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Doctor insights on: Paralytic Ileus Pathophysiology

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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. ...Read more

Paralytic Ileus (Definition)

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 ...Read more


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What's residual ARDS (acute respritory distress syndrome)?

What's residual ARDS (acute respritory distress syndrome)?

Lung functionimpairm: ARDS can cause lung scarring in its wake thereby causing an impairment in lung function after the patient recovers from the acute event. ...Read more

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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

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What is acute disseminated encephalo myelitis?

What is acute disseminated encephalo myelitis?

ADEM: Acute disseminated encephalomyelitis is a rare autoimmune disease affecting the brain & spinal cord, damaging the myelin & destroying the white matter. Symptoms are similar to Multiple sclerosis. It usually follows viral infection or vaccination. Symptoms start with fever, headaches, drowsiness, seizures. ...Read more

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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. ...Read more

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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

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What is acute respiratory distress syndrome (ards)?

What is acute respiratory distress syndrome (ards)?

ARDS: A lung injury caused by many different conditions where the membrane separating the air space from the blood space becomes porous allowing fluid to fill up the air spaces and prevent o2 transport. The lung becomes stiff and difficult to inflate increasing the work of breathing. Most people will require a ventilator and ICU care. ...Read more

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What is tropical spastic paraparesis?

What is tropical spastic paraparesis?

Disorder of sp cord: A subacute condition with impairment of lower extremity >upper extremity function, sensory abnormalities, bladder functioning and girdling lumbar pain. About 80 % of patients with tsp have antibodies to htlv-1 (not aids virus..Htlv-3) the disorder and similar disorders were described in caribbean patients. ...Read more

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What is acute disseminated encephalomyelitis (adem)?

What is acute disseminated encephalomyelitis (adem)?

ADEM: A rare inflammatory demyelinating disease of the central nervous system. Is an autoimmune disease triggered by infection or vaccination. It starts with fever, headache & vomiting, then decrease consciousness & sometimes coma or seizures, muscle weakness & ataxia. ...Read more

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What exactly is acute disseminated encephalomyelitis (adem)?

What exactly is acute disseminated encephalomyelitis (adem)?

Childhood illness: Occurs in childhood, and typically monophasic, but could be confused with MS in some cases. Typically follows viral infection or vaccination and can result in diffuse encephalopathy. Classic MRI findings of large white matter lesions which light up with contrast help confirm. Typically does NOT recur. ...Read more

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How is hypoxic ischemic encephalopathy treated?

How is hypoxic ischemic encephalopathy treated?

Hearing loss: Theoretically, hypoxia can affect any part of the brain, hence it is possible for auditory cortex be involved causing deafness. Not sure how often it occurs. ...Read more

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What is acute respiratory distress syndrome ards?

What is acute respiratory distress syndrome ards?

Severe SOB: ARDS is severe shortness of breath caused by an insult and inflamatory response to the lungs. Its not cardiogenic and can be infectious, toxic, or autoimmmune.Some pts need to placed on a ventilator while recovering.Breathing treatments, antiobiotics, steroids as needed.The source should be sought out to target therapy. ...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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What's the pathophysiology of acute cholecystitis?

What's the pathophysiology of acute cholecystitis?

Inflammation: Acute cholecystitis would suggest blockage of the opening of the gallbladder due to gallstones. Acute indicates sudden onset, may need urgent medical treatment for pain, inflammation or infection. Surgery may be needed on an urgent basis. ...Read more

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Describe the pathophysiology of adult respiratory distress syndrome?

Describe the pathophysiology of adult respiratory distress syndrome?

Prematurity: Leads to immature lunga with inadequate surfactant, a detergent that helps keep alveoli open. High o2 concentrations can cause retrolentil fibroplasoia leading to blindness. ...Read more

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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. ...Read more

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Ibs (irritable bowel syndrome), how to recover?

Ibs (irritable bowel syndrome), how to recover?

Diet and fluids: I rarely prescribe meds for ibs. In my experience teaching people to eat and drink properly resolves most if not all symptoms when the patient is compliant and follows through. Hi fiber, 80-100 ounces non caffeine, non alcoholic beverages each day, regular meal times, excercise. Consistency is the key to being symptom free. ...Read more

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What exactly is SARS (severe acute respiratory syndrome)?

What exactly is SARS (severe acute respiratory syndrome)?

Shortness of breath: Simply put, it is a respiratory illness caused by a virus ( a coronavirus); there was an outbreak in 2002-2003, mostly in China, however there was cluster in Toronto as well. WHO defines it fever + cough/ shortness of breath + infiltrates on x ray. Basically a pneumonia caused by a specfic virus. Blood tests confirming presnece of virus/ virus antibodies are also necessary. ...Read more

Dr. Heidi Fowler
67 doctors shared insights

Ileus (Definition)

A condition in which a person's stomach, small intestine, and large intestine stop moving. Solids and liquids stay where they are, instead of ...Read more