Get medical help right away if you have symptoms of intestinal obstruction. These include severe abdominal pain, vomiting, and inability to pass stool.
If the intestine is completely blocked, it is a medical emergency needing immediate attention. Symptoms of an intestinal blockage include severe belly pain or cramping, vomiting, not being able to pass stool or gas, and other signs of belly distress.
Most of the time, complete blockages require a stay in the hospital and possibly surgery. But if your bowel is only partly blocked, your doctor may tell you to wait until it clears on its own and you are able to pass gas and stool. If so, there are things you can do at home to help make you feel better.
Usually, a small bowel obstruction resolves after a few days. When a patient becomes less bloated, starts to pass gas, and has a bowel movement, the tube is removed and the patient is allowed to eat and drink. If the patient is not better, then operative intervention may be necessary.
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.
The four cardinal symptoms of bowel obstruction are pain, vomiting, obstipation/absolute constipation, and distention. Obstipation, change in bowel habits, complete constipation, and abdominal distention are the predominant symptoms in LBO. Vomiting occurs late in the course of the desease.
A common type of blockage is called fecal impaction. This is when a large, hard mass of poop gets stuck in your digestive tract and can't get pushed out the usual way. But when your bowel is blocked by something other than hard stool, doctors call it a bowel obstruction.
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.
In order to diagnose a bowel obstruction, your doctor will do a physical exam. During this exam, they will feel your abdomen and use a stethoscope to listen to your belly. A bowel obstruction can often be confirmed with an X-ray.
When it comes to bowel obstruction, a patient needs to be rushed immediately to an emergency room. Treatment begins when a tube is passed down the nose to suck out everything to decompress the bowel. Such treatments are too complex for the urgent care clinics to handle.
Large meals can cause more discomfort. Try to have 6-7 small meals or snacks spread out through the day. o Cut foods into small pieces. o Chew foods well and eat slowly. What to eat through the day o Follow a Low Fibre Diet or a Liquid Diet. o Avoid any food that is tough or stringy (celery, tough meats).
A bowel obstruction can begin suddenly or may progress gradually over several weeks or days.
Constipation. Vomiting. Inability to have a bowel movement or pass gas. Swelling of the abdomen.
Adhesions: The most common cause for small bowel obstruction is intra-abdominal adhesions. Adhesions caused by abdominal or pelvic surgery cause about 65% to 75% of all small bowel obstructions. Adhesions are scar tissue that can form after infection, radiation therapy, inflammation and most commonly, surgery.
The rule of 3-6-9-12 for bowel obstruction
The small bowel is normally <3cm in diameter. If it is >6cm it is at high risk of rupture. The large bowel is normally <6cm in diameter. If it is >9cm it is at high risk of rupture.
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.
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.
When an obstruction is total and caused by a physical blockage, you will likely be unable to pass even gas through your anus. You may burp or vomit, but you will not have diarrhea or gas. Some of the most common reasons we see for bowel obstructions in our practice include: Impacted stool that causes a blockage.
Movement and exercise can help you empty your bowels. Increasing activity will help you to improve your bowel function. Aim for 30 minutes of activity a day, for example, swimming, walking or gardening.
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.
“It would be an emergency if you hadn't had a bowel movement for a prolonged time, and you're also experiencing major bloating or severe abdominal pain,” notes Dr. Zutshi. Slight symptoms will not take you to the emergency room. You should go to the emergency room if your symptoms are severe.