Zamknięcie jelit
Objawy

Niedrożność jelit to stan kliniczny charakteryzujący się częściowym lub całkowitym zaburzeniem pasażu treści pokarmowej przez jelito cienkie i/lub grube, wymagający pilnej diagnostyki i interwencji. Typowe objawy obejmują ból brzucha o charakterze kurczowym, wymioty (często zielonkawe lub o zapachu kałowym), wzdęcie, brak możliwości oddania stolca i gazów oraz utratę apetytu. Lokalizacja bólu różni się w zależności od miejsca niedrożności: w jelicie cienkim ból zlokalizowany jest w okolicy pępka lub nadbrzusza, natomiast w jelicie grubym – w dolnej części brzucha, szczególnie po lewej stronie. W przypadku niedrożności całkowitej obserwuje się silny, stały ból, znaczne wzdęcie, całkowity brak wypróżnień i szybkie odwodnienie. Warto podkreślić, że niedokrwienie jelita i strangulacja manifestują się bardzo silnym, nieustającym bólem, co stanowi bezwzględne wskazanie do pilnej interwencji chirurgicznej.

Zamknięcie jelit – objawy i przebieg

Zamknięcie jelit (niedrożność jelit) to stan kliniczny, w którym dochodzi do częściowego lub całkowitego zaburzenia przepływu treści pokarmowej przez jelito cienkie i/lub grube. Jest to poważny stan medyczny wymagający pilnej diagnostyki i leczenia, gdyż nieleczona niedrożność może prowadzić do poważnych powikłań, w tym śmierci.12 Objawy i przebieg niedrożności jelit mogą różnić się w zależności od lokalizacji, przyczyny i stopnia blokady.

Objawy główne

Do najczęstszych objawów zamknięcia jelit należą:123

  • Ból brzucha o charakterze kurczowym (skurczowym), nasilający się falowo
  • Wymioty
  • Brak możliwości oddania stolca
  • Niemożność oddania gazów
  • Wzdęcie i poszerzenie brzucha
  • Utrata apetytu
  • Zaparcie

12

Charakterystyka bólu

Ból brzucha jest jednym z najbardziej charakterystycznych objawów niedrożności jelit i ma swoje szczególne cechy:12

  • Początkowo ma charakter kurczowy, napadowy, pojawiający się co kilka lub kilkanaście minut
  • Z czasem może się nasilać i stawać się ciągły
  • W niedrożności jelita cienkiego ból jest zwykle zlokalizowany w okolicy pępka lub między pępkiem a klatką piersiową
  • W niedrożności jelita grubego ból częściej występuje w dolnej części brzucha, szczególnie po lewej stronie
  • W przypadku skrętu (volvulus) ból często pojawia się nagle i szybko narasta

123

Gdy dochodzi do niedokrwienia jelita i strangulacji, ból może stać się bardzo silny, stały i nieprzerwany, co jest poważnym sygnałem alarmowym.12

Różnice w objawach w zależności od lokalizacji

Objawy niedrożności jelita cienkiego i grubego różnią się między sobą, co pomaga w diagnostyce miejsca zablokowania:12

Niedrożność jelita cienkiego
  • Objawy pojawiają się szybko, krótko po wystąpieniu niedrożności
  • Ból brzucha o charakterze kurczowym, zlokalizowany w górnej lub środkowej części brzucha
  • Wymioty pojawiają się wcześnie, mogą być obfite i często mają zielonkawy kolor żółci
  • Wzdęcie brzucha jest umiarkowane
  • Mogą występować biegunki we wczesnym stadium
  • Niepokój i pobudzenie pacjenta
  • Odwodnienie i przyspieszona akcja serca
  • Głośne, bulgoczące dźwięki z brzucha (borborygmy)

123

Niedrożność jelita grubego
  • Objawy pojawiają się stopniowo i rozwijają się wolniej
  • Ból jest zwykle zlokalizowany w dolnej części brzucha, często po lewej stronie
  • Wymioty są mniej częste i pojawiają się późno, zwykle po wystąpieniu innych objawów
  • Znaczne wzdęcie brzucha
  • Zaparcia narastające z czasem do całkowitego braku wypróżnień
  • Uczucie ciężkości lub nacisku w dolnej części brzucha
  • Gorączka może towarzyszyć niedrożności jelita grubego

123

Różnice między częściową a całkowitą niedrożnością

Charakter i nasilenie objawów różnią się również w zależności od tego, czy niedrożność jest częściowa czy całkowita:12

Niedrożność częściowa
  • Objawy mogą pojawiać się i ustępować przez dni lub tygodnie
  • Ból brzucha o charakterze kolkowym (napadowe, silne skurcze)
  • Możliwe przechodzenie niewielkich ilości gazów i stolca
  • Biegunka może występować, gdy płynna treść przedostaje się przez częściową blokadę
  • Wzdęcie brzucha o zmiennym nasileniu
  • Nadmierne oddawanie gazów

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Niedrożność całkowita
  • Nagłe wystąpienie ciężkich objawów
  • Całkowity brak możliwości oddania stolca i gazów (obstipacja)
  • Silny, stały ból brzucha
  • Znaczne wzdęcie brzucha
  • Wymioty często zawierające treść o zapachu kałowym (w niedrożności jelita cienkiego)
  • Całkowity brak apetytu
  • Szybki rozwój odwodnienia

12

Przebieg czasowy zamknięcia jelit

Niedrożność jelit może mieć różny przebieg czasowy w zależności od przyczyny i lokalizacji:12

  • Początek objawów – może być nagły (jak w przypadku skrętu jelita) lub stopniowy (jak w przypadku guza powodującego niedrożność)
  • Wczesne objawy – obejmują nudności, wymioty, biegunkę (szczególnie w niedrożności częściowej) i ból brzucha
  • Postęp objawów – ból staje się silniejszy, wzdęcie brzucha narasta, wymioty są bardziej nasilone
  • Późne objawy – zaparcia, niemożność oddania gazów, znaczne wzdęcie brzucha, silny ból

12

W przypadku niedrożności jelita grubego spowodowanej nowotworem lub chorobą uchyłkową, objawy mogą narastać powoli przez kilka tygodni lub miesięcy.1

Objawy alarmowe i powikłania

Niektóre objawy wskazują na rozwój poważnych powikłań i wymagają natychmiastowej interwencji medycznej:12

  • Silny, stały ból brzucha – może wskazywać na niedokrwienie jelita lub perforację
  • Gorączka – sugeruje infekcję, zapalenie otrzewnej lub martwicę
  • Przyspieszona akcja serca – objaw sepsy lub wstrząsu
  • Znaczne odwodnienie – suchość błon śluzowych, zmniejszone wydalanie moczu
  • Objawy zapalenia otrzewnej – bolesność brzucha przy dotyku, napięcie mięśni brzucha (obrona mięśniowa)
  • Hipotensja – niskie ciśnienie krwi wskazujące na wstrząs

