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What is Paralytic Ileus?
The process by which the digested food is move forrader in an bowel is called as peristalsis . It is a undulation like motion which cause brawn muscle contraction and relaxation in the bowel . Ileus is a aesculapian full term used to describe a condition characterise by want of these movements in the intestine , run to food build up up in the digestive tract along with obstacle . Paralytic ileus is a condition where there is lack of vermiculation in the gut without factual mechanical impedimenta . In most of the cases , paralytic ileus is a side impression of an abdominal surgical process , but there are other causes of this experimental condition besides surgery .
paralyzed ileus is a serious medical concern , and can lead to intestinal obstructor which may cut back the movement of solid , liquid and accelerator through the intestine . If the affected role is unaware of this circumstance and proceed to eat , it can lead to more work up up in the intestine . This may stimulate perforation or lachrymation of the gut , leading to escape of the bowel content into the body cavity which contains high levels of bacterium and thus may have a deadly effect on the human body . Thus , it is very important to get paralytical ileus treated as soon as possible to avoid any complications .
Symptoms of Paralytic Ileus
The most vulgar symptom of paralytical ileus is uttermost abdominal discomfort and distension with minimum pain in the neck . The pain may deepen with increasing distension . Other symptom associated with paralytical intestinal obstruction include :
The symptom commonly last for 2 to 3 days . Most of these gastrointestinal symptoms are caused due to gun build up in the stomach and unfitness to expel the gas through the rectum . As a answer of which , the abdomen feel tight and egotistic . It is very important to search aesculapian aid if these symptom are feel after a surgery .
Causes of Paralytic Ileus
The most plebeian cause of paralytic intestinal obstruction is side effect of medication prescribe after an abdominal surgery , as these medication may slow down the normal intestinal movement . The intestine is not embarrass , but may feel blocked due to little or no bm in the bowel . The most plebeian medicine that are subject of cause paralytic intestinal obstruction include :
Other possible causes of paralytical intestinal obstruction could be the following :
Risk Factors Associated with Paralytic Ileus
It has been mark that paralytical ileus is the second most unwashed reason for hospital readmission within 30 days after a operating theater , especially abdominal surgery . Besides , these are factors which increases the risk of develop paralyzed intestinal obstruction includes :
Diagnosis of Paralytic Ileus
Diagnosis and management of paralytic intestinal obstruction is done by an experient gastroenterologist . Diagnosis involves prevail a elaborated case history survey by physical exam of the patient role . elaborate history is obtained about recent history of surgeries and medicament . forcible exam involves palpation and auscultation of the abdomen . It need looking for symptom such as protuberance or niggardliness over the belly . It also affect hear for bowel sound with a stethoscope , which is often absent in case of confirming event of paralytic intestinal obstruction . Imaging studies are regularize to locate the precise area of gas make up , intestinal enlargement , or obstruction . The figure study that are order for includes :
Treatment of Paralytic Ileus
The first step in treatment of paralytical ileus involves identification of the causal agent of the condition . If the causative music is correctly identified , the doc may modify the medication ( quit or switch the dosage ) or prescribe another medication to excite intestinal campaign . In modern slip , a infirmary stay may be necessary to assure uptake of right fluids by the trunk . Nasogastric tube suctioning may be want . Nasogastric decompression is a procedure which involves insertion of tubes into the stomach through the nasal enclosed space , to suction out the extra line and fabric from the venter . If the condition does not improve within 2 to 4 sidereal day after the surgery ( which caused the condition ) a second surgery may be required to correct the circumstance . In severe display case , a part or the entire bowel may be removed . A particular pocket may be create ( called as ostomy ) to debilitate stool and other accumulation from the gastrointestinal tract .
Complications of Paralytic Ileus
If left untreated , paralytic ileus can leave to serious knottiness and even last . The most severe complication associated with this condition are discussed below :
Conclusion
Paralytic ileus is a relatively rarified condition but should be treat immediately . The most common cause being medicines post abdominal surgery , one must be careful in mark if there is any discomfort that they are experiencing after the surgery . There are multiple ways in treating the condition at its initial stages ; if not do by early , one might also have to undergo operation to remove the entire intestine . Delay in treatment can also lead to tissue death or harmonium failure ; hence , it should be process immediately once diagnose .
References :
MedlinePlus – Paralytic Ileus : Access reliable medical information about Paralytic Ileus , its causes , and potential complications . register more
Stanford Children ’s Health – Paralytic Ileus : see the diagnosis and management of Paralytic Ileus in children from Stanford Children ’s Health . show more
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