxious stimulus, either traumatic, infectious or inflammatory. The distension can mimic bowel obstruction and this needs to be differentiated, typically by watchful waiting. Ileus will resolve by correcting the underlying cause. ...Read more

Dr. Heidi Fowler
67 Doctors shared insights

Ileus (Overview)

A slowing, or non-functioning condition of the gastrointestinal tract. Usually caused by trauma or injury, often by surgery itself.


2

2
What are the most common symptoms of ileus?

What are the most common symptoms of ileus?

Agree w Dr Hoepfner: Paralytic Ileus symptoms may include: nausea, vomiting, abdominal distention, ^ gas, abdominal pain to include cramps, constipation/ loose stools, bad breath, inability to pass gas or feces. ...Read more

3

3
My son has been diagnosed with an ileus (no surgery). How can I find out cause and ways to prevent. He was told by his gastro to eat more fiber...

My son has been diagnosed with an ileus (no surgery). How can I find out cause and ways to prevent. He was told by his gastro to eat more fiber...

Multiple causes: Your son has a ileus. He has most likely had a recent illness. He may have a respiratory virus etc. This can cause ileus. Electrolytes like potassium being abnormal can also cause ileus. It does not mean blockage. Time and support usually work. Narcotic medication can also cause ileus. A diet high in fiber may help minimize ileus but treating underlying cause is still important. ...Read more

4

4
Any ideas why pancreatitis cause an ileus?

Any ideas why pancreatitis cause an ileus?

Adynamic ileus: Is caused by different things, including inflammation. Pancreatitis, or inflammation of pancreas, causes irritation of peritoneal cavity, causing intestinal motility to slow down or stop, which is the cause of adynamic ileus. Typically, ileus caused by pancreatitis persists longer than the pancreatitis itself. ...Read more

5

5
My doctor says I have ileus, but I don't understand. What does it mean?

My doctor says I have ileus, but I don't understand. What does it mean?

Sluggish intestines: Intestinal motility paralysis, or ileus, is seen after abdominal surgery, or it can be associated with many medical conditions. It resolves as the conditions improve, or with recovery from the surgery. ...Read more

7

7
Moderate amount of stool in colon and mild ileus. What is the best and fastest way to relieve all this backup of stool and gas? What should I avoid?

Moderate amount of stool in colon and mild ileus. What is the best and fastest way to relieve all this backup of stool and gas? What should I avoid?

Depends on the cause: Ileus means that there is loss of the normal propulsive ability of the gastrointestinal tract - it can be mild or severe, depending on the cause. Many post-op ileus is caused by narcotics taken for pain control. This is often manifest as constipation. The treatment for this is walking, reducing narcotic intake, drinking enough water and on occasion, taking a laxative. ...Read more

8

8
Focal ileus causes?

Focal ileus causes?

Almost anything: Any illness, particularly in the abdomen, can cause an ileus. Common examples--urinary infection, pneumonia, injury, broken bones, any localized area of inflammation in the abdomen, including appendicitis, diverticulitis, viral illness. ...Read more

9

9
What is focal ileus?

What is focal ileus?

Intestine: Part of the intestine lacking the normal peristaltic movement that helps push digested food along the gastrointestinal tract. ...Read more

10

10
How is ileus diagnosed?

How is ileus diagnosed?

Ileus: By X RAY. And by good physical exam, decrease or absent bowel sounds can signal ileus ...Read more

11

11
What are the most common symptoms of ileus?

Agree w Dr Hoepfner: Paralytic Ileus symptoms may include: nausea, vomiting, abdominal distention, ^ gas, abdominal pain to include cramps, constipation/ loose stools, bad breath, inability to pass gas or feces. ...Read more

12

12
What is the definition or description of: ileus?

What is the definition or description of: ileus?

Slow intestines: Ileus is a slowing, or non-functioning condition of the gastrointestinal tract. The movement of food, digestive juices is slowed, leading to distension, sometimes back-up and vomiting. It is usually caused by trauma or injury, often by surgery itself.
Usually responds to patience, time, supportive care. ...Read more

13

13
What should be the longest it takes an ileus to resolve?

What should be the longest it takes an ileus to resolve?

Varies quite a bit: It depends on the exact cause, but can range from a few days to 2 weeks. Most caused by injury or surgery resolve in 2-5 days. ...Read more

14

14
Can you tell me if medication induced ileus disappears after the going off the med?

Can you tell me if medication induced ileus disappears after the going off the med?

Usually yes,: But it depends on duration and severity of the ileus. Other causes need to be excluded, such as diabetes or intestinal obstruction. Consult with a GI specialist. ...Read more

15

15
What is the definition of spastic ileus?

Ileus: Ileus is the development of distention of the intestines as a result of decreased peristaltic motility. Usually this is the response of the gut to some type of noxious stimulus, either traumatic, infectious or inflammatory. The distension can mimic bowel obstruction and this needs to be differentiated, typically by watchful waiting. Ileus will resolve by correcting the underlying cause. ...Read more

16

16
Is ileus with fecal stasis dangerous?

Not usually: An ileus is a slowing down of the motility or flow through the bowel, and can occur typically when someone is taking a lot of pain meds, or has recently had a big operation. Some metabolic problems can cause it also. It generally doesn't require an operation, contrary to a bowel obstruction, which may. It is sometimes difficult to distinguish between the two. A surgeon can help differentiate. ...Read more

17

17
Any ideas why pancreatitis cause an ileus?

Adynamic ileus: Is caused by different things, including inflammation. Pancreatitis, or inflammation of pancreas, causes irritation of peritoneal cavity, causing intestinal motility to slow down or stop, which is the cause of adynamic ileus. Typically, ileus caused by pancreatitis persists longer than the pancreatitis itself. ...Read more

18

18
Can small ileus be mistaken for hiatal herna?

Can small ileus be mistaken for hiatal herna?

