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 more
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 more
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
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 more
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 more
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 more
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.
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 more
Yes: Small bowel obstruction is typically the result of a blockage of one's small bowel and presents with symptoms of crampy abdominal pain, nausea, and vomiting. This is typically caused by adhesions or scar tissue as a result of previous surgery. It is typically treated conservatively with bowel rest (nothing by mouth) and IV fluids. Surgery may be necessary at times. ...Read more
Vomiting,: Pain, distension.Get a more detailed answer ›
Common: The diagnosis of small bowel obstruction is fairly prevalent and many resolve without surgery. It could be something as simple as a few cramps yet it also could be as serious as intestine so badly twisted that it dies. The most common cause of intestinal obstruction is scarring (adhesions) from previous abdominal surgery. The second most common cause is a hernia. Cancer lists as number three. ...Read more
Not clear: Your questions is too vague. Pain after bowel surgery could be due to a number of issues. This requires seeing your surgeon and having an exam to clarify the nature of your pain. It would be quite difficult in this setting to answer your question. Adhesions or scar tissue can many times be a big problem in some patients after a bowel surgery. Please see your doctor for help. ...Read more
Blocked intestine: Your "gut" is a tube from your mouth, to esophagus, to stomach, to small intestine, to large intestine (colon), to rectum, and out your anus. The small intestine is 15-20 feet long, and can become blocked because of kinking or twisting from scar tissue, tumors, growths, cancers, get stuck folded inside a hernia, or pressed on from outside = "small bowel obstruction". Can require surgery. ...Read more
Bowel obstruction can cause lab changes in the long term and a duodenal erosion unless is bleeding would not cause a significant lab change. I am not sure that the information you provide is specific enough to understand the whole picture. If you are home, most likely you do not have a bowel obstruction. Please see a doctor
www.drlugo.com ...Read more
Bowel Obstruction: It's possible the hemorrhoids were there before and the increase in the abdominal pressure when the bowels were obstructed caused the hemorrhoids to "flare". Small bowel obstructions can cause a diversion of body fluids to the abdomen, which can cause the dry skin. I'm not sure exactly what you mean by swollen skin.... But it's possible to have lower extremity edema in this situation as well. ...Read more
I returned from the hospital yesterday with a small bowel obstruction resolved by ng tube. I still feel nausea after I eat. Is this to be expected?
Can be: Yes you can still have symptoms of nausea eventhough your small bowel obstruction is resolved. It may not be 100%. Just give it time and stay on liquids for a few days and see how you feel. ...Read more
DX w small bowel obstruction, recovering so dx correct but I have none of the listed issues (hernia, cancer, scarring) nor vomiting. What else causes?
I had a ct scan done and x-ray the er said looks like an illius or small bowel obstruction can you still go to the bathroom and have one of those?
Sometimes : It depends on the severity of the condition, so it is variable. Hope this helps! ...Read more
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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