12

Najpoważniejsze powikłania niedrożności jelit obejmują:12

  • Niedokrwienie jelita – dochodzi do niego, gdy niedrożność zaburza ukrwienie ściany jelita, prowadząc do martwicy tkanki
  • Perforacja jelita – przerwanie ciągłości ściany jelita, co pozwala na wyciek treści jelitowej do jamy otrzewnej
  • Zapalenie otrzewnej – ciężka infekcja jamy otrzewnowej
  • Sepsa – uogólniona reakcja zapalna organizmu na infekcję, która może prowadzić do niewydolności wielonarządowej
  • Wstrząs septyczny – zagrażający życiu stan będący konsekwencją sepsy

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Niedrożność rzekoma

Niedrożność rzekoma (porażenna) jelita, zwana także pseudoniedrożnością, to stan, w którym występują objawy niedrożności mechanicznej, ale bez fizycznej przeszkody blokującej światło jelita. Jest ona spowodowana zaburzeniami motoryki przewodu pokarmowego:12

  • Objawy podobne do mechanicznej niedrożności: ból brzucha, wzdęcie, nudności, wymioty
  • Może występować zarówno zaparcie, jak i biegunka
  • Ból jest zwykle mniej nasilony niż w niedrożności mechanicznej
  • Objawy mogą się utrzymywać przez dłuższy czas lub nawracać
  • W ostrej postaci (zespół Ogilviego) objawy rozwijają się w ciągu 3-7 dni lub rzadziej w ciągu 24-48 godzin

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Przewlekła niedrożność rzekoma często powoduje objawy po posiłkach i może dotyczyć różnych odcinków przewodu pokarmowego, powodując dodatkowe objawy, jak problemy z połykaniem, gdy dotyczy przełyku.1

Przebieg naturalny i rokowanie

Bez odpowiedniego leczenia niedrożność jelit może prowadzić do poważnych konsekwencji:12

  • Niedokrwienie i martwica jelita mogą wystąpić już po 6 godzinach w przypadku niedrożności z zadzierzgnięciem
  • Śmiertelność w przypadku nieleczonej niedrożności z zadzierzgnięciem sięga 100%
  • Jeśli operacja jest wykonana w ciągu 36 godzin, śmiertelność spada do około 8%
  • Gdy operacja jest opóźniona powyżej 36 godzin, śmiertelność wzrasta do około 25%
  • Ogólna śmiertelność w przypadku niedrożności jelita wynosi około 10%

12

W większości przypadków, przy odpowiednim i szybkim leczeniu, rokowanie jest dobre. Większość niedrożności częściowych ustępuje samoistnie pod warunkiem właściwego leczenia zachowawczego.12

Czas trwania leczenia zachowawczego nie powinien przekraczać 24-48 godzin. Po tym okresie, jeśli niedrożność nie ustępuje, wzrasta ryzyko powikłań i konieczne jest rozważenie leczenia operacyjnego.1

Kiedy należy szukać pilnej pomocy medycznej

Zamknięcie jelit jest stanem wymagającym pilnej interwencji medycznej. Należy natychmiast zgłosić się do lekarza lub na oddział ratunkowy w przypadku wystąpienia następujących objawów:123

  • Silny, uporczywy ból brzucha
  • Niemożność oddania stolca lub gazów
  • Wymioty, szczególnie o zielonkawym zabarwieniu lub o zapachu kałowym
  • Znaczne wzdęcie brzucha
  • Gorączka współistniejąca z bólem brzucha
  • Szybkie pogarszanie się stanu ogólnego

123

Szczególnie ważne jest, aby osoby z historią przebytych operacji brzusznych, chorobą Leśniowskiego-Crohna, chorobą nowotworową lub innymi czynnikami ryzyka niedrożności jelit były świadome tych objawów i szybko reagowały na ich wystąpienie.12

Objawy ustąpienia niedrożności

O ustąpieniu niedrożności jelit świadczą następujące objawy:12

  • Możliwość oddawania gazów
  • Powrót prawidłowych wypróżnień
  • Zmniejszenie wzdęcia brzucha
  • Ustąpienie bólu brzucha
  • Ustąpienie nudności i wymiotów
  • Powrót apetytu

12

Leczenie niedrożności jelit zależy od jej przyczyny, lokalizacji i nasilenia. Obejmuje ono zarówno metody zachowawcze (dekompresja za pomocą sondy nosowo-żołądkowej, płynoterapia, wyrównanie zaburzeń elektrolitowych), jak i leczenie operacyjne w przypadkach nieustępującej niedrożności lub wystąpienia powikłań.12

Zamknięcie jelit (niedrożność jelit) to poważny stan kliniczny wymagający szybkiej diagnozy i leczenia. Objawy mogą różnić się w zależności od lokalizacji i stopnia niedrożności, ale typowo obejmują ból brzucha, wymioty, wzdęcie oraz niemożność oddania stolca i gazów. Szybkie rozpoznanie objawów i niezwłoczne zgłoszenie się do lekarza jest kluczowe dla pomyślnego leczenia i uniknięcia poważnych powikłań.12

