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Doctor insights on: Volvulus Bowel Twisted On Itself

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Intestine (Definition)

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


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When I was born my small intestine was knotted up and some was removed. Was that volvulus?

When I was born my small intestine was knotted up and some was removed. Was that volvulus?

Quite possibly: You say your small intestine was knotted up. That could indeed be midgut volvulus in which your small bowel was twisted around a narrow mesentery, or connection of the bowel to the back of the abdominal cavity. That is almost always seen in intestinal malrotation, when the bowel did not situate in the right location in the abdomen as it was being formed in the fetus. ...Read more

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Can severe long term bloating damage the intestine permanently? Does it cause diverticular, volvulus or adhesions? Thank you

Can severe long term bloating damage the intestine permanently? Does it cause diverticular, volvulus or adhesions? Thank you

Bloat is a symptom.: Bloating is not a condition unto itself. It's a symptom that would be indicative of some underlying condition. That condition, depending on what it is, could have long-term consequences. The reason for your bloating needs to be identified. ...Read more

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What does it mean when your intestines are twisted/volvulus?

What does it mean when your intestines are twisted/volvulus?

Think garden hose: The intestines are a complex & long tubular structure with some parts firmly attached & some parts that float somewhat freely in the abdomen. If the free floating parts become twisted on them self, it not only stops flow as it would in your hose, it can begin to cut off the blood supply. If left untreated, the gut can die & start leaking contents & germs into the abdomen. This can be fatal. ...Read more

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What are the tests for volvulus?

Radiologic: Simple abdominal xrays may be helpful. Oftentimes a contrast study such as upper GI or lower GI is necessary. ...Read more

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How long does vomiting associated with volvulus last?

Till end of volvulus: Once the volvulus is resolved or corrected it may take 24 hours for normal gut function to resume. If surgery is required to correct the volvulus then it can be 2-3 days. ...Read more

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Has anyone out there treated a cecal volvulus conservatively?

Yes; poor results.: Treatment that does not remove the right colon is associated with a very high recurrence rate. While colon resection does have risks that must be considered, there is a significant mortality rate seen with repeat volvulus. ...Read more

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How long does decreased appetite associated with volvulus last?

Depends: Depends on the age of the patient and mode of correction of volvulus. 2-3 days if infant/child and endoscopic correction is done. If surgery is required 4-6 days. ...Read more

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Volvulus-- will it heal itself?

Volvulus-- will it heal itself?

No: Volvulus is twisting of the intesting and, in general, if not untwisted within 6 hours, the bowel will die. There are children with a chronic volvulus that is tolerated. It is not acceptable to leave a volvulus untreated. The basis for it is a condition called malrotation. The intestine does not rotate properly in utero, a setup allowing it to twist at any time. ...Read more

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What is the definition or description of: Volvulus?

What is the definition or description of: Volvulus?

Twisting: Of the loop of intestine on the axis of its mysentery
it causes blockage with constipation vomiting and severe abdominal cramps ...Read more

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Could humans have gastric volvulus rotation?

Could humans have gastric volvulus rotation?

Yes,: Not common, but possible, and it is surgical emergency if it is acute. Commonly, it happens in a paraesophageal hiatal hernia. ...Read more

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What to do if I'm inducing due to volvulus scar!?

What to do if I'm inducing due to volvulus scar!?

Not sure: I'm not sure what you mean with inducing. That usually means doing something to a pregnant woman to bring on labor. Doesn't make sense in your question. Please clarify and resubmit your question. ...Read more

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Is it possible for humans to have gastric volvulus rotation?

Is it possible for humans to have gastric volvulus rotation?

Yes: Not common but it can happen. Surgical correction is effective. ...Read more

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Had a volvulus in colon and had more than 8inches removed in emer surg 2yrs ago continue to have pain and discomfort same area? Can it happen again? Am I more at risk b/c I already had this once?

Had a volvulus in colon and had more than 8inches removed in emer surg 2yrs ago continue to have pain and discomfort same area? Can it happen again? Am I more at risk b/c I already had this once?

Not likely: A volvulus occurs because of redundancy (extra length) of colon. The fact that this excess was excised will likely prevent occurrence. However, you could be having symptoms from adhesions (scar tissue) that can accompany open surgery. Check with your surgeon. ...Read more

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How long does abdominal pain associated with volvulus last?

How long does abdominal pain associated with volvulus last?

