What is ileus?
Ileus is a medical term for decreased movement in the digestive tract that causes congestion or blockage of nutrients. Ileus can cause intestinal obstruction, through which food, gas, or liquid cannot pass. Although ileus has several causes, side effects from surgery are the most common cause of ileus.
Ileus is a serious problem, but many people often do not realize that food is accumulating in the intestine and continues to eat food. This pushes more food towards the blockage. Without treatment, ileus can puncture or tear the intestines. This causes intestinal contents, which contain many bacteria, to leak into the area of the body cavity. This can be deadly. If ileus occurs, it is important to get treatment as soon as possible.
Ileus can develop into a serious and life-threatening condition. The two most severe complications are necrosis and peritonitis.
How common is ileus?
This condition is very common and can occur in patients of any age. Ileus can be treated by reducing risk factors. Discuss with your doctor for more information.
Signs & Symptoms
What are the signs and symptoms of ileus?
- Stomach cramps
- Loss of appetite
- Feeling full
- Cannot pass wind
- Swelling of the stomach
- Vomiting, like the contents of feces
There may be signs and symptoms not mentioned above. If you have a concern about a specific symptom, consult your doctor.
When should I see a doctor?
If you have any of the above signs or symptoms or other questions, consult your doctor. Each person's body is different. Always consult a doctor to treat your health condition.
What causes ileus?
- Stomach surgery
- Joint or spinal surgery
- Injury or trauma
- Severe common infections (sepsis)
- Heart attack
- Electrolyte Imbalance
- Disorders that affect muscle function
- Use of high blood pressure medications
- Certain medications, such as hydromorphone (Dilaudid), morphine, oxycodone, tricyclic antidepressants (amitriptyline, imipramine)
- Colon cancer
- Chron's disease, which causes the intestinal wall to thicken
- Parkinson's disease, which affects muscles and nerves in the intestine
- Intussusception. The most common cause of ileus in children.
- Low blood intake in the intestine (mesenteric ischemia)
What increases my risk for ileus?
There are many factors that make a person at risk of developing ileus, namely:
- Surgery, infection or injury to the stomach
- Ileus history
- Electrolyte imbalance, especially potassium and calcium
- Have experienced injury or trauma to the intestine
- Chron disease
- History of irradiation on or around the stomach
- Peripheral artery disease
- Drastic weight loss
Medicines & Medications
The information provided is not a substitute for medical advice. ALWAYS consult your doctor.
How is ileus diagnosed?
The doctor will ask about your symptoms and medical history, and do a physical examination. The diagnosis of ileus is usually based on symptoms and test results. Tests can include:
- X-ray: can show signs of gas trapped and possible obstruction, but X-ray is not always the most accurate way to diagnose ileus.
- CT scan: shows detailed X-ray images to help doctors identify potential areas of the ileus location.
- Ultrasonic: This imaging technique is more commonly used to identify ileus in children.
- Barium enema – a test that uses radiation to take pictures of the large intestine, after the large intestine is filled with barium.
- Colonoscopy – thin irradiated tubes are inserted through the rectum into the large intestine to examine the lining of the large intestine.
What are the treatments for ileus?
Treatment of ileus depends on the severity.
- Low-fiber diet. Your doctor can recommend a low-fiber diet for parsia obstruction. This can help reduce hard stool, making it easier to pass through the intestine. However, if this does not work, surgery to repair this part of the intestine will be needed.
- Full obstruction is an emergency medical condition. Treatment will depend on your health condition. Stomach surgery to remove a blockage or damaged part of the intestine may be needed.
- Stop using drugs that cause ileus. If the drug is the cause, the doctor can prescribe other drugs to encourage motility. Always consult a doctor before changing prescription drugs, such as antidepressants.
- Ostomi, which is a bag that helps feces out of the intestine. You need to treat ostomy so that you can live without the intestine after experiencing ileus.
- Nasogastric suction (NG tube). A tube is inserted through the nose into the stomach to excrete digestive juices. This can relieve pain and bloating.
- Fluid and electrolyte infusion. Fluid is given through blood vessels to prevent dehydration. Electrolytes are given through blood vessels to help deal with ileus.
- Drugs. There are several treatments that increase peristalsis (neostigmine, tegaserod) which can be used in certain patients to help treat ileus.
- Colonoscopic decompression. Flexible tubes can be inserted in the large intestine to relieve pressure.
What are some lifestyle changes or home remedies that can be done to treat ileus?
Here are lifestyle and home remedies that can help you deal with ileus:
- Healthy eating patterns
- Weight loss
If you have questions, consult your doctor for the best solution for your problem.
Hello Health Group does not provide medical advice, diagnosis or treatment.