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Intestinal obstruction – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/intestinal-obstruction/symptoms-causes/syc-20351460
    Signs and symptoms of intestinal obstruction include: […] Crampy abdominal pain that comes and goes […] Loss of appetite […] Constipation […] Vomiting […] Inability to have a bowel movement or pass gas […] Swelling of the abdomen. […] Because of the serious complications that can develop from intestinal obstruction, seek immediate medical care if you have severe abdominal pain or other symptoms of intestinal obstruction. […] Without treatment, the blocked parts of the intestine can die, leading to serious problems. However, with prompt medical care, intestinal obstruction often can be successfully treated.
  • #1 Bowel Obstruction | Intestinal Obstruction | MedlinePlus
    https://medlineplus.gov/intestinalobstruction.html
    An intestinal obstruction occurs when food or stool cannot move through the intestines. The obstruction can be complete or partial. There are many causes. The most common are adhesions, hernias, cancers, and certain medicines. […] Symptoms include: Severe abdominal pain or cramping […] Vomiting […] Bloating […] Loud bowel sounds […] Swelling of the abdomen […] Inability to pass gas […] Constipation. […] A complete intestinal obstruction is a medical emergency. It often requires surgery.
  • #1 Intestinal Obstruction – Digestive Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/digestive-disorders/gastrointestinal-emergencies/intestinal-obstruction
    Symptoms of intestinal obstruction usually include cramping pain in the abdomen, accompanied by bloating and loss of appetite. Pain tends to come in waves and eventually becomes continuous. Vomiting is common with obstruction of the small intestine but is less common and begins later with obstruction of the large intestine. […] Complete obstruction causes severe constipation, whereas partial obstruction may cause diarrhea. […] With strangulation, pain may become severe and steady. A fever is common and is particularly likely if the intestinal wall ruptures. […] With volvulus, pain often begins abruptly.
  • #1 Bowel Obstruction: Signs & Symptoms, Causes, Treatment
    https://my.clevelandclinic.org/health/diseases/bowel-obstruction
    You may have sharp stomach pains that come in waves. Eventually, the pain may become constant. You may also have one or more of these symptoms: […] A bowel obstruction can feel different depending on which intestine is affected and whats happening in your gut. […] Regardless of the specifics, if youre having severe cramping alongside symptoms like bloating and vomiting, seek immediate care. […] Its possible. It depends on where the blockage is and how serious it is. For example, while pooping may be more difficult, you may still have stool with a partial bowel obstruction. Pooping and even passing gas will likely be impossible with a complete bowel obstruction. […] Most people with bowel obstructions improve after treatment. Being able to pass gas again, feeling less bloated and being able to have bowel movements again are all signs your bowel obstruction is clearing. […] On the other hand, if an obstruction causes a rupture, the condition can be life-threatening. Its essential to seek care as soon as you notice symptoms to get treated before a complication happens.
  • #1 Intestinal Obstruction – Gastrointestinal Disorders – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/gastrointestinal-disorders/acute-abdomen-and-surgical-gastroenterology/intestinal-obstruction
    Obstruction of the small bowel causes symptoms shortly after onset: abdominal cramps centered around the umbilicus or in the epigastrium, vomiting, and in patients with complete obstruction obstipation. […] Severe, steady pain suggests that strangulation has occurred. […] In the absence of strangulation, the abdomen is not tender. […] Shock and oliguria are serious signs that indicate either late simple obstruction or strangulation. […] Obstruction of the large bowel usually causes milder symptoms that develop more gradually than those caused by small-bowel obstruction. […] Increasing constipation leads to obstipation and abdominal distention. […] Physical examination typically shows a distended abdomen with loud borborygmi. […] Volvulus often has an abrupt onset. Pain is continuous, sometimes with superimposed waves of colicky pain. […] Strangulating obstruction can progress to infarction and gangrene in as little as 6 hours. […] Prolonged obstruction can cause bowel ischemia, infarction, and perforation.
  • #1 Bowel Obstruction: Symptoms, Causes, and Treatments | UPMC HealthBeat
    https://share.upmc.com/2023/12/bowel-obstruction/
    Note that you might only have one or two of these symptoms depending on the part of your intestine thats affected. […] An obstruction in the large intestine tends to cause milder symptoms that come on gradually. You might have only constipation and a distended abdomen. […] Symptoms of small bowel obstructions come on faster right after the blockage happens. And theyre usually more severe. You can have pain around the area of your belly button, cramping, vomiting, diarrhea and/or constipation. […] Severe, steady pain and a tender belly is a very serious symptom. It could signal a lack of blood supply or a perforation (hole) in your intestine. Call your doctor immediately. […] If you have any bowel obstruction symptoms, and especially if youve had abdominal surgery, its important to call your doctor. A blockage thats not treated could cause a serious intestinal catastrophe.
  • #1 Large-Bowel Obstruction Clinical Presentation: History, Physical Examination
    https://emedicine.medscape.com/article/774045-clinical
    Obtain the patient’s history of bowel movements, flatus, obstipation (ie, no gas or bowel movement), and associated symptoms. Attempt to distinguish complete bowel obstruction from partial obstruction, which is associated with passage of some gas or stool. Also inquire about the patient’s current and past history in an attempt to determine the most likely cause. […] Major complaints in patients with large-bowel obstruction (LBO) include abdominal distention, nausea, vomiting, and crampy abdominal pain. An abrupt onset of symptoms makes an acute obstructive event (eg, cecal or sigmoid volvulus) a more likely diagnosis. A history of chronic constipation, long-term cathartic use, and straining at stools implies diverticulitis or carcinoma. […] Changes in the patient’s caliber of stools strongly suggest carcinoma. When associated with weight loss, the likelihood of neoplastic obstruction increases.
  • #1 Bowel Obstruction: Symptoms, Causes, and Treatment
    https://www.healthline.com/health/intestinal-obstruction
    An intestinal obstruction happens when your intestines become blocked so that digested foods and fluids buildup. If not treated, a blockage can lead to a dangerous rupture. […] Intestinal obstruction causes a wide range of symptoms, including: severe bloating, abdominal pain, decreased appetite, nausea, vomiting, inability to pass gas or stool, constipation, diarrhea, severe abdominal cramps, abdominal swelling. […] Some symptoms may depend on the location and length of time of the obstruction. For example, vomiting is an early sign of small intestine obstruction. […] A partial obstruction can result in smaller stools, sometimes preceded by diarrhea, while a complete obstruction can make you unable to pass gas or stool. […] Intestinal obstruction may also cause serious infection and inflammation of your abdominal cavity, known as peritonitis. This occurs when a portion of your intestine has ruptured. It leads to fever and increasing abdominal pain. This condition is a life threatening emergency requiring surgery. […] When left untreated, intestinal obstruction can cause the tissue in the affected part of your intestine to die. It can also lead to a hole, or perforation, in the wall of your intestine, severe infection, and shock.
  • #1 Bowel Obstruction: Symptoms, Causes, Treatment and More
    https://www.health.com/bowel-obstruction-7853169
