These treatments include using liquids or air (enemas) or small mesh tubes (stents) to open up the blockage. Surgery is almost always needed when the intestine is completely blocked or when the blood supply is cut off. You may need a colostomy or an ileostomy after surgery.
An intestinal obstruction is painful and potentially dangerous, and typically requires hospital care. However, you won't necessarily need surgery. Many blockages can be resolved with a non-invasive procedure, and patients often never have a recurrence.
Sometimes, the surgery can be done using a laparoscope, which means smaller cuts are used. The surgeon locates the area of your intestine (bowel) that is blocked and unblocks it. Any damaged parts of your bowel will be repaired or removed. This procedure is called bowel resection.
You will need IV (intravenous) fluids and may need electrolyte replacement. You may also need pain medicine. If your intestine is fully blocked (no food or stool can move through), you will need surgery right away. The goal is to remove the blockage and repair your organs.
Most patients stay in the hospital for between five and seven days following bowel obstruction surgery. It can take several weeks or months to fully return to normal activities. Your medical team with work with you to manage post-surgical pain.
A bowel blockage can stop blood flow, causing part of the intestine to die. As pressure builds up from the blockage, intestinal bacteria can leak into the bloodstream. You may develop peritonitis, an abdominal infection. You are also at risk for a life-threatening system-wide infection called sepsis.
The most common causes of intestinal obstruction in adults are: Intestinal adhesions — bands of fibrous tissue in the abdominal cavity that can form after abdominal or pelvic surgery. Hernias — portions of intestine that protrude into another part of your body. Colon cancer.
Avoid dried fruits, nuts and seeds. Strain fruit and vegetable juices and soups. Avoid wholegrain, high fibre breads and cereals. Use white varieties where possible.
Some popular brands include bisacodyl (Correctol, Dulcolax, Feen-a-Mint), and sennosides (Ex-Lax, Senokot). Prunes (dried plums) are also an effective colonic stimulant and taste good, too.
A bowel obstruction can begin suddenly or may progress gradually over several weeks or days.
Such foods are: • Chocolate • Crisps • Cakes • Ice cream • Custard made with full fat milk and cream • Glasses of full fat milk with added skimmed milk powder • Cream added to desserts • Sugar added to drinks and cereal • Jam, honey and syrup added to foods • Butter added to allowed vegetables • Butter, cream/ ...
A small bowel obstruction is a blockage in the small intestine. Small bowel obstructions are usually caused by scar tissue, hernia, or cancer. In the United States, most obstructions occur as a result of prior surgeries.
Laxative use can be dangerous if constipation is caused by a serious condition, such as appendicitis or a bowel obstruction. If you frequently use certain laxatives for weeks or months, they can decrease your colon's ability to contract and actually worsen constipation.
Identifying Bowel Obstruction Symptoms
Most people affected by a bowel obstruction are unable to pass gas or have a bowel movement, and may have a swollen abdomen. Infrequent bowel movements or hard stools usually do not indicate obstruction.
Medication Summary
Bowel obstruction frequently necessitates surgical intervention. However, antibiotics should be started in the emergency department.
Morphine sulfate (Astramorph, MS Contin, Kadian, Duramorph) This is the drug of choice for analgesia due to its reliable and predictable effects, safety profile, and ease of reversibility with naloxone. Various IV doses are used; morphine sulfate is commonly titrated until the desired effect is obtained.
Bowel obstructions cause bloating and abdominal pain. The pain may be cramping or colicky, so it starts suddenly and comes and goes in waves. You may not be able to poo or fart (pass gas/wind). If the blockage is only partial, you may have diarrhoea.
Bowel obstruction is much more common with advanced cancer. People who have had surgery or radiotherapy to the tummy (abdomen) are more at risk of developing a bowel obstruction.