Ileus history and symptoms
|
Ileus Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Ileus history and symptoms On the Web |
|
American Roentgen Ray Society Images of Ileus history and symptoms |
|
Risk calculators and risk factors for Ileus history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]
Overview
Obtaining a history gives important information in making a diagnosis of ileus. The areas of focus should be on onset, duration, and progression of symptoms with special focus on past medical history and current medications. Previous history of hypothyroidism, diabetes and renal failure may hasten the onset of ileus. Common symptoms of ileus include postprandial abdominal discomfort, abdominal distension, nausea and vomiting, feeding intolerance, constipation, flatulence, and belching. Less common symptoms include wound dehiscence and impaired wound healing.
History and Symptoms
History
Obtaining a history gives important information in making a diagnosis of ileus. It provides insight into the cause, precipitating factors, and associated comorbid conditions. A complete history will help determine the correct therapy and helps in determining the prognosis. The areas of focus should be on onset, duration, and progression of symptoms such as:[1][2][3]
- Abdominal cramps and fullness
- Bloating or flatulence
- Appetite changes
- Nausea & vomiting
- Current medications
- Bleeding disorders
- Past medical history (such as cirrhosis, pneumonia, or renal failure)
- Previous history of thyroid disease
- History of diabetes
Symptoms
Common symptoms of ileus include:[4][5]
- Postprandial abdominal discomfort
- Abdominal distension
- Nausea and vomiting
- Feeding intolerance
- Constipation
- Flatulence
- Belching
Less common symptoms of ileus include:
- Wound dehiscence
- Impaired wound healing (in postoperative ileus)
References
- ↑ Daniels AH, Ritterman SA, Rubin LE (2015). "Paralytic ileus in the orthopaedic patient". J Am Acad Orthop Surg. 23 (6): 365–72. doi:10.5435/JAAOS-D-14-00162. PMID 25917235.
- ↑ Kitahata R, Nakajima S, Suzuki T, Plitman E, Mimura M, Uchida H (2016). "Relapse of ileus in patients with psychiatric disorders: A 2-year chart review". Gen Hosp Psychiatry. 38: 31–6. doi:10.1016/j.genhosppsych.2015.09.003. PMID 26589763.
- ↑ Gökçe AM, Özel L, İbişoğlu S, Ata P, Şahin G, Gücün M, Kara VM, Özdemir E, Titiz Mİ (2015). "A Rare Reason of Ileus in Renal Transplant Patients With Peritoneal Dialysis History: Encapsulated Peritoneal Sclerosis". Exp Clin Transplant. 13 (6): 588–92. doi:10.6002/ect.2014.0036. PMID 25343532.
- ↑ Rami Reddy SR, Cappell MS (2017). "A Systematic Review of the Clinical Presentation, Diagnosis, and Treatment of Small Bowel Obstruction". Curr Gastroenterol Rep. 19 (6): 28. doi:10.1007/s11894-017-0566-9. PMID 28439845.
- ↑ Zeinali F, Stulberg JJ, Delaney CP (2009). "Pharmacological management of postoperative ileus". Can J Surg. 52 (2): 153–7. PMC 2663489. PMID 19399212.