    Symptoms of a blockage in your large intestine may develop gradually and tend to be milder than small intestine obstructions. Common symptoms include: Abdominal pain, especially in the lower abdomen, Pressure or feeling of heaviness in the lower abdomen, Constipation, Fever, Inability to pass gas, Bloating or abdominal distention (swelling), Vomiting (usually hours after other symptoms develop), Loud, high-pitched abdominal sounds. […] Symptoms of a partial bowel obstruction may come and go for days or weeks and usually worsen over time until they’re treated. Partial bowel obstructions may cause: Colicky abdominal pain (severe, intermittent cramping), Diarrhea, Excessive flatulence (gas). […] A complete bowel obstruction is a medical emergency that requires immediate treatment. You will likely experience a sudden onset of severe symptoms, such as: Severe, sudden abdominal pain, Inability to pass gas or stool, Loss of appetite.
  • #1 Bowel Obstruction: Signs and Symptoms
    https://www.health.com/bowel-obstruction-symptoms-7693186
    Bowel obstruction is a partial or complete blockage in the small intestine or large intestine (colon). The part of the intestine above the obstruction functions normally, while the area with the blockage enlarges as it fills with a buildup of food, fluids, gas, and stool. This leads to symptoms such as abdominal pain, constipation, vomiting, bloating, or the inability to pass gas. […] The onset of symptoms can vary, depending on the type of obstruction. You may notice mild abdominal discomfort that comes and goes, gradually intensifying over time, or you may experience severe symptoms that develop suddenly. […] Untreated bowel obstruction can lead to serious illness, including intestinal perforation, bowel necrosis (tissue death), and life-threatening infection. Understanding the symptoms can help you recognize when to seek medical attention and improve your chances of full recovery.
  • #1
  • #1 Bowel Obstruction – Harvard Health
    https://www.health.harvard.edu/diseases-and-conditions/bowel-obstruction-a-to-z
    Symptoms of small-bowel obstruction can include: cramping abdominal pain, generally coming in intense waves that strike at intervals of five to 15 minutes and sometimes center either on the navel or between the navel and rib cage (pain that becomes constant may be a symptom of bowel strangulation) […] Symptoms of large-bowel obstruction can include: a bloated abdomen, abdominal pain, which can be either vague and mild, or sharp and severe, depending on the cause of the obstruction, constipation at the time of obstruction, and possibly intermittent bouts of constipation for several months beforehand, if a colon tumor is the cause of the problem, a history of rectal bleeding (such as streaks of blood on the stool), diarrhea resulting from liquid stool leaking around a partial obstruction. […] Symptoms of small bowel obstruction and large bowel volvulus usually become severe over a period of hours. However, large-bowel obstruction caused by colorectal cancer or diverticular disease may worsen more slowly. Some patients have mild symptoms for several weeks or months before seeing a doctor.
  • #1 Small-Bowel Obstruction: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/774140-overview
    Strangulated SBOs are most commonly associated with adhesions and occur when a loop of distended bowel twists on its mesenteric pedicle. The arterial occlusion leads to bowel ischemia and necrosis. If left untreated, this progresses to perforation, peritonitis, and death. […] Morbidity and mortality are dependent on the early recognition and correct diagnosis of obstruction. In general, there is a 10% mortality. If untreated, strangulated obstructions cause death in 100% of patients. If surgery is performed within 36 hours, the mortality rate decreases to 8%. The mortality rate is 25% if the surgery is postponed beyond 36 hours in these patients. […] Complications of SBO also depend on the severity of the condition, the patient’s age, the presence of comorbities and, often, the duration of symptoms/signs, and include the following: Sepsis: Due to translocation of intestinal bacteria from tissue breakdown […] Bowel ischemia/perforation […] Peritonitis […] Acute kidney injury/acute renal failure […] Surgical complications.
  • #1 Small Bowel Obstruction – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK448079/
    Abdominal distension, due to the accumulation of gas and fluids above the obstruction, is common and may be particularly noticeable in high or complete obstructions. Changes in bowel movements, including obstipation or decreased stool and gas passage, are also typical, though partial obstructions may still allow for some output early on. […] Delayed diagnosis and intervention can lead to complications such as strangulation, bowel ischemia, and sepsisconditions associated with a mortality rate exceeding 25%.
  • #1 Symptoms & Causes of Intestinal Pseudo-obstruction – NIDDK
    https://www.niddk.nih.gov/health-information/digestive-diseases/intestinal-pseudo-obstruction/symptoms-causes
    Symptoms of intestinal pseudo-obstruction vary from person to person. Symptoms may include abdominal pain, bloating and feeling too full after eating a meal, nausea and vomiting, constipation, diarrhea. Chronic intestinal pseudo-obstruction often causes symptoms after meals. Symptoms may be long-lasting or may come and go over time. Symptoms may be more severe at times, called acute episodes, and milder between these episodes. If chronic intestinal pseudo-obstruction affects parts of the digestive tract outside the intestines, it may cause additional symptoms. For example, if the condition affects the esophagus, it may cause problems with swallowing. […] Acute colonic pseudo-obstruction symptoms may include the inability to pass stool or gas, along with the symptoms listed above. Symptoms may occur even when you dont eat or drink.
  • #1 Large-Bowel Obstruction Clinical Presentation: History, Physical Examination
    https://emedicine.medscape.com/article/774045-clinical
    LBO from an anatomic abnormality leads to colonic distention, abdominal pain, anorexia, and, late in the course, feculent vomiting. Persistent vomiting may result in dehydration and electrolyte disturbances. […] LBO is typically characterized by a slow onset of symptoms and may not cause vomiting despite a markedly distended bowel. […] Symptoms of acute colonic pseudo-obstruction (ACPO; Ogilvie syndrome) are similar to those of LBO and usually develop over 3-7 days or, less commonly, over 24-48 hours. Abdominal distention is the earliest sign. Late symptoms are similar to those seen with LBO. Nausea and vomiting are not predominant complaints, but fever may be present in the setting of colonic ischemia or perforation.
  • #1 Intestinal obstruction – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/intestinal-obstruction/diagnosis-treatment/drc-20351465
    Intestinal obstruction is usually a medical emergency. […] Your doctor will ask about your medical history and your symptoms. […] The doctor may suspect intestinal obstruction if your abdomen is swollen or tender or if there’s a lump in your abdomen. […] If you have an obstruction in which some food and fluid can still get through (partial obstruction), you may not need further treatment after you’ve been stabilized. […] If nothing is able to pass through your intestine, you’ll usually need surgery to relieve the blockage. […] If your doctor determines that your signs and symptoms are caused by pseudo-obstruction (paralytic ileus), he or she may monitor your condition for a day or two in the hospital, and treat the cause if it’s known. […] Paralytic ileus can get better on its own. […] If paralytic ileus doesn’t improve on its own, your doctor may prescribe medication that causes muscle contractions, which can help move food and fluids through your intestines.
  • #1 Evaluation and Management of Intestinal Obstruction | AAFP
    https://www.aafp.org/pubs/afp/issues/2011/0115/p159.html
