Bowel Obstruction

Houansdad bowel obstruction prevents the intestinal contents from passing through the digestive system. Of the problem and can cause blockage inside or outside the intestine.
Within the intestine and the reason is the presence of a tumor or swelling prevents the passage within the intestine.
Outside the bowel, it is possible for a device or the neighboring area of ​​the tissue to pressure or distortion pinche part of the bowel.


Bowel obstruction is one of the most painful symptoms of peritoneal mesothelioma. In many cases, bowel obstruction and presents later Kaared secondary due to the accumulation of fluid in the abdomen known as ascites. If it displays a bowel obstruction along with other symptoms associated with peritoneal mesothelioma is a sign that the disease is in an advanced state.



This can happen bowel obstruction in the small intestine or large intestine and colon. It can be a bowel obstruction in total or partial depending on whether any intestinal contents can pass through the obstructed area.


Causes blockage in the small intestine:
Tumors
Usually cause cancerous tumors of small bowel obstruction either by pressing on the outer surface of the intestines or by increasing within the intestinal wall, leading to blockage of the internal passage of the gut. This is why a small percentage of all small bowel obstructions. In most cases does not begin with a tumor in the small intestine itself. But be Aasbb is cancer that has spread in the body into the small intestine from another site in the colon, and female reproductive tract and cancer of the lung or the skin and breast cancer.


Adhesions
Adhesions are the most common cause of blockage of the small intestine, which represents 50% to 70% of all cases.
Adhesions are areas of tough, numerous and occur in fibrous connective tissue which is a type of scar. Development of adhesions on the outer surface of the intestines or infected pelvic organs as they heal after surgery or injury. Women's surgeries and surgery involving the colon or supplement especially likely to lead to adhesions.
Can be an area of ​​the adhesions caused a blockage in the small intestine if the band pulled in the form of constricting pinching part of the small intestine closed from the outside. Adhesions can also connect to neighboring loops of intestine and tighten at a later time, pull out the intestines to the configuration that is not natural to limit the flow of intestinal contents.


Hernia
Hernia is the second most common reason for the blockage of the small intestine, which represents about 25% of all cases.
Hernia occurs in the case of a structural weakness in the abdominal wall may be part of the small intestine through the highlights of this region weak and look like a mass under the skin. This is called part of the intestines and protruding hernia can cause the intestine to become obstructed if it becomes trapped or pinched tightly at the point where pokes through the abdominal wall. In extreme cases, and pinched the intestine and can also "throttle", which means the blood supply is cut off. Usually look like blocks hernia near the umbilicus, or what is known as the hernia the navel and sometimes occurs hernia between the navel and the breastbone is known as herniated stomach and sometimes in a surgical incision healed hernia surgery or in the front of the upper thigh, known as herniation thigh or near the top of This is known as the thigh and type the name of inguinal hernia.


Causes blockage in the large intestine:
volvulus
Volvulus is most common among people over the age of 65 years and these patients often have a history of chronic constipation long term. Obstruction caused by volvulus causes symptoms that usually develop quickly, usually within a few days.
Volvulus is an abnormal twisting of a portion of the bowel around itself. This twisting motion typically produces a closed loop of the bowel with a pinched base, leading to intestinal obstruction.


cancer of the colon and rectum
What is the cause of nearly half of all obstacles and large intestine by cancer of the colon and rectum. Has undiagnosed colon or rectal cancer leads to a gradual narrowing of the large intestine internal corridor. Usually constipation patients exposed intermittently for a long period of time before it finally becomes a bowel obstruction.


Symptoms
Sometimes there are other symptoms as well as additional bowel obstruction such as nausea, vomiting, abdominal pain, constipation accompany bowel obstruction. Although peritoneal mesothelioma may cause abdominal cavity to inflation may be a blockage of the intestine can also cause swelling and bloating in the lower pelvic area.
Whether caused additional symptoms of bowel obstruction or peritoneal mesothelioma does not have to deal with obstruction immediately. Risks with bowel obstruction include dryness due to lack of nutrition and weight loss and vitamin deficiency.
The symptoms can block the small intestine of the following:
• Nausea and vomiting
• pain in the abdomen
• No gas passing through the rectum
• bloated abdomen, sometimes with tenderness in the abdomen
• rapid pulse and rapid breathing during episodes of cramps


The symptoms can range from bowel obstruction include:
• constipation at the time of obstruction and possibly intermittent bouts of constipation for several months in advance
• If the colon tumor is the cause of the problem, a history of rectal bleeding such as streaks of blood on the stool
• diarrhea caused by the leakage of liquid stool around the blockage in part


Diagnosis
To be in need of a doctor Yi listening to the abdomen for the diagnosis of bowel obstruction in the rectum. And confirms a blockage in the intestine by X-ray of the abdomen, which show the gas and the contents of the intestinal fluid over the area of ​​blockage, but no gas under the blockade. Must be a blood test to check for dehydration or loss of electrolytes such as sodium and potassium if you have symptoms included vomiting.
Symptoms of blockage of the small intestine and large bowel volvulus usually become severe over the hours. However, large bowel obstruction may be caused by colorectal cancer or diverticular disease get worse more slowly. Some patients who have mild symptoms for several weeks or months before seeing the doctor. Once the diagnosis is made and treatment begins immediately. With successful treatment, and concludes disability.
Prevent
Diet modification and lifestyle may be able to reduce the risk of some forms of bowel obstruction, for example:
Eat a balanced diet low in fat with lots of vegetables, fruits, and prevent smoking Helps in preventing cancer of the colon and rectum and see a doctor for the detection of colorectal cancer once a year after the age of 50 years.
Avoid heavy lifting Helps to prevent hernia, which increases the pressure within the abdomen, and may impose a section of the intestine and emerged through the region of weak abdominal wall. If you develop an abnormal presence of a lump under the skin of the abdomen, especially near the groin or near the surgical scar you need help from your doctor.
• There is no proven way to prevent clogging due to diverticular disease, but some doctors believe that people with diverticular disease should follow a high fiber diet and avoid foods that may settle in the diverticula, such as seeds and popcorn.


Treatment
If there is blockage of the intestine will be dealing with the patient through the hospital. The flexible tube is inserted into the nasal NG tube through the nose into the stomach to help remove the excess of gas in the stomach and intestines. You will get fluids through a vein because it will not allow you to eat or drink.
Partial small bowel obstruction improved in many cases within a few days and the NG tube can be removed if the use of one. At this point you will be given low doses of fluids. If you carry this you will get a full liquid diet for a day or more, followed by solid foods that are easy to digest.
Bowel obstruction is complete and often requires surgery to correct or remove the cause of disability in the tumor and adhesions narrow hernia repair or fix a part of the intestine in the risk of recurrent volvulus. During this surgery, the damaged portion of the intestine or bottleneck can also be removed.
It is sometimes the most practical for your doctor and you to take a "wait and see" if you recover from one or two episodes of bowel obstruction without surgery. May eventually require surgery to correct the cause or to prevent blockage of future episodes, but not everyone needs surgery.

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