Until it Resolves: Volvulus describes 180 (+) degree twisting of the intestine, causing a bowel obstruction inevitably leading to necrosis or rupture unless it resolves, either spontaneously, by endoscopic or radiologic decompression, or surgical rx. The best method depends on the location & cause of the "twist" and the stability of the patient. ...Read more

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Adult w/ incomplete midgut rotation no volvulus. Chronic pain & symptoms mild-severe. Told "no surgeon will touch it" until an emergency. Is this true?

Adult w/ incomplete midgut rotation no volvulus. Chronic pain & symptoms mild-severe. Told "no surgeon will touch it" until an emergency. Is this true?

Not true: General Surgeon with laparasocopic surgical experience can perform a Ladd procedure, which should take care of this problem. This is fairly routine type surgery for Pediatric Surgeons. Thus Pediatric Surgeon can do this if u can't find surgeon of adults to do it ...Read more

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Do a lot of people get volvulus?

Rarely: Volvulus is a twisting of the GI tract. It can occur at the stomach level, small bowel and proximal colon or the sigmoid colon. Some activities such as laxative abuse may predispose to volvulus. Oftentimes volvulus occurs due to congenital non fixation of the intestine. Any frequent severe abdominal pain associated with bilious (green) vomiting needs prompt evaluation. ...Read more

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What are the most common symptoms of volvulus?

Distention, pain: Volvulus can occur in different parts of the GI tract including stomach, small intestine and different parts of the colon. Symptoms are from obstruction (blockage) causing distention/swelling and nausea/vomiting and from ischemia (lack of blood flow) causing pain. All types of volvulus are emergencies & need to be diagnosed & treated asap. ...Read more

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How long does abdominal distension associated with volvulus last?

Minimal: Once the volvulus is relieved the distension will resolve. If mechanical relief of volvulus is used then relief should be fairly rapid. If surgery is used it may be a few days for the ileus to resolve. ...Read more

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Can you tell me what is description and identification of onchocerca volvulus?

Cecal volvulus: The cecum is the first part of the large intestine. A volvulus results when the bowel twists on its blood supply. This will cause an obstruction of the intestine which will lead to abdominal distention (swelling) and an inability to have a bowel movement. The treatment is to untwist it and may require removal of that part of the intestine. It is often the result of severe constipation. ...Read more

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How long does blood in stool associated with volvulus last?

How long does blood in stool associated with volvulus last?

Not long: After the volvulus is corrected, the bleeding may last up to a week. ...Read more

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I had emergency surgery 3 wks ago for Acute gastric volvulus. When can I expect the pain to stop? I only use Tylenol and Aleve.

I had emergency surgery 3 wks ago for Acute gastric volvulus. When can I expect the pain to stop? I only use Tylenol and Aleve.

Ask Your Surgeon: Because you had a surgery for a significant problem and now have some lingering pain best to follow up with the surgeon.
I would use the Aleve only under a doctors recommendation. It can cause stomach upset and even a GI Bleed. Don't be in pain call that doctor up now. ...Read more

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What does it mean to have a twisted bowel? Does it mean that your intestines are literally twisted?

What does it mean to have a twisted bowel? Does it mean that your intestines are literally twisted?

Yes: Usually this is a developmental defect in whcih the intestine are not properly attached to the abdominal wall. The intestine can actually twist on itself and become blocked. If prolonged it can lead to loss of blood supply and death of that section of intestine. ...Read more

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How soon after an operation for a twisted bowel can I start jogging?

How soon after an operation for a twisted bowel can I start jogging?

Depends: If done via laparoscopy, probably about three weeks. If done in an open fashion, 4-6 weeks. You must ask your surgeon for your activity release - don't start jogging or lifting without that consent. Good luck. ...Read more

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What can I expect when going through twisted bowel surgery recovery?

What can I expect when going through twisted bowel surgery recovery?

Some soreness: If all goes well, your GI tract should recover (passing gas) fairly quickly. There will be some post-pp incisional pain but this will go away quickly. ...Read more

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I found out today I have a twisted bowel. How likely am I to have surgery and how likely is it that I could die from this? I haven't seen the GI Dr

I found out today I have a twisted bowel. How likely am I to have surgery and how likely is it that I could die from this? I haven't seen the GI Dr

See a surgeon.: If you've had surgery before, it is likely that you might have adhesions. Though most adhesion related bowel obstruction clears up with conservative measures, some cases need to undergo surgery again. It would be best for you to see a reputable conservative surgeon as soon as possible to get a better assessment clinically and with imaging studies. ...Read more

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I have a kink/ twisted bowel and have been told by the doctors that they won't operate as it could be dangerous I have put up with this for 14 years.

