Paralytic Ileus is a temporary paralysis of the intestines. The condition is characterized by abdominal cramps and pain, bloating, vomiting and constipation. Paralytic Ileus is more than just constipation – it is an inability to pass any stools or gas at all. Because there is no peristalses (wave-like movement) in the intestines, there is also no bowel sounds.
All complaints of the person to be diagnosed with bowel obstruction are listened by the general surgery specialist, the patient is examined physically, and the diagnosis is made. The most important diagnosis in the diagnosis of bowel obstruction is X-ray radiographs of the patient in supine position. These graphs reveal the progress of the obstruction and its level. In addition, some patients are diagnosed with computed tomography.
There are multiple causes of Paralytic Illeus such as electrolyte imbalance (mainly hypokalemia), food poisoning, kidney disease, spinal cord injury and certain types of medication (mainly narcotics). Decreased blood flow to the intestines as with Intussusception, can also lead to Paralytic Illeus. One of the major causes of Paralytic Illeus in children is inflammation inside the abdomen, such as gastroenteritis or appendicitis.
If the intestines were handled a lot during surgery they can become paralyzed. Normally food is withheld from a child until the intestines become active again.
Definition of Paralytic ileus
The most prominent symptoms of intestinal obstruction are abdominal distension, constipation, gas complaints, abdominal pain, tension, vomiting. A healthy person has a circulation of 8-10 liters in the intestines. Since a person with bowel obstruction cannot dispose of this 8-10 liters of fluid, this fluid goes up, which causes nausea and vomiting. Therefore, the biggest symptom of intestinal obstruction is vomiting. If the patient’s vomiting color is light or even discolored, bowel obstruction occurs on the upper side. If the vomiting color is green, that is to say dark, intestinal obstruction occurred on the underside.
Cystic Fibrosis can also contribute to the condition. In some children Cystic Fibrosis is diagnosed shortly after birth due to Meconium Illeus – a condition where the first stools (meconium) is so sticky that it causes an obstruction. Often a child has to undergo surgery to clear out the obstruction.
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