    The presence of hypotension and tachycardia is an indication of severe dehydration. […] Conservative management is successful in 40 to 70 percent of clinically stable patients, with a higher success rate in those with partial obstruction. […] Although conservative management is associated with shorter initial hospitalization (4.9 versus 12 days), there is also a higher rate of eventual recurrence (40.5 versus 26.8 percent). […] With conservative management, resolution generally occurs within 24 to 48 hours. Beyond this time frame, the risk of complications, including vascular compromise, increases. If intestinal obstruction is not resolved with conservative management, surgical evaluation is required.
  • #1 Blocked Intestine | Cedars-Sinai
    https://www.cedars-sinai.org/health-library/diseases-and-conditions/b/blocked-intestine.html
    If you have an intestinal blockage, food and stool may not be able to move freely. It is also called an intestinal obstruction. […] A complete blockage is an emergency and needs immediate medical attention. […] Symptoms of an intestinal blockage are: Severe pain in your belly, Severe cramping sensations in your belly, Throwing up, Feelings of fullness or swelling in your belly, Loud sounds from your belly, Feeling gassy, but being unable to pass gas, Being unable to pass stool (constipation). […] If you have symptoms of intestinal blockage, such as severe belly pain, vomiting, and inability to pass stool, get medical care right away. […] Symptoms of an intestinal blockage include severe belly pain or cramping, vomiting, not being able to pass stool or gas, and other signs of belly distress.
  • #1 Bowel Obstruction: Symptoms, Causes, and Treatments | UPMC HealthBeat
    https://share.upmc.com/2023/12/bowel-obstruction/
    In about 25% of people with a small intestine obstruction, the blockage cuts off the blood supply to their intestine. The lack of blood flow causes the intestinal tissue to die and rupture. That can lead to a serious infection in your blood or even death. […] Bowel obstructions are very serious and need a doctors attention. A partial blockage might clear up on its own. But its important to have it diagnosed in case its a more serious obstruction. […] If you think you have symptoms of one, visit the emergency department.
  • #1 Bowel Obstruction and Blockage: Symptoms, Causes, and Treatment
    https://www.webmd.com/digestive-disorders/what-is-bowel-obstruction
    Signs of an intestinal blockage will depend on how serious the obstruction is. But a blockage almost always comes with belly pain, usually around your belly button, and cramps. Other bowel obstruction symptoms include: […] If you’ve been constipated and have any of these other symptoms, contact your doctor right away. They’ll let you know what to do, including whether to call 911. Many people with bowel obstructions are older and may have other serious illnesses, so a bowel obstruction may be life-threatening. You’ll probably need to go to the hospital for treatment. […] Most people recover from a bowel obstruction without complications after treatment. The main signs that your bowel is no longer blocked are being able to pass gas and poop again. Pain and bloating will also clear up.
  • #2 Bowel Obstruction: Symptoms & Causes | NewYork-Presbyterian
    https://www.nyp.org/digestive/bowel-obstruction
    A bowel (intestinal) obstruction happens when food or stool is unable to move through your intestines, leading to stomach pain, vomiting, or constipation. It affects your colon and/or small intestine. […] Bowel obstruction can come with uncomfortable and often severe symptoms, including severe abdominal pain, vomiting, and the inability to pass stool or gas. The specialists at NewYork-Presbyterian are trained to identify the signs of bowel obstruction and find the right treatment plan for you. […] Bowel obstruction symptoms can include: Severe stomach pain that can feel like intermittent cramps, Vomiting, Inability to move your bowels or pass gas, Constipation, Inability to pass gas, Bloating, Lack of appetite, Swelling in your abdomen. […] If left untreated, bowel obstructions may result in certain complications linked to the inability to pass stool. Untreated intestinal obstructions can be life-threatening and may lead to serious issues like sepsis or death.
  • #2 Understanding Intestinal Obstruction | Saint Luke’s Health System
    https://www.saintlukeskc.org/health-library/understanding-intestinal-obstruction
    Symptoms of intestinal obstruction can vary. It depends on where the blockage is and if the intestine is partly or fully blocked. Symptoms may include: […] Belly pain or cramping. This may be constant or come and go. […] A feeling of fullness or bloating […] Upset stomach (nausea) or vomiting […] Diarrhea […] Constipation […] Loss of fluid (dehydration) […] Inability to pass gas or stool […] Fever or sweating […] Discomfort and bloating after meals.
  • #2 Blocked Intestine | Cedars-Sinai
    https://www.cedars-sinai.org/health-library/diseases-and-conditions/b/blocked-intestine.html
    If you have an intestinal blockage, food and stool may not be able to move freely. It is also called an intestinal obstruction. […] A complete blockage is an emergency and needs immediate medical attention. […] Symptoms of an intestinal blockage are: Severe pain in your belly, Severe cramping sensations in your belly, Throwing up, Feelings of fullness or swelling in your belly, Loud sounds from your belly, Feeling gassy, but being unable to pass gas, Being unable to pass stool (constipation). […] If you have symptoms of intestinal blockage, such as severe belly pain, vomiting, and inability to pass stool, get medical care right away. […] Symptoms of an intestinal blockage include severe belly pain or cramping, vomiting, not being able to pass stool or gas, and other signs of belly distress.
  • #2 Intestinal Obstruction: Evaluation and Management | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0915/p362.html
    Acute intestinal obstruction occurs when the forward flow of intestinal contents is interrupted or impaired by a mechanical cause. The clinical presentation generally includes nausea, emesis, colicky abdominal pain, and cessation of passage of flatus and stool, although the severity of these clinical symptoms varies based on the acuity and anatomic level of obstruction. Abdominal distension, tympany to percussion, and high-pitched bowel sounds are classic findings. […] The hallmarks of intestinal obstruction include colicky abdominal pain, nausea, vomiting, abdominal distension, and cessation of flatus and bowel movements. The presence and severity of symptoms vary based on the acuity of the obstruction and its anatomic location. Distal obstructions allow for a greater intestinal reservoir and may present with pain and distension that are more significant than emesis, whereas the opposite may be true for patients with proximal obstructions.
  • #2 Bowel Obstruction – Harvard Health
    https://www.health.harvard.edu/diseases-and-conditions/bowel-obstruction-a-to-z
    Symptoms of small-bowel obstruction can include: cramping abdominal pain, generally coming in intense waves that strike at intervals of five to 15 minutes and sometimes center either on the navel or between the navel and rib cage (pain that becomes constant may be a symptom of bowel strangulation) […] Symptoms of large-bowel obstruction can include: a bloated abdomen, abdominal pain, which can be either vague and mild, or sharp and severe, depending on the cause of the obstruction, constipation at the time of obstruction, and possibly intermittent bouts of constipation for several months beforehand, if a colon tumor is the cause of the problem, a history of rectal bleeding (such as streaks of blood on the stool), diarrhea resulting from liquid stool leaking around a partial obstruction. […] Symptoms of small bowel obstruction and large bowel volvulus usually become severe over a period of hours. However, large-bowel obstruction caused by colorectal cancer or diverticular disease may worsen more slowly. Some patients have mild symptoms for several weeks or months before seeing a doctor.
  • #2 Bowel obstruction in adults – causes and symptoms | healthdirect
    https://www.healthdirect.gov.au/bowel-obstruction
