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The prevalence is greater in older people of both sexes, especially women. Overall, most patients with ODS are females. [ 23 ] Some of the reasons for this female predilection are thought to be related to trauma from childbirth through vaginal delivery, menopausal tissue changes and hysterectomy. [ 5 ]
Bowel obstruction, also known as intestinal obstruction, is a mechanical or functional obstruction of the intestines which prevents the normal movement of the products of digestion. [2] [5] Either the small bowel or large bowel may be affected. [1] Signs and symptoms include abdominal pain, vomiting, bloating and not passing gas. [1]
Functional constipation, also known as chronic idiopathic constipation (CIC), is defined by less than three bowel movements per week, hard stools, severe straining, the sensation of anorectal blockage, the feeling of incomplete evacuation, and the need for manual maneuvers during feces, without organic abnormalities.
A volvulus is when a loop of intestine twists around itself and the mesentery that supports it, resulting in a bowel obstruction. [1] Symptoms include abdominal pain, abdominal bloating, vomiting, constipation, and bloody stool. [1] [2] Onset of symptoms may be rapid or more gradual. [2]
[1] [2] Fecal vomiting is often accompanied by gastrointestinal symptoms, including abdominal pain, abdominal distension, dehydration, and diarrhea. [2] [3] In severe cases of bowel obstruction or constipation (such as those related to clozapine treatment) fecal vomiting has been identified as a cause of death. [4]
Signs and symptoms of DIOS include a sudden onset of crampy abdominal pain, vomiting, and a palpable mass (often in the right lower quadrant) in the abdomen. The characteristic abdominal pain is typically located in the center or right lower quadrant of the abdomen. [ 1 ]