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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Ileus Be Treated?

Hi. I m a fifty eight year old female with no gall bladder or appendix and have had a small bowel resectioning due to the finding of a mass (noncancerous). I m now diagnosed with ileus vs enteritus from a visit to the ER last night. What should be the next course of action? My present internist wants to put me on laxatives.
Mon, 23 Oct 2017
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Internal Medicine Specialist 's  Response
Hello..
No need to worry about it.
Here mentioned treatment options for paralytic ileus..

TREATMENTS


Treatments for an ileus depends on its severity.

Partial obstruction

Sometimes a condition like Crohn’s disease or diverticulitis will mean that part of the intestine isn’t moving. But some bowel material can get through. In this instance, if you are otherwise stable, a doctor may recommend a low-fiber diet. This can help reduce the bulky stool, making it easier to pass. However, if that doesn’t work, surgery to repair or move the affected portion of the bowel may be needed.

Complete obstruction
A complete obstruction is a medical emergency. Treatment will depend upon your overall health. For example, some people can’t handle an extensive abdominal surgery. This includes the very elderly and those with colon cancer. In this case, a doctor may use a metal stent to make the intestine more open. Ideally, food will start to pass with the stent.

Abdominal surgery to remove the blockage or the damaged intestine portion may still be needed though.

Paralytic ileus
Treatment for a paralytic ileus starts by identifying the underlying cause. If medicine is the cause, a doctor may be able to prescribe another medication to stimulate motility (intestine movement). An example is metoclopramide (Reglan). Discontinuing the medications that caused the ileus, if possible, can also help. However, you shouldn’t stop taking a medicine, especially an antidepressant, without your doctor’s approval.

Treatment without surgery is possible during the early stages of paralytic ileus. But you may still require a hospital stay to get the proper fluids until the issue is fully resolved. A doctor may also use a nasogastric tube with suctioning, in addition to giving intravenous fluid hydration. Known as nasogastric decompression, this procedure calls for a tube to be inserted into your nasal cavity to reach your stomach. Essentially the tube suctions out the extra air and material that you may otherwise vomit.

Most surgery-related ileus will resolve within two to four days after surgery. However, some people do require surgery for correction if the condition doesn’t improve.

Considerations for surgery
Your intestines are very long, so you can live without a portion of it. While it may affect the digestive process, most people do live a healthy life with a part of their intestine removed.

In some instances, a doctor may have to remove the entire intestine. In this case, a doctor will create a special pouch called an ostomy. The bag allows stool to drain from your remaining gastrointestinal tract. You have to care for the ostomy, but you can live without your intestine after an ileus.
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How Can Ileus Be Treated?

Hello.. No need to worry about it. Here mentioned treatment options for paralytic ileus.. TREATMENTS Treatments for an ileus depends on its severity. Partial obstruction Sometimes a condition like Crohn’s disease or diverticulitis will mean that part of the intestine isn’t moving. But some bowel material can get through. In this instance, if you are otherwise stable, a doctor may recommend a low-fiber diet. This can help reduce the bulky stool, making it easier to pass. However, if that doesn’t work, surgery to repair or move the affected portion of the bowel may be needed. Complete obstruction A complete obstruction is a medical emergency. Treatment will depend upon your overall health. For example, some people can’t handle an extensive abdominal surgery. This includes the very elderly and those with colon cancer. In this case, a doctor may use a metal stent to make the intestine more open. Ideally, food will start to pass with the stent. Abdominal surgery to remove the blockage or the damaged intestine portion may still be needed though. Paralytic ileus Treatment for a paralytic ileus starts by identifying the underlying cause. If medicine is the cause, a doctor may be able to prescribe another medication to stimulate motility (intestine movement). An example is metoclopramide (Reglan). Discontinuing the medications that caused the ileus, if possible, can also help. However, you shouldn’t stop taking a medicine, especially an antidepressant, without your doctor’s approval. Treatment without surgery is possible during the early stages of paralytic ileus. But you may still require a hospital stay to get the proper fluids until the issue is fully resolved. A doctor may also use a nasogastric tube with suctioning, in addition to giving intravenous fluid hydration. Known as nasogastric decompression, this procedure calls for a tube to be inserted into your nasal cavity to reach your stomach. Essentially the tube suctions out the extra air and material that you may otherwise vomit. Most surgery-related ileus will resolve within two to four days after surgery. However, some people do require surgery for correction if the condition doesn’t improve. Considerations for surgery Your intestines are very long, so you can live without a portion of it. While it may affect the digestive process, most people do live a healthy life with a part of their intestine removed. In some instances, a doctor may have to remove the entire intestine. In this case, a doctor will create a special pouch called an ostomy. The bag allows stool to drain from your remaining gastrointestinal tract. You have to care for the ostomy, but you can live without your intestine after an ileus.