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intestinal obstruction
Prof GS Corner 

Understanding The Causes Of Intestinal Obstruction

January 23, 2021February 20, 2021 Editor 1.PARALYTIC ILEUS, 2 TYPES OF INTESTINAL OBSTRUCTION, 369 RULE BOWEL OBSTRUCTION, 4 CARDINAL SIGNS OF INTESTINAL OBSTRUCTION, 5 CAUSES OF INTESTINAL OBSTRUCTION, A DYNAMIC INTESTINAL OBSTRUCTION, A MECHANICAL INTESTINAL OBSTRUCTION, A PARALYTIC ILEUS, A PARALYTIC ILEUS IS CAUSED BY A CESSATION OF, A SMALL INTESTINAL OBSTRUCTION, ABDOMINAL X-RAY PARALYTIC ILEUS, AN INTESTINAL OBSTRUCTION, AN INTESTINAL OBSTRUCTION IS CALLED, APA ITU PARALYTIC ILEUS, B. 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Intestinal obstruction involves a partial or complete blockage of the bowel that results in the failure of the intestinal contents to pass through. We do not realize the immense importance of the gut until it is obstructed.

Intestines have a vital function to perform, which is transport of food from oral to aboral end and absorption of it all along. The gastrointestinal secretions pour in response to food and it may work to six to eight litres. When the intestine gets obstructed the patient develops vomiting, colicky abdominal pain, distension of abdomen and absolute constipation. This is a surgical emergency and repetitive clinical examination is mandatory to decide on surgical intervention.

Obstruction of the bowel may be caused by Paralytic ileus in which the bowel doesn’t function correctly but there is no “mechanical” (anatomic) problem. It may be caused by a wide variety of mechanical causes. T

Causes of Paralytic Ileus: 

  • Medications, especially narcotics
  • Intraperitoneal infection
  • Mesenteric ischemia
  • Injury to the abdominal blood supply
  • Complications of intra-abdominal surgery
  • Kidney or spinal disease
  • Metabolic disturbances like decreased potassium levels
  • Excess of fluid loss due to diarrhea can lead to potassium loss and this is one common cause of Paralytic Ileus. The bowel sounds are not heard.

Mechanical obstruction occurs when the movement of material through the intestines is physically blocked. When the block occurs in the large intestine the distension is huge and the spread of bacteria to the whole body occurs. The mechanical stretching leads to compromise of blood supply and hence gangrene of the bowel occurs.

The mechanical causes of obstruction are numerous and may include the following:

  • Hernias
  • Postoperative adhesions
  • Twisting of gut called volvulus
  • Tumors blocking the intestines
  • Granulomatous processes (abnormal tissue growth)
  • Foreign bodies ingested
  • Round worms

It is a common abdominal emergency and in some communities the most common one. Some patients with simple obstruction resolve spontaneously. If the small gut is gangrenous, you will have to excise it and anastomose its ends. Unfortunately, patients with intestinal obstruction present late. He/she may be severely dehydrated, oliguric, and shocked. The biochemical milieu is altered and this leads to loss of Sodium and Potassium and the patient becomes seriously ill. In developing countries the intestinal obstruction is caused by hernias, in the developing countries adhesions and carcinoma of the colon are unusual. Their place is taken by ascariasis, volvulus of the sigmoid colon. In our country tuberculosis of the small intestines are very common.

When the obstruction is high, there is frequent vomiting, no distension, and intermittent pain. If the obstruction is in the middle of the small gut, there is moderate vomiting, moderate distension, and intermittent pain of the classical, colicky, crescendo type with free intervals.

When the obstruction is low in the small gut, vomiting is late and faeculent, and distension is marked. Pain may or may not be classical.

Treatment options:

Plain x-ray films of the abdomen help in deciding the site of intestinal obstruction, while in some you will need imaging studies like C T scan. The air-filled intestines can make interpretation by Ultrasound scans, difficult. The girth of the abdomen gives an idea of the obstruction and it is measured and recorded.

The patient with intestinal obstruction needs to be hospitalized for intensive surgical care. Intravenous fluids are administered and Ryle’s tube is inserted in to the stomach to decompress the distended gut. Antibiotics are given. Emergency intervention to relieve the obstruction may be necessary and the type of surgical procedure depends on the nature of obstruction. Some may require more than one surgery or intestinal diversion like colostomy.

