Bowel obstruction in the ileum refers to a partial or complete blockage of the small intestine, specifically in the part called the ileum. The ileum is the last part of the small intestine, and it connects to the large intestine or colon.
Causes of Ileum Bowel Obstruction
Several factors can cause bowel obstruction in the ileum. Some of them include:.
- Adhesions – these are fibrous bands of tissues that form between the abdominal organs and tissues, causing blockages in the intestines.
- Intussusception – this is a condition whereby one part of the intestine slides into the adjacent part, causing an obstruction.
- Hernias – a hernia occurs when a small area of the intestine protrudes through a weakened area in the abdominal wall, causing a blockage.
- Tumors – both cancerous and non-cancerous tumors can grow within the small intestine, causing a blockage.
- Crohn’s disease – this is an autoimmune condition that causes inflammation and scarring in the intestinal walls, leading to an obstruction.
- Twisting or volvulus – this occurs when the small intestine twists on itself, leading to a blockage.
- Foreign objects – swallowing non-food items such as magnets, coins, or toys can cause a blockage in the ileum.
Symptoms of Ileum Bowel Obstruction
The symptoms of ileum bowel obstruction can vary from person to person and depending on the severity of the blockage. Some of the common symptoms include:.
- Abdominal pain – this can be severe and cramping.
- Bloating and swelling – the abdomen can become distended and swollen, making it uncomfortable to the touch.
- Vomiting – this can be severe and persistent, leading to dehydration.
- Constipation – the inability to pass stools due to the obstruction.
- Nausea – the feeling of wanting to vomit.
- Lack of appetite – not feeling hungry or losing interest in food.
- Diarrhea – liquid stools can pass around the obstruction.
Diagnosis of Ileum Bowel Obstruction
Diagnosis of ileum bowel obstruction begins with a medical history and physical examination. The doctor may also order diagnostic tests to confirm the diagnosis. Some of the tests include:.
- X-rays – an x-ray image can show the blockage and the degree of distention of the intestines.
- CT scans – a computerized tomography scan can provide detailed images of the intestines, allowing the doctor to identify the location and cause of the obstruction.
- Barium enema – a liquid called barium is injected into the rectum, and then x-rays are taken. This test can show the degree of blockage and its location.
- Ultrasound – this test uses sound waves to create images of the internal organs, including the intestines.
- Colonoscopy – this test involves inserting a flexible tube with a camera into the rectum to examine the intestines for blockages.
Treatment of Ileum Bowel Obstruction
The treatment of ileum bowel obstruction depends on the cause, site, and severity of the obstruction. In some cases, the obstruction can be relieved without surgery. However, in other cases, surgery is necessary to correct the problem.
In most cases, hospitalization is required to manage ileum bowel obstruction.
The patient is given nutrition and fluids through an IV, and a nasogastric tube is inserted through the nose to remove any fluid and gas from the stomach and intestines, relieving the pressure.
Surgical treatment may involve removing the obstruction, repairing hernias, or removing tumors. In severe cases, the affected part of the intestine may need to be removed.
Prevention of Ileum Bowel Obstruction
There are several ways to prevent ileum bowel obstruction. Some of the preventative measures include:.
- Eating a balanced diet to prevent constipation.
- Drinking enough water to prevent dehydration.
- Avoiding eating non-food items such as toys or magnets that can cause an obstruction.
- Seeking prompt treatment for any abdominal pain or gastrointestinal symptoms.
Conclusion
Bowel obstruction in the ileum can be a serious medical condition that requires prompt medical attention. The symptoms can be severe and disrupt the proper functioning of the digestive system.
Early diagnosis and treatment can help prevent complications and improve the chances of a full recovery.