Paralytic Ileus
What is Paralytic Ileus?
Paralytic ileus is a condition that occurs when the muscles of the large intestine (large bowel) do not work normally. This can lead to a delay of or complete stoppage of the normal passage of food and waste through the digestive system. It is one of the most common causes of intestinal obstruction.
Ileus can range from mild to severe and can cause pain, abdominal bloating, cramping, nausea, and vomiting. It is most commonly seen in people who have undergone surgery or are in the intensive care unit.
Causes of Paralytic Ileus
The exact cause of paralytic ileus is not known. It is most commonly associated with abdominal or pelvic surgery and is thought to be caused by irritation of the nerves in the intestines. Other causes may include infection, electrolyte imbalances, or certain medications. In some cases, paralytic ileus may be caused by an underlying medical condition, such as diabetes or thyroid disease.
Symptoms of Paralytic Ileus
Common symptoms of paralytic ileus may include:
- Abdominal pain
- Abdominal distention (swelling)
- Cramping
- Nausea and vomiting
- Dehydration
- Constipation or diarrhea
- Lack of bowel movements
- Lack of appetite
- Fatigue
Diagnosis and Treatment of Paralytic Ileus
Paralytic ileus can be diagnosed by a physical examination and imaging tests, such as an X-ray or CT scan. Treatment will depend on the underlying cause. For example, if the condition is due to an electrolyte imbalance, then correcting the electrolyte levels may resolve the issue. Other treatments may include antibiotics for infections, medications to reduce inflammation, fluids to correct dehydration, and surgery to remove any blockage. In rare cases, a feeding tube may be necessary to provide nutrition.
Prevention of Paralytic Ileus
In order to prevent paralytic ileus, it is important to follow a healthy diet and exercise regularly. Additionally, stay well-hydrated and make sure to get enough rest. If you are undergoing surgery, make sure to follow your doctor’s instructions carefully and alert them to any symptoms of paralytic ileus. Lastly, consult with a health care provider if you are taking any medications that may be affecting your digestion.
