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What is Bowel Strangulation?
Bowel Strangulation is a morbid condition in which the gut lean to get trap in a hernia and the blood supply to these trap segment gets completely cut off result in the tissues in these pin section becoming necrotic which may lead to potentially serious sprightliness threatening complications if it is not address appropriately and on time .
Bowel Strangulation is quite a irritating condition and needs to be treated on an emerging basis . If left untreated , it can result in lifespan threaten complications within a brusk couple of time . Bowel Strangulation is pretty uncommon in occurrence but be given to affect both adult and children likewise . In children who have herniation only about 2 % of children tend to have Bowel Strangulation . Surgery is the only fashion of treating Bowel Strangulation as there is no other mode of un - strangle the hernia .
What Causes Bowel Strangulation?
Bowel Strangulation is essentially do as a result of herniation . Hernias are of different type namelyinguinal hernia , femoral herniation , incisional herniaandumbilical hernia . The primary understanding behind evolution of any character of hernia is abdominal paries weakness . This weakness of the abdominal paries may get up due to unnatural closing of the abdominal bulwark which usually happens after parentage and is seen mostly in preterm babies .
Abdominal wall weakening can also occur as a result of intense pressure on the abdomen . This can be due to haunting intense cough instalment as seen with conditions like tuberculosis or any other infection of the lungs , straining during bowel movements , obesityand multiple pregnancies . People who are employed where they have to elevate heavy weights or professional weight lifters are also at risk for ontogenesis of abdominal weakening which may conduce to herniation .
Any operating room done to the abdomen may also make the abdominal rampart weak increase the risk for herniation . The abdominal bulwark holds all the electric organ of the abdomen and once there is a sac or an opening then it is sluttish for any of the abdominal reed organ to slip inside the pouch or pouch .
The intestines being long and coiled well slip inside the herniation and get trap within it . Due to this entrapment , the bowel contents are not able-bodied to move forrader leave inbowel blockage . In some cases , the bowels become so tightly frame that the line supply to the bowel get cut off which leave in tissue paper dying within no fourth dimension which may result in the gut wall to rupture and its contents being vacate inside the abdominal cavity . This is what fall out in Bowel Strangulation and it may very quickly take to a position of shock and even prove to be fateful .
What are the Symptoms of Bowel Strangulation?
Bowel Strangulation is a condition which arises due to complicatedness of hernia and hence it is super vital to have a know - how on the symptoms of hernia . The symptoms of hernia may persist for many calendar month before Bowel Strangulation in reality occurs . Hernias normally are painless and only a bump may be seen in the abdominal country during straining like when cough or during a intestine movement .
Thus , it is quite normal that a diagnosis of hernia may be missed in its former stages . This bulging in most of the cases can be labor back and the swelling goes forth . This is what is known as reducible herniation . As the condition advances with meter and the lump is not longer able-bodied to be pushed back then it is termed as irreducible hernia .
When the herniation promote to an extent that there is Bowel Strangulation then the symptom may let in intense abdominal pain which worsen with bodily function likebowel movementsor coughing . The hernia in cases of Bowel Strangulation is irreducible and is affectionate to concern . Nausea and vomiting to boot may come follow which serious symptoms like jolt may follow pretty quickly due to Bowel Strangulation .
How is Bowel Strangulation Treated?
Bowel Strangulation is an emergent aesculapian condition and needs to be treated before it poses a menace to the life of an individual . Medication is not something that will treat Bowel Strangulation . Antibioticsfor hernia may be given but again this is only symptomatic and not curative . Hence , surgical process is the only option leave for treating Bowel Strangulation .
In fact , Bowel Strangulation is a operative emergency and the patient needs to be operate right away before any serious complication lift due to Bowel Strangulation . A strangulated hernia is considered to be a surgical emergency .
It should be note here that the hernia should not be forcefully thin as it may lead to cutting off even a little bit of blood supply that may be there which may be keeping the tissue paper alive . Hence the estimable agency to treat this condition is exploratory surgery to first undo the choking and convey the bowels back to their original position and next to reduce the hernia . Once this is done , then an individual can be prevented from having any serious complications arising out of Bowel Strangulation .
References :
Cleveland Clinic:“Bowel Strangulation : symptom , Diagnosis & Treatment ” Source : https://my.clevelandclinic.org / wellness / diseases/17409 - bowel - strangulation
MedlinePlus:“Bowel Strangulation ” reference : https://medlineplus.gov / ency / article/000264.htm
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