Doctor insights on:
Perforated Bowel Prognosis
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
Go to the ER: This is a medical emergency.Get a more detailed answer ›
I discharged myself from hospital against medical advice. I have a perforated bowel and diverticulitis what should I do to get better?
Sorry: But you should return to the hospital in order to get better. ...Read more
I had a perforated bowel 5 years ago. Since then my stools come in various shapes and sizes, one of them being narrow. Is this normal for me now?
Laparoscopic surgery on a perforated bowel 10 days ago. Had dressings off today. Had a shower and small amount of pus and discharge from bellybutton?
I've had a perforated bowel, and became septic following my c-section 13 months ago and now I am pregnant. What are the complications?
Certainly the same: Risks apply. Bowel injuries are uncommon in c-section so it may have been partly because you have issues that make surgery difficult. The docs will be vigilant, I'm sure, so perhaps this time a perforation will be less likely. You may consider trying vaginal birth, depending on number of c-sections and/or why u had your first c-section. Congradulation's on your pregnancy. ...Read more
Can CT show images of perforated bowel abscesses large fluid collection with an air level, and be WRONG????
Unlikely: It is unlikely that a CT would be wrong. It is a very good test for assessing abscesses and an air/fluid level is an excellent indication of perforated bowel. It could however have been read incorrectly but most radiologists are expert in reading CT scans. You should ask for a second radiologist to read the CT if you suspect an error. ...Read more
My 81 yr old father 3 days post op for perforated bowel from colonoscopy, has not had BP meds since, BP is 174/64. Is this acceptable?
See your PCP: His systolic is too high (the top number). But on the other hand you don't want his pressure to go too low. It may be the pain he is experiencing causing his top number to be so high. A perforated bowel is no small event. If the BP goes to low ischemia may occur as well. I'm assuming he is still in hospital. Just make the doctors aware which I'm sure they are. ...Read more
Can air within soft tissue of pelvis extendn round right lateral pelvic wall out throught both obturator foramin come from a perforated bowel rectum?
Yes and other causes: As any gas in the soft tissues is abnormal, this should represent infection unless there is another explanation (very unusual). Causes in this area would include: diverticulitis, appendicitis, rectal perforation from trauma, inflammation or cancer, urologic infections, or generalized soft tissue infections of the perineum (Fournier's gangrene) in susceptible individuals. See MD immediately ...Read more
If CT shows perforated bowel, multiple air pockets, abscess's and large fluid collection in pelvic area, Can the CT be wrong?
My mom was sent home on hospice Sept 2nd with a perforated bowel and stage 4 uterine cancer. It's Sept 29 and she hasn't eaten or had a bowel movement. Has she been misdiagnosed?
See answer: Without knowing all the details it's not possible to give specific advice other than: Speak with her physician. Is she on Hospice care? If not, it may be helpful. Write down a list of questions you would like answers to. Her physician should be able to give reasonable answers. Knowing a family member is involved helps to keep physicians particularly attentive to your moms care. ...Read more
A few painful days: A perforation of the bowel, by any cause, usually causes leakage of intestinal fluid into the abdomen around the intestine. A very severe infection starts rapidly that typically leads to a painful death in only a few days. Operation to repair the perforation and clean out the infection as well as antibiotics are usually needed. ...Read more
Most will be aware: Generally a bowel perforation causes peritonitis and severe symptoms. On occasion a small perforation can become walled off and not cause peritonitis but it still would cause symptoms in most, but not all, cases. Patients on corticosteroid medication can have a "silent" perforation. The very elderly and patients debilitated by other illness may also have "silent" perforations. ...Read more
What are some warning signs of bowel perforation? Especially if it's minor, like a small hole or tear?
Abdominal pain: It all depends whether it is stomach, small bowel or large bowel. Most of them will present with a quite severe abdominal pain, nausea, vomiting, fever in an otherwise healthy patient. Most of these patients will end up in the hospital quickly due to the pain. The symptoms may be much les prominent in an immunocompromised patients. ...Read more
What to do if I'm afraid of losing my natural flora and also of bowel perforation. How likely are these risks?
See below: A bowel perforation is an emergency, serious condition where the intestines are leaking internally. Usually it is associated with severe abdominal pain, vomiting, fevers. There are many causes of perforation such as stomach ulcer, small bowel injury from scar tissue, perforated appendicitis, perforated diverticulitis, etc. All these are serious and will require emergency surgery. ...Read more
Yes: The bowel is adjacent to the uterus so it is at risk of injury during surgery to remove the uterus. This is especially of concern if there are adhesions or scar tissue due to endometriosis, previous surgery, or cancer. I recommend bowel preps before a davinci or laparoscopic hysterectomy to minimize risks of a bowel perforation and to facilitate repair if it should occur. ...Read more
Hole in the Bowel: Bowel perforation is often a life-threatening emergency that usually requires emergency surgery to treat. Common causes include a perforated ulcer, diverticulitis, or intestinal cancer. The contents from the bowel is very toxic to the body, requiring emergent intervention. The surgical approach is dependent upon one's health, preoperatively evaluation, and preference of the surgeon. ...Read more
Very small: The literature quotes rates of 1 in 3000. I have done over 10, 000 with no perforations. The risk increases with age and previous abdominal surgeries as well as nutritional status. ...Read more