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Bowel obstruction

Ileus mechanicus · Neprůchodnost střev (ileus)

What it is

The gut blocks — from adhesions, hernia, tumour or twisting.

Symptoms & signs

  • Colicky pain
  • vomiting
  • no wind or stool
  • distension
  • tinkling then absent bowel sounds

🚩 Get help if…

  • call 112 / 911 now Cramping belly pain with vomiting
  • call 112 / 911 now Swollen belly with no stool or wind
  • call 112 / 911 now Green or brown vomit
  • call 112 / 911 now Constant severe pain, fever or fast heartbeat

Where it strikes

Medical treatment

  • Nil by mouth
  • nasogastric decompression
  • IV fluids
  • surgery if strangulated or not resolving
  • stent for malignant obstruction

Natural & lifestyle

  • After recovery: fibre, hydration, early mobility to reduce adhesions

Emerging & experimental

  • Water-soluble contrast challenge protocols
  • adhesion-barrier films

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Chewing gum after abdominal surgery — trials show faster return of bowel function trials support
  • Castor oil and strong laxatives — dangerous in a true obstruction anecdotal / traditional

ICD codes