Does intestinal obstruction cause fever?

Written by Zhang Peng
General Surgery
Updated on September 04, 2024
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It is possible, as the primary pathophysiological change in intestinal obstruction is the translocation of intestinal flora causing infection, which can lead to symptoms such as fever. Therefore, fever is also a factor in assessing the condition. If a patient has persistent high fever, they may even develop septic shock, which could necessitate surgical intervention such as exploratory laparotomy. Thus, fever is a common factor in intestinal obstruction, but it is not a mandatory one.

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Written by Zhang Peng
General Surgery
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Symptoms of intestinal obstruction

For symptoms of intestinal obstruction, the typical manifestations are abdominal pain, bloating, vomiting, and cessation of passing gas or stool. Most people may experience several of these symptoms; however, the severity of the symptoms depends on the location and condition of the obstruction. Once symptoms of intestinal obstruction occur, it is necessary to refrain from eating and then carry out appropriate examinations. Identifying the cause of the obstruction is crucial. If the obstruction is caused by tumor-related factors, surgical treatment should be considered based on a comprehensive assessment. If the obstruction is due to adhesions, conservative treatment methods should be adopted where possible.

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Written by Li Jin Quan
General Surgery
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Symptoms of intestinal obstruction

Intestinal obstruction is caused by any factor that causes blockage of the intestinal tube. Compression and twisting cause the intestinal contents to not pass normally, leading to obstructive symptoms. Clinically, intestinal obstruction mainly presents with four major symptoms: first, intermittent abdominal pain; second, vomiting, where the higher the location of the obstruction, the earlier and more frequent the vomiting, consisting mainly of food or gastric fluid. If the location of the obstruction is lower, the vomiting is delayed and less frequent and may include fecal matter; third, abdominal distension, which generally occurs after the obstruction has been present for some time, and its severity is related to the location of the obstruction; fourth, cessation of gas and feces discharge through the anus.

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Written by Zhang Peng
General Surgery
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Does intestinal obstruction cause fever?

It is possible, as the primary pathophysiological change in intestinal obstruction is the translocation of intestinal flora causing infection, which can lead to symptoms such as fever. Therefore, fever is also a factor in assessing the condition. If a patient has persistent high fever, they may even develop septic shock, which could necessitate surgical intervention such as exploratory laparotomy. Thus, fever is a common factor in intestinal obstruction, but it is not a mandatory one.

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Written by Zhang Peng
General Surgery
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Early symptoms of intestinal obstruction

What are the early symptoms of intestinal obstruction? For intestinal obstruction, the symptoms that appear in the early stages vary depending on the location of the obstruction. If it is a high-level obstruction, the main early symptoms are nausea and vomiting. If it is a low-level obstruction, abdominal distension is more prominent early on, and nausea and vomiting are less common. Additionally, the cause of the obstruction also leads to different symptoms. For instance, if the obstruction is simply due to adhesions in the abdominal cavity, the early symptoms may include poor appetite or nausea and vomiting. If it is caused by tumors in the digestive tract, early symptoms might include abdominal bloating, difficulty defecating, bloody stools, or changes in the characteristics of the stool, among others.

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Written by Zhang Peng
General Surgery
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Causes of intestinal obstruction

Generally, the basic causes of intestinal obstruction can be divided into three categories. The most common is mechanical intestinal obstruction, which mainly includes blockage of the intestinal lumen, such as large fecal masses or corresponding foreign objects, and even parasites. The second type is compression of the intestinal tube, which can be caused by adhesions leading to torsion of the intestine or compression by tumors, and congenital inflammatory strictures and tumors can cause mechanical intestinal obstruction. The second major category is dynamic intestinal obstruction, which is primarily due to weakened peristaltic ability of the intestine, resulting in paralytic intestinal obstruction. This condition can be improved by adjusting intestinal function disorders or treating intestinal spasms. The third type is intestinal obstruction caused by vascular issues in the intestines, most commonly thrombosis of the mesentery or compression causing vascular disorders of the intestines.