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Paralytic ileus; Intestinal volvulus; Bowel obstruction; Ileus; Pseudo-obstruction - intestinal; Colonic ileus
Abdominal fullness, gas
Signs and tests
While listening to the abdomen with a stethoscope, your health care provider may hear high-pitched bowel sounds at the onset of mechanical obstruction. If the obstruction has persisted for too long or the bowel has been significantly damaged, bowel sounds decrease, eventually becoming silent.
Early paralytic ileus is marked by decreased or absent bowel sounds.
Tests that show obstruction include:
Abdominal CT scan
Upper GI and small bowel series
A friend recently called my attention to an on-line Scientific American article titled " Your Intestines Can Taste Sugar ".
Wow; I had thought the taste buds were in one's mouth, not one's gut! However, the more I looked at the story, the less I was impressed with gut-tasting-sugar concept, and the more I was impressed with the creativity of press agents promoting another me-too diabetes drug in development; in this case, another tweak on extended-release metformin.
Metformin has been one of the mainstay drugs in the treatment of type 2 diabetes for many years, and is frequently recommended to start at the time of initial diagnosis. Extended-release versions have long been available under trade names such as Glucophage XR (XR stands for extended release, not X-Ray: get it?). The extended-release version releases the drug more slowly, which helps decrease the gastrointestinal side effects of diarrhea and belly pain. And once-daily dosing is easier to handle then three-times...
A colon resection is a surgical procedure that removes part or all of the large intestine. This may be necessary in the treatment of some serious medical conditions including colon cancer . Your doctor(s) may also recommend colon resection for a variety of other conditions including:
• Inflammatory bowel disease
• Actively bleeding arteriovenous (AV) malformations
Sound like getting part or all of your large intestine is a major deal? It is. But you can help achieve best outcomes, and get back to your old routine more quickly, if you plan ahead, communicate with your team, and recruit a great support network.
Good questions to ask your healthcare team as you begin to prepare for surgery include:
• What should I do to prepare for surgery? Should I be following any special diet? Quitting smoking?
• Will my insurance cover all parts of my treatment (surgery, anesthesia, hospitalization, etc)?
• If not, how much will this cost and do you offer...
You should know
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