January 15, 2011 Volume 83, Number 2 www.aafp.org/afp American Family Physician 159 Evaluation and Management of Intestinal Obstruction PATRICK G. JACKSON, MD, and. Ileus Management Traditionally: minimize opioid analgesia, nasogastric decompression until flatus returns, IV hydration with slow advancement of diet. General Information on Diet and Supplements. For many types of cancer, increasing protein and fat and reducing carbohydrates (starches) in the diet can help to slow. Acute paralytic ileus and its clinical implications. Acute paralytic ileus. Ever wondered what could cause constipation without any sign of mechanical obstruction? Then it is time you get introduced to this condition. Acute paralytic ileus is not a new condition for health providers, though it may sound new for patients. Its main presenting symptom is obstipation, otherwise known as intractable constipation. Let us take a brief look at this disorder. The only remaining suspect could be a defect in the neural innervation of the colon. True enough, among the precipitating factors that could cause acute paralytic ileus are electrolyte abnormalities (which could interfere in neurotransmission), peritonitis (or inflammation of the peritoneum), surgery, severe medical illness such as pneumonia or other illnesses pertaining to respiratory function, and even medications that have effects on intestinal motility. All these factors can interfere with the normal passing down of stools in the gastrointestinal tract. Please check the synonyms listing to find the. General Discussion. Ogilvie syndrome is a rare, acquired disorder characterized by abnormalities affecting the involuntary, rhythmic muscular contractions. The evaluation of abdominal pain requires an understanding of the possible mechanisms responsible for pain, a broad differential of common causes, and recognition of. Acute paralytic ileus and its clinical implications Acute paralytic ileus. Ever wondered what could cause constipation without any sign of mechanical obstruction? Movantik (naloxegol) is a prescription medicine that blocks certain effects of narcotic medicines. An opioid is sometimes called a narcotic. Movantik is used to treat. Recognition of these possible precipitating factors should prompt a health care provider to suspect acute paralytic ileus. Additional symptoms that may accompany the condition are nausea, abdominal distention, vomiting, decreased bowel sounds, and also a mild level of tenderness over the abdomen. This would indicate that the food channeled into the intestines will have to stay where it is until symptoms develop. It is high in incidence among hospitalized patients, perhaps due to the presence of the precipitating factors mentioned above. Oftentimes, after a surgery, it is the small intestine who gets to function normally before the rest (most frequently within hours after the surgery), then followed by the stomach which normalizes around 2. Thus, if regular passing out of stools fails to normalize on the 3rd and 4th days, then something must have gone wrong with the individual's peristaltic movements. A condition closely related to acute paralytic ileus is the colonic pseudo- obstruction, otherwise known as the Ogilvie's syndrome. In contrast to the acute paralytic ileus, colonic pseudo- obstruction is associated with the use of neuroleptic medications, severe metabolic illnesses, use of opiates, presence of a malignancy, and any sudden severe illness. Restriction of oral intake is usually employed and is gradually resumed upon return of bowel function. Electrolyte imbalances such as hypokalemia and hypercalcemia require to be corrected, since most cases of severe paralytic ileus are due to these conditions. Most importantly, if it is precipitated by a medical or surgical illness, that specific illness has to be treated in order for the bowel to revert back to its normal physiology. Volvulus; Coronal CT of the abdomen, demonstrating a volvulus as indicated by twisting of the bowel stock: Specialty: General surgery: Symptoms: Abdominal pain. Colon and Rectum Terminal portion of GI tract Two functions Absorption of water, electrolytes Storage of feces Biologically not essential.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. Archives
September 2017
Categories |