Doctor insights on:
XRay obstruction on small intestine and Ileus GI Dr gave me laxative Gaviscon Nexium (esomeprazole) was at ER 3 times and enema was administered & nothing sent home?
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
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
What is best way to evacuate the bowel once focal ileus has been diagnosed and pt has become nauseous, vomits bile, dehydrated, hypotensive,?
Could low sodium levels lead to muscle issues including difficulty in walking or could it cause tge muscles in the bowel to slow like paralytic ileus?
Maybe: Low sodium is not commonly seen unless it is due to some blood pressure medications. Athletes who may drink too much water during an event can also get low sodium. Very low sodium can cause weakness and confusion. Intestinal ileus and some muscle cramping is more commonly due to low potassium. ...Read more
Does fluid and stool filled loops in small bowel w abnormal gas pattern w no inflammation or obstruction a sign of ileus?
Possibly: Ileus refers to disruption in normal propulsive activity of the GI tract. The bowel dilates with gas and stool and there is no evidence of bowel sounds when auscultating the abdomen. Present usage restricts the term to disruptions caused by the failure of peristalsis, rather than by mechanical obstruction usually induced by a parasympathetic response due to surgery, infection or medications ...Read more
Apparently I have an ileus vs partial small bowel obstruction. What's the tx for at home? How long it take to recover? Ss- severe nausea & llq pain.
GI issue: You need to try and better understand what the cause of the issue. It can be treated at home with hydration and bowel rest if it is due to gastroenteritis. If there is a functional cause you may need to be in the hospital and possibly need surgery to fix. ...Read moreSee 1 more doctor answer
Can a ct showing fluid and stool filled loops in small bowel and colon but w no abstruction or inflammation still indicate ileus?
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
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 moreSee 1 more doctor answer
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 ...Read more