    Go to your nearest hospital emergency department straight away if you have symptoms of a bowel obstruction. Some types of bowel obstruction can lead to very serious complications and even death. […] Bowel obstructions usually cause cramping abdominal pain, vomiting and inability to pass bowel motions (faeces or poo) or gas. […] The symptoms of a bowel obstruction depend on where the blockage is and the cause. […] Symptoms of a small bowel obstruction can start quickly. You may notice: cramping abdominal pain, especially in your upper abdomen and around your belly button; inability to pass gas or bowel motions; vomiting; diarrhoea if your bowel is only partially blocked. […] Symptoms of a large bowel obstruction usually start gradually and may be less severe. You may notice: constipation that gets worse, until you can’t pass any bowel motions or gas; bloating; cramps in your lower abdomen; vomiting this is uncommon and may start after the other symptoms. […] If your pain is severe and constant, this may mean the blockage is affecting the blood supply to your bowel. […] Go to the emergency department straight away if you have abdominal pain and are unable to pass bowel motions or gas (wind).
  • #2 Bowel Obstruction: Signs and Symptoms
    https://www.health.com/bowel-obstruction-symptoms-7693186
    Bowel obstruction symptoms may vary in intensity and duration depending on the type and location of the obstruction. All bowel obstructions share common symptoms, including: Abdominal pain: Pain caused by bowel obstruction often feels like sharp, stabbing pains or intense cramping. […] The small intestine helps break down and absorb nutrients from food, moving it along the digestive tract to your large intestine. When your small intestine is obstructed, foods and gastric juices cannot adequately move through the digestive tract. This leads to symptoms like: Crampy abdominal pain that may radiate across the upper to mid-abdominal region, Nausea, Vomiting, Restlessness, Dehydration, Rapid heart rate, Loud gurgling or rumbling sounds in your abdomen, Diarrhea. […] Symptoms of a large intestine bowel obstruction may include: Severe lower abdominal pain, Fever, A feeling of pressure or heaviness in the lower abdomen, Constipation or the complete inability to have a bowel movement, Inability to pass gas, Bloating or abdominal distention (swelling), Loud, high-pitched abdominal sounds.
  • #2 Large Bowel Obstruction | Saint Luke’s Health System
    https://www.saintlukeskc.org/health-library/large-bowel-obstruction
    Common symptoms include: […] Belly cramping and pain […] Belly swelling and bloating […] Unable to pass gas […] Unable to pass stool (constipation) […] Vomiting […] Sometimes symptoms happen over weeks or months. These can include: […] Changes in bowel habits […] Unplanned weight loss.
  • #2 Bowel Obstruction: Signs and Symptoms
    https://www.health.com/bowel-obstruction-symptoms-7693186
    Symptoms of partial bowel obstruction and complete bowel obstruction are similar, but they might differ in their development and severity. […] Symptoms of a partial bowel obstruction may come and go for days or weeks and usually worsen over time until they’re treated. Partial bowel obstructions may cause: Diarrhea, Excessive flatulence (gas), Colicky abdominal pain (severe, intermittent cramping). […] Complete bowel obstruction is a medical emergency that requires immediate medical care and treatment to prevent complications. With complete obstruction, nothing can pass through the obstruction. This usually results in a sudden onset of severe symptoms, such as: Severe, sudden abdominal pain, Inability to pass gas or stool, Loss of appetite. […] Knowing whether an obstruction or another gastrointestinal issue is causing your symptoms can be challenging. Contact a healthcare provider if you or someone you know experiences symptoms like persistent abdominal pain, bloating, vomiting, or changes in bowel habits.
  • #2 Bowel Obstruction: Symptoms, Treatment, and More
    https://www.verywellhealth.com/what-is-a-bowel-obstruction-1943010
    A bowel obstruction can begin suddenly or may progress gradually over several weeks or days. […] Symptoms that often precede a partial or complete bowel obstruction include: Decreased appetite, Cramping pain or discomfort, Bad breath, Changes in bowel movements. […] The most common effects of a bowel obstruction include: A feeling of fullness in the abdomen, Abdominal bloating and distension, Constipation, Intense pain and cramping, Nausea and vomiting, Abdominal distention (enlargement of the abdomen). […] A complete bowel obstruction prevents stool and gas from passing through. This situation is known as obstipation. […] While less common, you can experience overflow diarrhea due to a partial bowel obstruction if a small amount of liquid stool can pass beyond the point of the obstruction.
  • #2 Bowel Obstruction and Cancer – Side Effects – NCI
    https://www.cancer.gov/about-cancer/treatment/side-effects/bowel-obstruction
    Bowel obstructions require immediate medical attention. […] Bowel obstructions can be life-threatening and require immediate medical attention. […] Signs and symptoms of a bowel obstruction include: abdominal pain or cramps, swelling in the abdomen, constipation, diarrhea, nausea or vomiting, problems passing gas, loss of appetite. […] When an obstruction starts, the intestines may be partly blocked, causing a few mild symptoms. As the obstruction gets worse, your symptoms may happen more often and become more severe. You may have frequent vomiting, extreme bloating, and intense abdominal pain. These are signs of a complete obstruction, in which stool and gas are mostly or totally blocked from leaving the body.
  • #2 Bowel Obstruction Symptoms Can Come on Suddenly – Samaritan Health Servicescircle-chevronemailfacebookSHS AffiliateinstagramlinkedinMyChart IconMyHealthPlan IconphonepinterestSearch Iconsilhouettetwitteryoutube
    https://samhealth.org/news/bowel-obstruction-symptoms-can-come-on-suddenly/
    If you experience progressively worsening cramping, abdominal pain, nausea, vomiting and constipation, it is important to see a doctor because those symptoms suggest bowel obstruction. […] “Symptoms usually start without warning and will gradually worsen. Pain, abdominal bloating and nausea are the hallmarks of bowel obstruction,” said Nathaniel Uecker, MD, FACS, a general surgeon with Samaritan Surgical Specialists-Newport. […] If you have symptoms of obstruction, you should see a doctor as soon as possible. […] “Intestinal obstructions diagnosed and treated early tend to resolve more frequently and without surgery, which we all prefer,” said Dr. Uecker. “If you wait, you risk prolonged hospitalization, surgery and complications of the obstruction including perforation.” […] “If you experience abdominal pain with bloating, constipation, nausea and vomiting, seek medical attention right away,” Dr. Uecker said.
  • #2 Bowel Obstruction: Symptoms, Causes, and Treatments | UPMC HealthBeat
    https://share.upmc.com/2023/12/bowel-obstruction/
    A bowel obstruction is a blockage in your small or large intestine. It prevents gas and digested food from passing through. That results in swelling in your intestine. […] A bowel obstruction is painful. It may also be dangerous and life-threatening if not treated. Thus, its important to learn if youre at risk, so you can identify the symptoms and seek treatment. […] The symptoms of a bowel obstruction can range from mild to severe. They may come and go and get worse over time. Eventually, you may have continuous pain. […] Symptoms vary depending on the blockage location. These are the most common symptoms: Belly pain that comes on suddenly, comes in waves, or is consistent. Abdominal cramps. Bloating or abdominal distention. Not being able to pass gas. Loss of appetite. Vomiting. Diarrhea. Constipation. Fever.
  • #2 Bowel Obstruction: Symptoms, Causes, and Treatment
    https://www.healthline.com/health/intestinal-obstruction
