Intestinal Obstruction
Fluid & electrolyte loss to lumen.
Severe vomiting
Can lead to toxaemia
Intestinal Obstruction - clinical features.
Abdominal pain – colicky pain, around umbilical (s. intestinal), below umbilical (l. intestinal).
Vomiting – early in high obstruction, can be brown.
Constipation
Abdominal distension.
Increase bowel sound.
Might be features of dehydration.
Intestinal Obstruction- investigation
Xray – might see distended bowel loops.
Intestinal Obstruction- Treatment
Primary
Nasogastric aspiration
IV fluid
Surgical
Depend on cause.
Conservative treatment
Simple obstruction with adhesions will response.