Expert Treatment for Colonic Pseudoobstruction by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Physical Exam
He looks through your last operations, hospitalization, medications (particularly narcotics or anticholinergics), and comorbidities such as diabetes or Parkinson the great. Then he carries out a cautious abdominal examination to determine the distention, tenderness and bowel movements.
Blood Tests
We order lab tests to check white blood cell count, electrolytes, kidney functioning and markers of inflammatory- exclusion of infection, dehydration, and metabolic imbalances that may mimic or exacerbate pseudoobstruction.
Imaging Studies
- To determine colonic dialation, the cecal diameter and to rule out a mechanical obstruction, abdominal X-ray or CT scan.
- Ultrasound on demand to assess other abdominal organs and exclude other causes of epigastric pain.
Endoscopic Assessment
Diagnostic colonoscopy will provide a direct view of the colon and will ascertain the absence of an actual obstruction as well as will facilitate the provision of a therapeutic decompression in a situation that is justified.
Colonic Motility Testing (if needed)
In isolated instances, special transport investigations or manometry are used to determine nerve and muscle activity in the colon.
Frequently Asked Questions
What is the colonic pseudoobstruction?
It is a disorder that occurs when the large intestine becomes immobile and present the effect of obstruction without having anything that can be seen.
What causes it?
It may be post-operative or post-severe illness, and some drugs (many narcotics or anticholinergics), or chronic disease (diabetes, Parkinson, nerve or spinal damage or prolonged bed rest).
What are the symptoms?
The frequent symptoms are belly bloating, abdominal pain, nausea, and vomiting, inability to pass stool or gas, and fullness.
How is it treated?
It can be treated by diet, lifestyle modifications, pro-motility drugs, intravenous fluids, analgesic therapy, and non-surgical procedures such as colonoscopic decompression of the bowels or percutaneous endoscopic colostomy.
What is the speed of treatment?
Others feel relieved after few hours of decompression, medication or might require few days of supportive therapy.
Is this condition dangerous?
In case of untreated cases, the colon may over distend and perforate or get infected. Serious complications are prevented by early diagnosis and management.
Will I have to remain in the hospital?
Mild cases can be treated at home closely monitored. Extreme cases usually call on a short-time hospitalization of IV fluids, observation, and an endoscopic intervention.