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Doctor insights on: Mild Ileus Treatment

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Dr. Heidi Fowler
65 Doctors shared insights

Ileus (Definition)

A slowing, or non-functioning condition of the gastrointestinal tract. Usually caused by trauma or injury, ...Read more


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After back surgery, 71 yr old father developed ileus. Enema and suppository not effective. What is more effective treatment?

After back surgery, 71 yr old father developed ileus. Enema and suppository not effective. What is more effective treatment?

Bowel Rest: Whether at home or in the hospital, bowel rest -- essentially fasting -- is recommended. Ileus is common after surgery and is often the result of anesthesia and pain medication. Hydration remains important so home regimens usually consist of clear liquids only until symptoms improve or follow-up testing is performed to provide reassurance that the ileus is resolving.

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Adult, MR Enterography show Jejunum loop is dilated, mild Ileus possible, Had multiple transient intussusception in that area before what causes it?

Adult, MR Enterography show Jejunum loop is dilated, mild Ileus possible, Had multiple transient intussusception in that area before what causes it?

Surgical consult: I feel it's important for you to be evaluated by an abdominal surgeon for advice. It's likely that repeated intususceptions have somehow disturbed the motility of the duodenum. I don't think this is simply a localized Ileus. I'm concerned about the dilated loop which may become increasingly symptomatic or worsen.

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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.

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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.

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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.

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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.

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Is ileus with fecal stasis dangerous?

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.

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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.

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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.

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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.

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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.

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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...

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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.

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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.

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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

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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.

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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.

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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.

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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.