Intestinal obstruction

🚫 Intestinal Obstruction

Intestinal obstruction means there is a blockage in the intestines that stops food, fluids, and gas from passing through normally.


🧩 What Happens?

  • The blockage can be partial or complete.
  • It prevents the normal movement of contents through the digestive tract.
  • This causes buildup of food, fluid, and gas above the blockage.

πŸ” Where Can It Occur?

  • Small intestine (more common)
  • Large intestine (colon)

🧠 Types of Intestinal Obstruction

  1. Mechanical obstruction – caused by a physical blockage:
    • Adhesions (scar tissue from previous surgery)
    • Hernias (intestine trapped in a weak spot in abdominal wall)
    • Tumors
    • Intussusception (one part of intestine slides into another)
    • Volvulus (twisting of the intestine)
    • Foreign bodies or impacted stool
  2. Functional obstruction (Ileus) – when the intestines don’t move properly but no physical blockage exists, often after surgery or illness.

⚠️ Symptoms

  • Severe abdominal pain and cramping
  • Vomiting
  • Abdominal swelling (distension)
  • Constipation or inability to pass gas
  • Nausea

🩺 Diagnosis

  • Physical exam (tender, distended abdomen)
  • X-rays or CT scans to locate and determine the cause of blockage
  • Blood tests to check for dehydration or infection

πŸš‘ Treatment

  • Hospital admission
  • IV fluids to prevent dehydration
  • Nasogastric tube (a tube through the nose into the stomach) to remove stomach contents and relieve pressure
  • Surgery if the blockage does not resolve or if caused by tumors, hernias, or strangulation

⚠️ Complications if Untreated

  • Bowel tissue death (necrosis)
  • Perforation (hole in intestine)
  • Infection (peritonitis)
  • Life-threatening emergency
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