Intestinal Obstruction

Overview of Intestinal Obstruction

Intestinal obstruction is a serious medical condition where the normal movement of contents through the intestines is blocked. This can be either partial or complete and may occur in the small intestine or large bowel. If left untreated a bowel obstruction can cause tissue death or life-threatening infections.

Types of Intestinal Obstruction

1. Mechanical Obstruction: Caused by physical blockages like hernias, tumors or adhesions.

2. Functional Obstruction (Ileus): No physical blockage, but the muscles or nerves in the intestinal wall fail to function properly.

3. Partial Bowel Obstruction: Allows some gas or stool to pass but still restricts normal function.

4. Complete Bowel Obstruction: No passage of contents at all.

5. Small Bowel Obstruction (SBO): Affects the small intestine.

6. Large Bowel Obstruction (LBO): Affects the colon or large intestine.

Symptoms of Intestinal Obstruction

Severe abdominal pain and cramping that comes and goes.

Nausea and vomiting especially if the obstruction is in the small bowel.

Inability to pass gas or stool (constipation).

Swollen or bloated abdomen.

Narrow stool or pencil-thin bowel movements.

Gurgling sounds or absence of bowel sounds.

Signs of bowel blockage may also include dizziness and weakness.

Causes of Intestinal Obstruction

Post surgical adhesions (scar tissue).

Hernias that trap parts of the bowel.

Tumors inside the intestinal tract.

Inflammatory bowel diseases like Crohn’s disease.

Twisting of the intestines (volvulus).

Telescoping of one bowel segment into another (intussusception).

Impacted stool in the elderly or dehydrated patients.

Functional causes like ileus, especially after surgery or infection.

Complications in Intestinal Obstruction

Bowel tissue death due to loss of blood flow.

Severe infection or sepsis from bowel perforation.

Electrolyte imbalances and dehydration.

Permanent bowel damage or need for surgical removal.

Recurrent episodes of intestinal obstruction.

Malnutrition in chronic cases.

Risk of multiple surgeries in untreated obstructions.

Risk Factors of Intestinal Obstruction

Prior abdominal or pelvic surgeries.

History of abdominal infections or inflammatory bowel disease.

Elderly age, due to slower digestion and higher risk of ileus.

Cancer in the abdomen or pelvis.

Strangulated hernias.

Long-term use of narcotics, which slow bowel movements.

Chronic constipation or poor fiber intake.

Preventions of Intestinal Obstruction

Stay physically active to support healthy bowel function.

Eat a fiber-rich diet to avoid constipation.

Stay hydrated to keep stool soft.

Avoid unnecessary use of narcotic pain relievers.

Follow-up care after abdominal surgeries.

Treat underlying conditions like hernias or inflammatory bowel disease early.