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Bowel Blockage
Question:
My dad has a blockage which was found 2 weeks ago. They keep giving him stuff to take and nothing is working. He us hurting and very swollen up. How long can this go on before it starts poisoning his system? He just went to the doctor again and once again they gave him the same stuff they have been giving him that is not working. I'm getting worried it's been too long. Answer: Hey stacy, how are you doing? Bowel obstruction frequently necessitates surgical intervention. However, antibiotics should be started in the Emergency Department. NOTE: Antibiotic coverage must include gram-negative aerobic and gram-negative anaerobic organisms. Therapy must cover all likely pathogens in the context of this clinical setting: (The following antibiotics do not represent an all-inclusive list.) Clindamycin (Cleocin) Metronidazole (Flagyl) Aztreonam (Azactam) Cefoxitin (Mefoxin) Cefotetan (Cefotan) Imipenem and cilastatin (Primaxin) Meropenem (Merrem) Anyone suspected of having an intestinal obstruction is hospitalized. The basic objective of treatment are to reopen the passageway as soon as possible, either by decompression (preferred) or surgery, to replace the fluid and nutrient losses intravenously (requires extreme care and expertise; a mistake can do great harm), and to relieve pain. Decompression is accomplished by means of suction. A long tube is inserted into the intestine, and through suction, the obstruction is often relieved. If total obstruction lasts more than 24 hours and concervative (non-sergical) theraphy is not successful, immediate surgery is always indicated when the physician is convinced that total strangulation, or infraction (blockage of the blood vessel in the area, causing death of local tissue), has occured. In intussusception, the patient is often given a barium enema for X-ray. If this is done early, before the disease has progressed too far, the enema itself can often undo the partial obstruction. If the enema is given too late, just the opposite can occur -- from partial blockage to total strangulation. In paralytic ileus, a result of previous abdominal surgery or some other exterior derivation, an attempt is made to stimulate bowel motility (peristalsis) by locally applied heat (hot damp towels or electric pad) or certain drugs. It often does the trick. Best wishes, Answer: I'm wondering what type of medication your father's doctor has been giving him since he is being treated at home. Is he passing any stool at all? Is he nauseated? Does he have an appetite and is he eating normally? Is he currently taking any constipating medications? You need to help him get a second opinion from another doctor. Most bowel obstructions correct themselves with conservative treatment but in some cases, surgery is necessary. If your father is not improving over the course of these last two weeks and he truly has an obstruction, he needs to be admitted to the hospital for IV antibiotic therapy. He can be monitored closely as an inpatient. Answer: I have had a total colectomy with an illium pull through... I have an obstruction ,,, that is all they will say they are going to do an other test with the scope....... because of my limited bowel is there any thing that can be done except surgery????? I will not allow them to give me a bag on the out side again I would rather die....... please advise..... laady24@intelliplans.net Answer: Your doctor is going to perform an endoscopy to try to resolve the blockage (that's not a surgery) I know it's difficult, but try to keep in mind that in MOST cases, surgical intervention is not necessary - the blockage (more often than not) clears on its own with conservative, decompressive colonoscopy methods, or antibiotic therapy treatment. Answer: Hi, I sell Arbonne products and we do have an Herbal Colon Cleanse, I would suggest this. It's made to clean out one's system, and it works really good. I use it! If you need more info, please email me at aline@myarbonne.com
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