When the bowel does not move and if the patient has colicky pain in the abdomen along with vomiting it could be intestinal obstruction. Do not take purgatives or painkillers. Majority have an uneventful post operative period while a small number may develop leak at the operative site in the intestines. When the obstruction is due to cancerous growth the patient requires further treatment.

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Click non the link in our bio for details on who qualifies, for this round, how to register and the other details of the drive. 💉#Covid19 #covishield #covaxin #indiafightscorona #largestvaccinedrive #vaccination #covidvaccine #vaccine #india #covid19 #vaccinationdone✔️
On our list of specials for #childmentalhealthweek On our list of specials for #childmentalhealthweek, we ask parents to watch out for classic signs and symptoms that indicate school avoidance and school refusal in children.Is your child a silent victim of this too? Click on the link in our bio or visit www.padhamhealthnews.org to read this article on school refusal and don't forget to share it with a fellow parent you care about.#mentalhealth #mentalhealthawarenessweek #childmentalhealth #childmentalhealthmatters #childrenmentalhealthawareness #anxiety #anxietyawareness #depression #schoolrefusal #schoolavoidance #bullying #stopbullying #PadhamHealthNews #childrenshealth #childrensmentalhealth
Share This On Your StoryWe all have our choices Share This On Your StoryWe all have our choices when it comes to attending to our health. Which one do you prefer?#wellness #thisorthat #health #exercise #fitness #resolution #nyresolution #fitnessmotivation #thisorthatchallenge #exerciseoftheday #goodhealth #sundayvibes #healthyliving #healthylifestyle #workoutmotivation #workoutoftheday #yoga #healthyeating
Podcasts are the present & future of good quality Podcasts are the present & future of good quality content. 🎙️We do a quick round up of the best names in the #health field that do justice to #mentalwellbeing. 🎙️Do you know or follow any good podcasts that should be featured on this list? Leave. Us a comment on the who and why!#mentalhealth #mentalhealthday #mentalhealthawarenessweek #mentalhealthindia #mindfulness #podcasts #podcastersofinstagram #healthpodcasters #podcastseries
A royal salute to every Indian who did their bit i A royal salute to every Indian who did their bit in helping their fellow citizen through 2020, amidst the pandemic.Wishing you all a #HappyRepublicDay!#republicday #happyrepublicday🇮🇳 #happyrepublicdayindia #happyrepublicday2021 #GoodHealthNaturally #PadhamHealthNews
A lot of the times if you are reaching out to chec A lot of the times if you are reaching out to check your phone coz you are "sure" you heard it ring, you might be experiencing Phantom Vibration Syndrome! It is common and it is curable, so relax!📱📱📱📱📱📱If you are practising #digitalminimalism or #digitaldetox, tell us hiw you managed to do it. If you haven't, we have a special coming up very soon, stay tuned!📴📴📴📴📴📴#phantomvibrationsyndrome #phantomvibration #cellphone #socialmedia #socialmediadetox #digitaldetoxday #digitaldetoxchallenge  #digitaldetoxing #socialmediadetoxchallenge  #socialmediadetoxbreak #cellphoneaddiction #addiciton #OCD #technologybreak #connectwithnature #detoxprogram #socialmediamanagement
For some the moment is here. For some it remains u For some the moment is here. For some it remains unclear. What's your stand on this? Tell us in the comments below.  YAY OR NAY?#coronavirus #covid19 #covishield #covaxin #vaccine #covid19india #vaccination #immunization #covaxinbharathbiotech #covishield💉 #covaxin💉 #covidvacccine #
🍼BREASTFED IS BEST FEDAccording to @who glob 🍼BREASTFED IS BEST FEDAccording to @who globally only 38% of the infants worldwide are exclusively breastfed.It is essential to understand and implement a system where the mothers in this process are aided and educated about the importance of #breastfeeding the newborn..Stay-at-home moms are at an advantage and are found to breastfeed their children more conveniently than their working counterparts..💼Are Indian companies helpful and showing concern  to  lactating moms? Narrate your experiences of how it felt to be a working mom who was breastfeeding in #India.#momsofinstagram #breastfeedingmom #breastfeedingawareness #breastfeeding2021 #breastfeedingawarenessmonth #workingmomlife #breastfeeding #breastfeedingtips #breastfeedingweek #breastfeedinghacks #breastfeedingsupport #newmomtips #breastfeedingmom #breastfedbaby