    An intestinal obstruction happens when your intestines become blocked so that digested foods and fluids buildup. If not treated, a blockage can lead to a dangerous rupture. […] Intestinal obstruction causes a wide range of symptoms, including: severe bloating, abdominal pain, decreased appetite, nausea, vomiting, inability to pass gas or stool, constipation, diarrhea, severe abdominal cramps, abdominal swelling. […] Some symptoms may depend on the location and length of time of the obstruction. For example, vomiting is an early sign of small intestine obstruction. […] A partial obstruction can result in smaller stools, sometimes preceded by diarrhea, while a complete obstruction can make you unable to pass gas or stool. […] Intestinal obstruction may also cause serious infection and inflammation of your abdominal cavity, known as peritonitis. This occurs when a portion of your intestine has ruptured. It leads to fever and increasing abdominal pain. This condition is a life threatening emergency requiring surgery. […] When left untreated, intestinal obstruction can cause the tissue in the affected part of your intestine to die. It can also lead to a hole, or perforation, in the wall of your intestine, severe infection, and shock.
  • #2 What Is an Intestinal Obstruction? Symptoms, Pseudo-Obstruction and More
    https://www.medicinenet.com/bowel_obstruction/article.htm
    If you still cant have a bowel movement, you might need surgery. Which procedure you have depends on the cause of the blockage and where its located. Options include: Removal: Your doctor surgically removes the obstruction and any piece of damaged intestine. […] With quick care, treatment usually works well. If you dont receive treatment, though, you could develop more serious problems. The obstruction may block blood flow to the intestine and cause parts of it to die. The blockage may also tear your intestine. […] Seek emergency care if you have severe belly pain and vomiting and cant pass gas or poop at all.
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  • #2 Bowel Obstruction: Symptoms, Treatment, and More
    https://www.verywellhealth.com/what-is-a-bowel-obstruction-1943010
    Seek urgent medical attention if you have severe or persistent abdominal pain, distention, or vomiting. […] A bowel obstruction can lead to serious problems. A major infection can develop due to buildup of bacteria in the bowels. […] The symptoms of a bowel perforation include severe pain, abdominal distension, fevers, hypotension (low blood pressure), and loss of consciousness. […] A bowel obstruction is a serious condition that requires urgent treatment within a few days of diagnosis—sometimes, a few hours. […] Treatment can include medical management and decompression of the intestine. Surgery may also be used, though some cases of bowel obstruction can be treated without it. However, surgical treatment is often the safest and most definitive option. […] In some cases, a stool softener may be considered to help relieve the obstruction.
  • #2 Intestinal pseudo-obstruction Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/intestinal-pseudo-obstruction
    Intestinal pseudo-obstruction is a condition in which there are symptoms of blockage of the intestine (bowels) without any physical blockage. […] Symptoms include: Abdominal pain, Bloating, Constipation, Nausea and vomiting, Swollen abdomen (abdominal distention), Weight loss. […] Most cases of acute pseudo-obstruction get better in a few days with treatment. In chronic forms of the disease, symptoms can come back and get worse over many years. […] If the intestine dilates severely, a hole in the bowel (perforation) may occur and surgical removal of the involved bowel may be needed. This may result in an ostomy (attaching the bowel to the abdomen and stool passes into a bag. If malnutrition happens, you may need to be fed through a tube or the vein. Other parts of the GI tract may also have problems from poor contraction.
  • #2 What Is Ogilvie Syndrome (Acute Colonic Pseudo-Obstruction)?
    https://my.clevelandclinic.org/health/diseases/17141-ogilvie-syndrome
    Ogilvie syndrome, also known as acute colonic pseudo-obstruction (ACPO), is a sudden and unexplained paralysis of your colon. Your colon acts like its blocked or obstructed by something (pseudo-obstruction) but nothing is physically obstructing it. The problem is in your colons motor system. It stops moving food along, allowing it to build up inside and causing the walls to dilate (widen). […] When partially digested food and gas begin to build up in your colon, you might experience: Abdominal distension. Abdominal pain. Loss of appetite. Nausea and vomiting. Bloating and gas. Constipation and/or diarrhea. […] The exact cause isnt fully understood, but scientists believe it results from a dysfunction of your autonomic nervous system. This is the part of your nervous system that controls the involuntary muscle movements that regulate your bowels (peristalsis). Since its an acute condition, some unusual stress on your autonomic nervous system probably triggers it. But other health factors also probably contribute.
  • #2 Intestinal obstruction – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/intestinal-obstruction/symptoms-causes/syc-20351460
    Signs and symptoms of intestinal obstruction include: […] Crampy abdominal pain that comes and goes […] Loss of appetite […] Constipation […] Vomiting […] Inability to have a bowel movement or pass gas […] Swelling of the abdomen. […] Because of the serious complications that can develop from intestinal obstruction, seek immediate medical care if you have severe abdominal pain or other symptoms of intestinal obstruction. […] Without treatment, the blocked parts of the intestine can die, leading to serious problems. However, with prompt medical care, intestinal obstruction often can be successfully treated.
  • #2 Evaluation and Management of Intestinal Obstruction | AAFP
    https://www.aafp.org/pubs/afp/issues/2011/0115/p159.html
    The presence of hypotension and tachycardia is an indication of severe dehydration. […] Conservative management is successful in 40 to 70 percent of clinically stable patients, with a higher success rate in those with partial obstruction. […] Although conservative management is associated with shorter initial hospitalization (4.9 versus 12 days), there is also a higher rate of eventual recurrence (40.5 versus 26.8 percent). […] With conservative management, resolution generally occurs within 24 to 48 hours. Beyond this time frame, the risk of complications, including vascular compromise, increases. If intestinal obstruction is not resolved with conservative management, surgical evaluation is required.
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  • #2 Bowel Obstruction and Crohn’s Disease
    https://www.webmd.com/ibd-crohns-disease/crohns-disease/bowel-obstruction-and-crohns-disease
    Blockage in your intestines is a common problem with Crohns disease. Crohns causes chronic, meaning ongoing, inflammation. This can thicken your intestinal wall, or make scar tissue from repeated swelling and healing. A stricture forms when the wall narrows. […] Depending on how blocked the passage becomes, a stricture can range from mild to severe. Signs there may be some blockage include: You feel nauseated or start vomiting. Your stomach can get bloated. Your belly might be making loud sounds. You have sharp, cramp-like stomach pains. (These happen when normal bowel sections push against the stricture.) […] Sometimes meds can reduce your swelling enough to ease the blockage. If the obstruction is severe, doesnt respond to meds, or involves scar tissue, surgery might be needed. You’ll also likely need surgery if the condition happens often.
  • #2 Bowel Obstruction: Diagnosis & Treatment | NewYork-Presbyterian
    https://www.nyp.org/digestive/bowel-obstruction/treatment
    Your doctor may diagnose you using the following techniques: […] It’s important to be aware of the symptoms of bowel obstruction so you can seek the right treatment and care as soon as possible. Typically, symptoms of a bowel obstruction include abdominal pain that comes and goes, feeling gassy without being able to pass gas, an inability to pass stool, vomiting, and feeling nauseous. […] You should be able to pass normal amounts of stool and gas if your bowel obstruction has cleared. You should also see your symptoms of pain, nausea or vomiting improve. Your obstruction may be cleared when you are back on a regular schedule with bowel movements.
  • #2 Intestinal Obstruction: Evaluation and Management | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0915/p362.html
