What can you eat with intestinal obstruction?

Written by Zhang Peng
General Surgery
Updated on September 23, 2024
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Intestinal obstruction, as the name implies, is when the contents within the intestines are blocked. Generally, patients are not allowed to eat, but this depends on the progress of the condition and whether there is a need for food or water intake. In some cases of incomplete obstruction, it is possible to consume a small amount of liquid or residue-free diet. However, for cases of obstruction with clear symptoms and severe conditions, patients are not permitted to eat. They might even require gastrointestinal decompression, which involves the insertion of a gastric tube for further treatment.

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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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How to diagnose intestinal obstruction?

How to diagnose intestinal obstruction, which is a common acute abdomen condition in surgery. If symptoms such as cessation of passing gas or stools, abdominal pain, and vomiting occur, it may suggest the presence of an intestinal obstruction. The simplest diagnostic method for intestinal obstruction is to perform an upright abdominal plain film to assess the degree of obstruction, based on the presence or absence of fluid levels. Furthermore, identifying the fundamental cause of the obstruction is essential; this can be achieved through enhanced abdominal CT and colonoscopy to make a determination. An abdominal ultrasound can also be performed, which provides a better understanding of the condition of the intestinal obstruction. Using abdominal ultrasound, the presence of effusion can be detected, and by aspirating the effusion, its properties can be analyzed to determine if there is a condition such as bowel necrosis.

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Written by Xu Jun Hui
General Surgery
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Can you fart with intestinal obstruction?

Intestinal obstruction is caused by any reason that prevents the passage of intestinal contents. Intestinal obstruction can be divided into acute, partial, and acute complete intestinal obstruction. In complete obstruction, there is a cessation of both gas and feces passage from the anus. Partial obstruction may still allow the passage of gas from the anus, i.e., farting, or a small amount of bowel movement. Acute complete intestinal obstruction is accompanied by abdominal pain and distension, with no gas or feces passing through the anus. Higher intestinal obstructions may also involve nausea and vomiting. Treatment requires gastrointestinal decompression, anti-inflammatory hydration, and if necessary, enema treatment until intestinal function is restored and gas and bowel movements can occur.

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Written by Zhang Peng
General Surgery
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Intestinal Obstruction Nursing Measures

Intestinal obstruction is primarily a disease that requires treatment, which involves fasting from water, gastrointestinal decompression, anti-inflammation treatments, enemas, and sometimes the auxiliary use of traditional Chinese medicine. The nursing measures for this condition build upon these treatments and involve further management of daily activities. Generally, patients with intestinal obstruction must be cautious with their diet to avoid overeating or consuming foods that are hard to digest or that could potentially form obstructions. Secondly, it is important to manage and ensure that patients avoid vigorous exercise, as such activity can lead to the recurrence of intestinal obstruction, especially if there are adhesions within the abdominal cavity.

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Written by Li Jin Quan
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How is intestinal obstruction diagnosed?

The main clinical manifestations of intestinal obstruction include abdominal pain, abdominal distension, vomiting, and cessation of gas and bowel movements from the anus. During the physical examination, tenderness in the abdomen can be observed, as well as hyperactive bowel sounds. Laboratory tests may reveal increased red and white blood cell counts, and electrolyte imbalances. Supplementary examinations, such as abdominal X-ray films, can show dilation of the intestinal tube, air and fluid accumulation within the abdominal cavity, and the presence of fluid-air levels. Abdominal ultrasound can also reveal air and fluid accumulation in the intestinal tube. Through the above examinations, intestinal obstruction can be diagnosed.