@thewholetruthfoods writes on why nutrition labels @thewholetruthfoods writes on why nutrition labels need to be more specific and not misleading.Read the full article on www.padhamhealthnews.org. Link in bio.Time for a wake-up call. We need to understand the current Health Marketing practices- the fraudulent act of labelling unhealthy, sugary, preservative-laden junk as ‘FAT-FREE’, ‘100% Real’ and ‘No Nasties’.But we’d like to tell you that all is not lost. That there are some good guys out there, showing us how Health-Marketing should be done. How good food, sold truthfully, can be a powerful marketing tool. How nutritional info can be more than just a black and white patch that you hide in some corner. How it can be a powerful claim that you should proudly display up front.There are many truly ‘Healthy’ brands out there who’re fighting the good fight. We list the top 5 ways in which they simplify nutritional info, showcase it, and use it as a great marketing weapon- click on the link in the bio to read the article now!📷 @pexels#healthyfoods #nutrition #thewholetruthfoods #nutritionlabels #healthyfood #healthyeating #health #goodhealthynaturally #nutritionfacts
#nutritiontips #healthyfoods #foodgram
With a year full of surprises waiting in for us, w With a year full of surprises waiting in for us, why plan anything more?!Thankful to #2020 for teaching us a lifetime's worth of lessons in less than 365 days! Remember people- your health matters!It's that simple!Stay Healthy. Stay Happy!#happynewyear2021 #newyear #resolutions #healthresolutions #2021goals #bybye2020 #fitness #wellness #exercise #healthy2021 #goodhealth
Heart attacks can occur at any time, to anybody. T Heart attacks can occur at any time, to anybody. This is a well-known fact. But recent research reports have concluded that #Christmas and #NewYear period- the holiday season is known to put your heart health at risk. The study, by researchers in @lunduniversity  #Sweden, showed that the risk of heart attack was 37% high around 10 p.m. on Christmas eve. The anybody was greatest in people above 75, and those with existing diabetes and heart disease.What causes this and how can one avoid it? Click on the link on our bio to read more about this disturbing trend.#MerryChristmas #Xmas2020 #ChristmasHealth #HolidaySeason #HappyHolidays #Holidays2020 #heart #heartattack #hearthealth #hearthealthyfood
#holidayseason2020 #holidays #xmastime📷 Unsplash
#Mentalhealth problems among elderly people are fr #Mentalhealth problems among elderly people are frequent and can be severe and diverse.  It is estimated that the prevalence of mental disorders among the elderly is 89 per 1000.  #Depression, “The down Mood State” along with other negative symptoms is the most frequent mental health problems faced by elderly.It is estimated that around 6% of the elderly population suffers from the severe depressive disorder.  #Dementia a deteriorating disorder of all mental functions is the next common mental health problem in elderly.  Around 4% of the elderly above 60 suffer from Dementia.  Apart from these two mental disorders, other psychiatric disturbances like delirium (acute confusional state due to infection, injury or intoxication), delusional disorders ( a disorder with suspicion and other behavioural problems) are also seen in the elderly.Click on the link in our bio to read the complete article.#mentalhealth #depresaion #seniorcitizens
#health #anxiety #elderly #mentalhealthproblems #goodhealth
Did you know?Piperine present in black pepper ac Did you know?Piperine present in black pepper acts as an anti-depressant and stimulates the nervous system- which results in an improvement in the cognitive capacity of the individual.Add this flavour-enhancing wonder spice to your meals today!#healthyfoods #healthyeating #spices #indianspices #blackpepper #food #foodporn #foods #foodforfoodies #foodie #health #healthyfood #healthylifestyle #healthy #healthcoach #ingredients #ingrédients #ingredientsmatter #naturalingredients #5ingredients  #ingredients #health #foods