Different problems: A hiatal hernia is when part of the stomach squeezes up into the chest area through a weak spot in the sheet of muscle (the diaphragm) that separates the chest from the abdomen. A hiatal hernia should not resemble an ileus, which is not a part of the body, but is a condition in which the intestines are very quiet and not moving. With an ilieus, the stomach won't empty and the person will vomit. ...Read more

19

19
What should I do for an infection of the ileus?

What should I do for an infection of the ileus?

Intestine or pelvis?: Ileus is slowing down of the intestines. Infection of the ileus is not a proper term. If you mean infection of the ileum, it could mean the end of the small intestine or one of the pelvic bones. You will need to be more specific about which one you mean. ...Read more

20

20
What is the definition or description of: paralytic ileus?

What is the definition or description of: paralytic ileus?

Temporary condition: A paralytic ileus is when the intestines which are basically muscular tubes are temporarily unable to contract and move intestinal contents through the GI tract. This is often caused by abdominal surgery but other causes could be infections and inflammatory bowel diseaese. It will usually resolve on its own. ...Read more

21

21
Is there a link between post-op ileus and (now I have a)low functioning gallbladder?

Is there a link between post-op ileus and (now I have a)low functioning gallbladder?

How long & severe...: Both have gone hand in hand after surgery? Joined effect of major abdominal surgery, anesthesia, medication esp. Those affecting central nerve system, & poor oral intake can slow down the need for gall bladder to function as natural physiological response. How these could be implied to individual patient? Ask the surgeon for detail timely. Best wishes to postoperative recovery... ...Read more

22

22
What kind of doctor can diagnose and treat ileus?

Surgeons: At my hospital, a surgeon always gets consulted when an ileus is suspected, because it can be difficult to exclude a bowel obstruction. ...Read more

23

23
Do people with paralytic ileus have a lot of pain?

Highly variable.: Paralytic ileus describes dysfunction of the intestinal tract where the bowels "shut off" causing bloating, nausea+/-vomiting, and cramping pain. Ileus is always secondary to an underlying process in the abdomen (infection, intestinal surgery); therefore, there may be pain associated with the primary process, as well. Once the primary process is treated, intestinal function returns to normal. ...Read more

24

24
What is the mechanism of paralytic ileus seen post-operatively?

What is the mechanism of paralytic ileus seen post-operatively?

Many causes: Ileus is a common condition after abdominal surgery, and occasional after major operations not related to the abdomen. Usually is cause by manipulation of the bowel during surgery, anesthesia, narcotics for pain, can last for several days to a couple of weeks. It is recommended for patients to ambulate the next day after surgery to stimulate bowel function and to minimized narcotics. ...Read more

25

25
What is the exact mechanism of paralytic ileus post-operatively.?

What is the exact mechanism of paralytic ileus post-operatively.?

Common: This is a normal or common reaction to the trauma of surgery, anesthetics, and narcotic pain medication. These all cause the muscular wall of the small intestine to essentially fall asleep and stop functioning. This then results in temporary build up of air and fluid inside the intestines. As the intestinal wall awakens, abdominal cramping may occur, then they gradually return to normal function. ...Read more

26

26
My doctor says I have ileus, but I don't understand. What does it mean?

Sluggish intestines: Intestinal motility paralysis, or ileus, is seen after abdominal surgery, or it can be associated with many medical conditions. It resolves as the conditions improve, or with recovery from the surgery. ...Read more

27

27
Please help! What is the exact mechanism of paralytic ileus seen post-operatively?

Please help! What is the exact mechanism of paralytic ileus seen post-operatively?

Post-op ileus: Whenever the intestines are handled in surgery, the normal motion can decrease. Each short piece of bowel squeezes and pushes the food inside along the bowel. After surgery, the pushing is not coordinated, and the fluid in the bowel can back up. All narcotic pain medication slows the bowel down as well. Your surgeon may not want to let you eat - you will be more likely to throw up. ...Read more

28

28
How typical is a bowel ileus after hysterectomy?

Not common.: An ileus is not a common complication of hysterectomy. However, it can happen after any abdominal or pelvic surgery. The method used to perform the surgery and the difficulty of performing the surgery will determine the overall risk of ileus. For example, if you have scarring that involves the bowel - risk of ileus goes up. The more the bowel is "messed with" the higher the risk. ...Read more

29

29
Info on paralytic ileus following correction of scoliosis?

Info on paralytic ileus following correction of scoliosis?

Whatch for: Superior mesenteric artery syndrome resolves with time belly rest narcotics can be cause. ...Read more

30

30
What is the difference between meconium aspiration and meconium ileus?

What is the difference between meconium aspiration and meconium ileus?

Lung vs Gut: Meconium aspiration occurs when the newborn actually poops just before or during delivery into its fluid, gets some in their mouth/throat and then inhale it down into their lungs with their first breaths. Ileus is when they have trouble even passing that first poop - can indicate guts aren't working right or other problems like cystic fibrosis. One poops too early, the other not soon enough! ...Read more