I have a kink/ twisted bowel and have been told by the doctors that they won't operate as it could be dangerous I have put up with this for 14 years.

Possible: Full, history of prior surgery and conditions are relevant to risks of new operations.
The hostile abdomen with prior operations, adhesions, short bowel, and other scarring is higher risk!
get the whole story together and a second opinion. ...Read more

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My dad is 81 and has a twisted bowel he is in hospital for 7 days and there no Chang in him how long will it take?

If he has: A volvulus, he will likely need some type of operation for definitive resolution of his symptoms, maybe even a colostomy. Inquire to his doctors who can fill you in with more details. ...Read more

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What is the chance of a child having a twisted bowel due to severe impaction? Giving senokot (senna) at bedtime one time no large movement yet tried supposito

What is the chance of a child having a twisted bowel due to severe impaction? Giving senokot (senna) at bedtime one time no large movement yet tried supposito

Needs some help: I would take her to your pcp and see if s/he can help you get this painful process some help. I end up sending 1 kid every year or two to the x-ray department where they use a soluable contrast material to loosen and wash out the lower bowel.The study will also reveal some enlargement of the colon from stool retention. Agressave daily emptying and oral wetting agents can help this resolve. ...Read more

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How do you confirm twisted bowels? I haven't been able to have a normal bowel movement in over 5 days and when I do it is loose. Have a lot of gas too.

How do you confirm twisted bowels? I haven't been able to have a normal bowel movement in over 5 days and when I do it is loose. Have a lot of gas too.

Constipation: It is unusual not to have a bm in five days. Is this a persistent problem? If so, you may have slow transit constipation. Therapy is indicated. Work-up may include several tests to determine the appropriate therapy. Consult a GI doc or colorectal surgeon. ...Read more

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I have been suffering for 2 month, dr said its twisted bowel and give me pills for relief of stomach ache, doesn't work, I think its too late?

I have been suffering for 2 month, dr said its twisted bowel and give me pills for relief of stomach ache, doesn't work, I think its too late?

Need Definitive Dx: "twisted bowel" usually refers to a small bowel obstruction, a diagnosis that can only be made by history (vomiting, pain, no flatus or bm) exam (distention), and x-ray; with few exceptions, this requires hospitalization & possible surgery. If this does not go along with your clinical picture, I would search for an alternate diagnosis--perhaps a second opinion would be a good idea? ...Read more

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8yr old had appendix removed & had 2nd surgery for bowel obstr. & twisted colon. 2yrs later has stomach cramps, food coming up, burning, vomit help!

8yr old had appendix removed & had 2nd surgery for bowel obstr. & twisted colon. 2yrs later has stomach cramps, food coming up, burning, vomit help!

Time for a visit: I would take the kid to urgent care or the er now. With that history, the potential for certain parts of the intestines to stick to each other and possible bind or twist will remain a possibility. A review of the history, exam and possible xrays will be needed to exclude blockage from a simple stomach flu. ...Read more

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Which muscle relaxant for twisted intestine?

Which muscle relaxant for twisted intestine?

GI muscle meds: A twisted gut is a surgical situation and should always be considered an emergency that requires medical intervention, not pills. Muscle relaxants are generally used for skeletal muscle spasm and will not affect the smooth muscles in the gut. Anti cholinergics such as atropine, bentyl, (dicyclomine) or donna tol may slow the cramping sensation. Also CNS depressants relax both skeletal and smooth muscle. ...Read more

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Got a massage on my stomach but after that I feel constipated, can't pass gas/cramptook gas x and it didn't help. Is possibility I have twisted intestine?

Got a massage on my stomach but after that I feel constipated, can't pass gas/cramptook gas x and it didn't help. Is possibility I have twisted intestine?

Unlikely!: Folks with 'twisted intestine' always have significant pain and usually nausea and vomiting. If you have only constipation, it may be due to diet. However, not having a bowel movement every day is normal for many people. Its a matter of degree. Not going for a few days can be normal but not going for 2 weeks is serious and should be checked out. ...Read more

Volvulus (Definition)

A condition in which a loop of intestine twists, cutting off blood supply to the part of the intestine beyond the twisted area. It is seen as an emergency because the twisted loop ...Read more


Bowel (Definition)

The bowel is the intestinal tract in the body. The small intestine ...Read more