WOMEN'S HEALTH: WHAT TO LOOK OUT FOR IN YOUR 40s? WOMEN'S HEALTH: WHAT TO LOOK OUT FOR IN YOUR 40s?Life begins at 40 they say! Then why do some women go through a lull in their 40s forcing them to lead a sedentary lifestyle?Settling down to a sedentary and dull lifestyle at the age of forty is a practice among most women. This is a very wrong attitude, one must be mentally very active, cheerful and lead a purposeful life for they can contribute a lot to the society.Some of the common issues women face at 40 include menopause, osteoporosis amd empty nest syndrome.Click on the link in our bio to read the complete article and what you can do to lead a happy life in your 40s!#womenshealth #womenshealthmatters #lifestylechanges #40yearsold #womensupportingwomen #indianmentalhealth #indianwomen #health #goodhealth #instahealth
TIPS TO KEEP CHILDREN HEALTHY THIS SEASONIt is v TIPS TO KEEP CHILDREN HEALTHY THIS SEASONIt is very disheartening to read that every fourth child loses its life because of air pollution and its effects. Another year and another series of bad polluted days for Delhiites.While Delhi is soon off becoming the most polluted city in the world, the other Indian cities are not far behind and sooner than later, we might soon be facing a similar scenario. How do we rectify or manage this situation?Here are a few tips for parents and children that will help them breathe, battle air pollution and live healthier- click on the link in the bio to read them NOW.#airpollution #pollution #delhiaqi #aqilevels #aqiDelhi #pollution #delhiairpollution #pollutionmask
#delhiaqi
E-consults are now the new normal and if you are l E-consults are now the new normal and if you are looking for the right specialists to get an opinion, we have a curated guide rhat you can get access to.Click on the link in our bio to sign up and get access to this FREE PDF right away!#econsults #telemedicine #doctorguide #goodhealthnaturally #hellodoctor #wellness #goodhealth #freepdf #doctors #guides #freedownload #consultation #telemedicineindia
Work. Deadlines. Stress. TensionAll of these tak Work. Deadlines. Stress. TensionAll of these take a distant second when it comes to prioritising your health over anything else.Invest in a healthy lifestyle to reap the benefits of being a happier you!Stay healthy. Stay happy!#saturdayvibes #health #healthyliving #healthquotes #medicine #wellness #saturdaymotivation #exercise #fitness #motivation #healthymotivation #motivationalquotes #instadaily #instaquotes #instaquotesdaily #wellnessquotient #healthify #healthbloggersofinstagram
Heart defects that are present from birth are call Heart defects that are present from birth are called congenital heart defects. The circulatory system of the foetus is a little different from that of the newborn. The foetus gets its oxygen supply and nutrition from the mother through the placenta.The foetal heart does not have to perform certain functions as the lungs do not process air. At the time of birth, when the lungs fill with air, the newborn’s heart routs blood in a path similar to yours. This requires some changes in the heart and blood vessels near the heart. When these do not take place effectively, there are malformations in the heart leading to #CongenitalHeartDiseases.Read more about this on www.padhamhealthnews.org#kidshealth #chd #chdawareness #congenitalheartdisease #congenitalheartdefect #hearthealth #heart #healthyliving #childrenhealth
A concept that was rare and hardly practiced has n A concept that was rare and hardly practiced has now become the go-to thing this year.@drsrivatsan , explains how this concept has come to vogue this year and has changed the face of medicine this year.Click on the link in our bio to read it right now.#telemedicine #telemedicineawareness #medicine #econsults #consultation #medicalsconsults #surgicalconsults #telemedicinesolutions #coronavirus #COVID19 #surgery #medicine
Same day. 4 years ago, the digital avtar of Padham Same day. 4 years ago, the digital avtar of Padham Health News was born.After a decade and a half experience in the print world, we entered as fledgling in the digital world. And in the last four years we have learnt more along the journey.👍We are thankful to every one of you who has walked along with us in this two decade journey of #PadhamHealthNews.☀️If you like what we do, if you like what you have read on our platform or if there is any feedback you have for us, we would love to hear.Talk to us in the comments below or DM us! Here's promising more informative health reads and lots more useful content on www.padhamhealthnews.org!#healthwebsite #healthblogger #healthbloggersofinstagram #fitness #wellness #healthyliving #goodhealth #PadhamHealthNews #anniversary #bloggersofinstagram
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