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Intestinal Pseudo-Obstruction (false blockage) is a condition
that causes symptoms like those of a bowel obstruction (blockage).
But when the intestines are examined, no obstruction is found. The
symptoms of intestinal pseudo-obstruction are caused by a problem
in how the muscles and nerves in the intestines work.
Symptoms
of pseudo-obstruction include cramps, stomach pain, nausea, vomiting,
bloating, fewer bowel movements than usual, and loose stools.
Over time, pseudo-obstruction can cause bacterial infections,
malnutrition, and muscle problems in other parts of the body.
Some people with intestinal pseudo-obstruction also have bladder
problems.
Some
diseases that affect muscles and nerves such as lupus erythematosus,
scleroderma, or Parkinson's disease can cause symptoms of pseudo-obstruction.
When a disease causes the symptoms, the condition is called secondary
intestinal pseudo-obstruction. Medications that affect muscles
and nerves such as opiates and antidepressants might also cause
secondary pseudo-obstruction.
To
diagnose the condition, the doctor will take a complete medical
history, do a physical exam, and take x rays. The main treatment
is nutritional support (intravenous feeding) to prevent malnutrition
and antibiotics to treat bacterial infections. Medicine might
also be given to help with intestinal muscle problems. In severe
cases, surgery to remove part of the intestines might be necessary.
Additional
Information on Intestinal Pseudo-Obstruction
International Foundation for Functional
Gastrointestinal Disorders (IFFGD), Inc.
P.O. Box 170864
Milwaukee, WI 53217
Phone: 1-888-964-2001 or (414) 964-1799
Fax: (414) 964-7176
Internet: www.iffgd.org
The
National Digestive Diseases Information Clearinghouse collects
resource information on digestive diseases for the Combined Health
Information Database (CHID). CHID is a database produced by health-related
agencies of the Federal Government. The CHID database located
on the World Wide Web at http://chid.nih.gov/simple/simple.html,
provides titles, abstracts, and availability information for health
information and health education resources. See the results of
our CHID research on "Intestinal
Pseudo-Obstruction," March 22, 2002.
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