परिभाषा
In intestinal pseudo-obstruction, foods and liquids are unable to pass through the intestine, causing a build-up of food, fluid, and gas in all or part of the colon. The symptoms of this condition acts like a mechanical bowel obstruction, but no blockage is found when doctors examine the intestine.
का कारण बनता है
Intestinal pseudo-obstruction is caused by problems with the muscles and nerves of the intestine.
जोखिम कारक
A risk factor is something that increases your chance of getting a disease or condition. The following factors are thought to increase the risk of developing intestinal pseudo-obstruction:
- सर्जरी
- Abdominal hemorrhage
- Intestinal ischemia (insufficient blood supply to the digestive system)
- Inflammation (eg, infection)
- सदमा
- आघात
- Metabolic problems
- Fluid overload (eg, congestive heart failure)
- Other medical illnesses associated with pain
- Some medications
लक्षण
Symptoms of intestinal pseudo-obstruction may include:
- Cramps
- पेट दर्द
- Nausea
- उल्टी करना
- सूजन
- Reduction in bowel movements
- पतले दस्त
- Bladder problems
निदान
Your doctor will ask about your symptoms and medical history, and perform a physical exam. Other tests may include:
- Abdominal X-rays —a test that uses radiation to take a picture of structures inside the body
- Abdominal CT scan —a type of x-ray that uses a computer to make pictures of structures inside the body
- रक्त परीक्षण
- मूत्र परीक्षण
उपचार
आपके लिए सर्वोत्तम उपचार योजना के बारे में अपने डॉक्टर से बात करें। उपचार के विकल्पों में शामिल हैं:
Nutritional Support
Intravenous (IV) feeding may be necessary to help prevent malnutrition.
दवाएं
Your doctor may prescribe antibiotics to help prevent bacterial infections due to your condition. In addition, medications can be used to treat muscle problems in the intestines. Changes in your medications to eliminate some medications that can slow recovery from, or worsen, this condition.
सर्जरी
In severe cases of intestinal pseudo-obstruction, surgery to remove part or your entire intestine may be necessary.
एंडोस्कोपी
If the colon does not resume normal function after conservative management, the pressure build-up in the colon can be relieved by removing the trapped air with acolonoscope.
रोकथाम
Many cases of intestinal pseudo-obstruction cannot be prevented. But certain measures can be taken after surgery to help avoid the complication of intestinal pseudo-obstruction. These measures include:
- Early oral feeding
- Gum chewing
- Fluid restriction
- Medications that inhibit opioid receptors
- बीटा अवरोधक