INTESTINAL OBSTRUCTION , TYPES , CAUSES, SIGN AND SYMPTOM, DIAGNOSIS, COMPLICATION, TREATMENT ~ Medical diseases and trems ,symptoms causes TREATMENT

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INTESTINAL OBSTRUCTION , TYPES , CAUSES, SIGN AND SYMPTOM, DIAGNOSIS, COMPLICATION, TREATMENT

                             INTESTINAL   OBSTRUCTION



            It is define as occlusion to the forward flow of intestinal , the common obstruction occur in ilium.

TYPES AND CAUSES OF INTESTINAL OBSTRUCTION 

      1. Mechanical intestinal obstruction

              * Adhesion most common cause .

              * Volvulus- twisting of intestine .

              * intussusception.

              * Hernia.

              * Intestinal tumour.

              * Ulcerative colitis

              * Food blockage

        2. Neurogenic intestinal obstruction

            This condition developed after the abdominal surgery due to nerve damage. It also known as Paralytic ileus.

        3. Strangulated Intestinal obstruction 

             * This condition occur due to blockage into Mesenteric artery by thrombus.

             * The condition developed suddenly the condition is characterised by acute abdominal pain , abdominal distention and vomiting.

             * The condition should be treated immediately by the use of thrombolytic drugs.

 SIGN AND SYMPTOM

       * Abdominal distention - dominant feature 

       * Severe vomiting 

       * A constant desire to defecate 

       * The patient is unable to passed stool or flatus.

       * Fluid electrolyte imbalance.

       * Fluid volume deficient.

Common complication

     * Hypovolemic shock { most important }

     * Intestinal perforation 

DIAGNOSIS

      * History.

      * Physical examination 

                          - sign of dehydration , hypotension , tachycardia, tachypnoea.

      * USG,CT Scan, MRI.

      * CBC{ PCV Increase}

      * Barium meal and enema is contraindicated.

TREATMENT

        Emergency care

                     * Nil by mouth.

                     * Monitor intake and output and vital monitor.

                     * Monitor PCV and Serum electrolyte

                     * Enema , barium and hot application are contraindication in intestinal                                      obstruction.

                     * There is no medical management of intestinal obstruction, there is only                                   surgical management.

                     * Bowel resection 

    Nursing priority monitoring

             * Fluid volume deficiency.

             * Altered Nutrition less then body requirement.

             * Anxiety.

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