Doctor insights on:
What Kind Of Doctor Sees Somebody For Small Bowel Obstruction
General Surgeon: The management of a small bowel obstruction can be challenging and requires a surgeon to "follow" one's course and decide if surgery is necessary. On the one hand, most obstructions are due to scar tissue from prior surgery and will often get better without surgery; on the other hand, the intestine can die and lead to life-threatening problems. Therefore, we have to watch one very closely. ...Read moreSee 1 more doctor answer
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
I had a small bowel obstruction surgery that was done by a general surgeon. What type of specialist /doctor do I see after for consultation?
Surgeon and PCP: It is important for you to follow up with the surgeon who operated on you because he/she will be able to recognize if your bowels have returned to normal function. It will also be important for you to see your primary care doctor who will have the greatest continuity of care with you. In the event of a re-obstruction, be sure to return to the same surgeon. They will know your anatomy details. ...Read moreSee 2 more doctor answers
The doctor did a ct scan and said looks like a small bowel obstruction but I have severe diarrhea could it be something else and how's it treated?
Not likely: A ct scan is not the best test for a functional bowel obstruction. A small bowel series is a better option. The cynics a one time picture and the fact that you are having diarrhea probably rules out the chance of a vowel obstruction. I think there is something else going in. Stool cultures are in order and possibly more testing. ...Read more
No connection: Small bowel obstruction from scar tissue (or adhesions) is caused by scarring that is external to the small intestine, usually caused by previous abdominal surgery or infection. I am not aware that any special diet will increase or decrease the risk of this happening. ...Read moreSee 1 more doctor answer
Small bowel obstruct: Ion is a medical emergency. It should be treated by confirming the diagnosis, bowel rest, possible decompression with a nasogastric tube on suction. If not resolving within 24 hours, surgical exploration is indicated to avoided ischemic or dead bowel. Do not delay if you think you are obstructed. This is not to be treated t home! ...Read more
Come to hospital: A small bowel obstruction usually occurs due to scar tissue from prior abdominal surgery, causing the bowel to kink like a garden hose. If severe, the bowel can die; however, the bowel can (and usually does) unkink itself after a day-or-two of "bowel rest": no food or liquid, IV fluids, and keeping the stomach empty with a ng tube. This requires close monitoring in the hospital. ...Read moreSee 1 more doctor answer
It can be.: The most common symptoms include cramping, generalized abdominal pain, nausea, vomiting, bloating, and the absence of any passage of stool or gas. We call this last symptom obstipation, and it is a very important predictor of the severity of the episode. In some cases, the pain becomes constant and severe--this may represent a compromised blood supply to the bowel, requiring emergency surgery. ...Read moreSee 1 more doctor answer
Small Bowel Obstruct: Small bowel obstruction (sbo) is, as the name states, blockage of the upper (small) intestine. It leads to crampy abdominal pain, nausea vomitting and often dehydration. Treatment may be supportive (fluids and bowel rest) or operative, depending on the cause and duration of the obtruction. ...Read more
Expectantly: Small bowel obstruction (sbo) has many causes and requires different managements with different patients. In general, serial exams with labs and imaging studies are needed for your surgeon to make the best decision with you. Depending on your presentation and co-morbidities, your surgeon may treat you conservatively (bowel rest +/- ng decompression, ivf.) or with surgery without delay. ...Read more
See doctor: If you have an acute small bowel obstruction you should get emergency care. There are several possibilities and you will likely need to be hospitalized for at least short period since you will likely not be able to eat or drink until issue is resolved. ...Read moreSee 1 more doctor answer
IT'S A RISK FACTOR: Repeated abdominal surgeries might increase the likelihood of developing abdominal adhesions. In simple terms like cobwebs. These can sometimes be the cause of partial or complete bowel obstructions. The mechanism is different because the source is external as compared to a mass growing inside the bowel. Talk to your doctor about your concern. ...Read more
Difficult: Without a physical exam and full medical history. Usually a small bowel obstruction will not occur unless there is scar tissue from a past abdominal surgery. Small bowel obstruction can have abdominal pain with frequent vomiting. Large bowel obstruction is less common & can be from cancer or diverticulitis. Lack of bowel movement with colon obstruction. True bowel obstruction can be very serious. ...Read more
If I had a small bowel obstruction with a closed loop and herniation in to the omentum, what is the likelyhood it could happen again?
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 to 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
U Can't Do It Alone: Small bowel obstructions (sbo) require in-patient care to fully evaluate and rx. This includes reversal of the inevitable dehydration, emptying the stomach with a ng tube, and monitoring one's overall well-being to determine if surgery is necessary. Most sbos are secondary to adhesions from prior surgery; thankfully, this resolves with above measures 2/3 of the time. ...Read moreSee 1 more doctor answer
Anything that creates a blockage of the intestinal tract. You may think of the intestinal tract (stomach, small bowel, large bowel) as somewhat akin to a garden hose. If you kink the garden hose, or twist it, or block it inside, you have created an "obstruction". Most obstructions are a results of previous surgery and most of these ...Read more
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