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Patients with chronic intestinal pseudo-obstruction that involves the small bowel commonly present with symptoms such as constipation, abdominal pain, nausea, and vomiting. [6] Diarrhea may result from bacterial overgrowth brought on by small bowel dysmotility-induced stasis. [3]
Depending on the level of obstruction, bowel obstruction can present with abdominal pain, abdominal distension, and constipation.Bowel obstruction may be complicated by dehydration and electrolyte abnormalities due to vomiting; respiratory compromise from pressure on the diaphragm by a distended abdomen, or aspiration of vomitus; bowel ischemia or perforation from prolonged distension or ...
Intestinal pseudo-obstruction (IPO) is a clinical syndrome caused by severe impairment in the ability of the intestines to push food through. It is characterized by the signs and symptoms of intestinal obstruction without any lesion in the intestinal lumen. [ 1 ]
The characteristic abdominal pain is typically located in the center or right lower quadrant of the abdomen. [1] X-rays of the abdomen may reveal stool in the colon and air-fluid levels in the small intestines. [citation needed]
Pain, nausea control Possibly consultation of general surgery or interventional radiology. Bowel obstruction [24] Abdominal pain (diffuse, crampy), bilious emesis, constipation: Clinical (history and physical exam) Imaging (abdominal X-ray, abdominal CT) Patient made NPO (nothing by mouth) IV fluids as needed Nasogastric tube placement
Once a fistula has formed, a stone may travel from the gallbladder into the bowel and become lodged almost anywhere along the gastrointestinal tract. Obstruction occurs most commonly at the near the distal ileum, within 60 cm proximally to the ileocecal valve. [2] [3] Rarely, gallstone ileus may recur if the underlying fistula is not treated. [4]