Intestinal Obstruction

Intestinal obstruction is a disturbance or complete stop of food movement in the intestine. It is provided with contractions of intestinal wall (peristalsis). Disturbance of peristalsis arises because of muscles relaxation (paralytic obstruction) or with long contraction (spastic obstruction). Both forms belong to dynamic obstruction. It develops after surgeries on abdominal organs, complicates appendicitis, cholecystitis and pancreatitis.

Other type of intestinal obstruction is mechanical. It arises at presence of an obstacle, connected with volvulus, infringement of bowel. It happens at long starvation and subsequent plentiful meal (strangulated obstruction). At mechanical occlusion of intestine lumen occlusion obstruction develops, its causes are: adhesions, tumors, foreign matters, gallstones, hernias.

Severe pain in stomach disturbs the patient. At first it is felt only in the disease center then all stomach hurts. The patient feels rapid contractions of intestine. There can be a vomiting and bloody diarrhea. A delay of gases and stool is an important symptom of the intestinal obstruction.

The state quickly worsens; the person turns pale, breaks through cold sweat; stomach is asymmetrically blown up. Usually treatment of the obstruction requires urgent operation.

In the first 6 hours the intestinal obstruction is treated conservatively: stomach is washed out with a probe, clysters are done, and dropper is put. When the state doesn’t improve start the operation. More often portion of the intestine is removed. Operation isn’t required if the obstruction is caused by abrupt weakening of intestine contractions. It is possible to cope with it by means of medicines.

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