    The pathologic effects of acute intestinal obstruction are fluid and electrolyte imbalances, and mechanical consequences of increased luminal pressure on intestinal perfusion. Fluid loss from emesis, bowel wall edema, and loss of absorptive capacity lead to dehydration. Emesis causes loss of gastric potassium, hydrogen, and chloride, which generates metabolic alkalosis. […] In a low-grade (incomplete) intestinal obstruction, some gas and/or fluid passes beyond the point of obstruction, whereas nothing passes beyond it in a high-grade (complete) SBO. Proximal to the point of obstruction, the intestinal tract dilates, filling with gastrointestinal secretions and swallowed air, and increasing luminal pressures. […] When intraluminal pressure exceeds venous pressures, loss of venous drainage exacerbates edema and congestion of the bowel. This may compromise arterial flow, causing ischemia, necrosis, and ultimately perforation. A closed-loop obstruction, in which a segment of bowel is obstructed proximally and distally, may undergo this process rapidly and is considered a surgical emergency. […] Surgical exploration is recommended in patients who clinically deteriorate at any point during hospitalization and in those for whom three to five days of nonoperative management is ineffective, because the risk of complications in these patients is increased.
  • #2 Small bowel obstruction – Symptoms, diagnosis and treatment | BMJ Best Practice US
    https://bestpractice.bmj.com/topics/en-us/993
    Small bowel obstruction (SBO) is a medical emergency that requires early diagnosis and potential surgical intervention. […] It typically presents with the combined symptoms of abdominal pain, bloating, vomiting, and failure to pass flatus or stool per rectum. Peritonitis is generally present if the obstruction has progressed to ischemia/gangrene and/or perforation. […] Patients who are treated in a timely manner have a very good prognosis. If untreated, it can progress to intestinal necrosis, perforation, sepsis, and multi-organ failure.
  • #3 Intestinal obstruction Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/intestinal-obstruction
    Intestinal obstruction is a partial or complete blockage of the bowel. The contents of the intestine cannot pass through it. […] Symptoms may include: Abdominal swelling (distention), Abdominal fullness, gas, Abdominal pain and cramping, Breath odor, Constipation, Diarrhea, Inability to pass gas, Nausea and vomiting. […] The outcome depends on the cause of the blockage. Most of the time, the cause is successfully treated.
  • #3 Intestinal Obstruction – Gastrointestinal Disorders – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/gastrointestinal-disorders/acute-abdomen-and-surgical-gastroenterology/intestinal-obstruction
    Obstruction of the small bowel causes symptoms shortly after onset: abdominal cramps centered around the umbilicus or in the epigastrium, vomiting, and in patients with complete obstruction obstipation. […] Severe, steady pain suggests that strangulation has occurred. […] In the absence of strangulation, the abdomen is not tender. […] Shock and oliguria are serious signs that indicate either late simple obstruction or strangulation. […] Obstruction of the large bowel usually causes milder symptoms that develop more gradually than those caused by small-bowel obstruction. […] Increasing constipation leads to obstipation and abdominal distention. […] Physical examination typically shows a distended abdomen with loud borborygmi. […] Volvulus often has an abrupt onset. Pain is continuous, sometimes with superimposed waves of colicky pain. […] Strangulating obstruction can progress to infarction and gangrene in as little as 6 hours. […] Prolonged obstruction can cause bowel ischemia, infarction, and perforation.
  • #3 Bowel Obstruction: Signs and Symptoms
    https://www.health.com/bowel-obstruction-symptoms-7693186
    Bowel obstruction symptoms may vary in intensity and duration depending on the type and location of the obstruction. All bowel obstructions share common symptoms, including: Abdominal pain: Pain caused by bowel obstruction often feels like sharp, stabbing pains or intense cramping. […] The small intestine helps break down and absorb nutrients from food, moving it along the digestive tract to your large intestine. When your small intestine is obstructed, foods and gastric juices cannot adequately move through the digestive tract. This leads to symptoms like: Crampy abdominal pain that may radiate across the upper to mid-abdominal region, Nausea, Vomiting, Restlessness, Dehydration, Rapid heart rate, Loud gurgling or rumbling sounds in your abdomen, Diarrhea. […] Symptoms of a large intestine bowel obstruction may include: Severe lower abdominal pain, Fever, A feeling of pressure or heaviness in the lower abdomen, Constipation or the complete inability to have a bowel movement, Inability to pass gas, Bloating or abdominal distention (swelling), Loud, high-pitched abdominal sounds.
  • #3 Bowel Obstruction: Symptoms, Causes, and Treatments | UPMC HealthBeat
    https://share.upmc.com/2023/12/bowel-obstruction/
    Note that you might only have one or two of these symptoms depending on the part of your intestine thats affected. […] An obstruction in the large intestine tends to cause milder symptoms that come on gradually. You might have only constipation and a distended abdomen. […] Symptoms of small bowel obstructions come on faster right after the blockage happens. And theyre usually more severe. You can have pain around the area of your belly button, cramping, vomiting, diarrhea and/or constipation. […] Severe, steady pain and a tender belly is a very serious symptom. It could signal a lack of blood supply or a perforation (hole) in your intestine. Call your doctor immediately. […] If you have any bowel obstruction symptoms, and especially if youve had abdominal surgery, its important to call your doctor. A blockage thats not treated could cause a serious intestinal catastrophe.
  • #3 Bowel obstruction in adults – causes and symptoms | healthdirect
    https://www.healthdirect.gov.au/bowel-obstruction
    Go to your nearest hospital emergency department straight away if you have symptoms of a bowel obstruction. Some types of bowel obstruction can lead to very serious complications and even death. […] Bowel obstructions usually cause cramping abdominal pain, vomiting and inability to pass bowel motions (faeces or poo) or gas. […] The symptoms of a bowel obstruction depend on where the blockage is and the cause. […] Symptoms of a small bowel obstruction can start quickly. You may notice: cramping abdominal pain, especially in your upper abdomen and around your belly button; inability to pass gas or bowel motions; vomiting; diarrhoea if your bowel is only partially blocked. […] Symptoms of a large bowel obstruction usually start gradually and may be less severe. You may notice: constipation that gets worse, until you can’t pass any bowel motions or gas; bloating; cramps in your lower abdomen; vomiting this is uncommon and may start after the other symptoms. […] If your pain is severe and constant, this may mean the blockage is affecting the blood supply to your bowel. […] Go to the emergency department straight away if you have abdominal pain and are unable to pass bowel motions or gas (wind).
  • #3 Female Bowel Obstruction: Symptoms and Treatment Options
    https://www.healthline.com/health/womens-health/female-bowel-obstruction
    If you have a bowel obstruction, you may experience nausea, bloating, and other digestive symptoms. It can be a serious health condition and often requires emergency care. […] A bowel obstruction can be a very uncomfortable or painful occurrence that can develop suddenly or over time. Symptoms can include: abdominal bloating, cramping, nausea, not having a bowel movement (constipation), not passing any gas, stomach discomfort, vomiting of dark green bile. […] All these symptoms are easy to mistake for PMS. However, the symptoms of a bowel obstruction will worsen over time and persist throughout the month. […] Yes, you should go to the emergency room if you suspect you have a bowel obstruction. […] If you experience severe pain or a fever along with your gastrointestinal symptoms, its especially vital you seek emergency care, according to 2018 research. This can indicate you may have a dead portion of the bowel, which can be life threatening.