Intestinal Obstruction

Intestinal obstruction occurs when the small or large intestine gets blocked. It prevents the passage of fluid and digested food. It is often caused due to adhesion formed in the abdomen after surgery, hernia, colon surgery, medications, and diverticulitis. The symptoms are severe cramping pain in the abdomen, vomiting, and constipation. It is treated by giving nausea and pain medications. Depending on the severity of obstruction, surgery is done.

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Please help my mother, who is suffering from severe gastric issues and constipation.

Query: Hi doctor,My mother is 66 years old. She is suffering from severe gastric trouble. She has had her gall bladder removed 20 years back and since then takes a lot of precautions while eating. Since last week she is having a lot of gastric issues and constipation. She had severe pain last week and has ...  Read Full »

Dr. Prathish Kumar

Answer: Hello, Welcome to With the history you have mentioned, abdominal pain, vomiting, and constipation, we need to check for any presence of subacute intestinal obstruction. It can also be due to potassium deficiency in the body which will slow down the intestinal movements and cause such ...  Read Full »

Newborn is suffering from midgut malrotation. Kindly advise.

Query: Hello doctor, My 24 days newborn son is suffering from midgut malrotation. Is this a problem?  Read Full »

Dr. Babu Lal Meena

Answer: Hi, Welcome to Abnormal relationship of the vessels can cause intestinal obstruction or volvulus. It may be asymptomatic as well. If it is symptomatic in the form of pain that is related to malrotation, then this baby may need corrective surgery. You should show to a pediatric surgeon...  Read Full »

I have idiopathic spastic intestinal obstruction. Can you specify the exact location?

Query: Hello doctor, I have a rare disease called idiopathic spastic intestinal obstruction/spastic ileus with chronic, long-term course (barium stays about 40 hours in the small intestine). On a two-balloon endoscopy of the small intestine, colonoscopy with ileoscopy, CT, MRI revealed nothing. So, we can...  Read Full »

Dr. Vivek Chail

Answer: Hello, Welcome to The condition idiopathic spastic intestinal obstruction/spastic ileus is a unique and rare condition indeed. In the barium pictures, the involved area is usually seen like a sudden constriction of a segment of the small or large bowel. The segment involved can be vis...  Read Full »

My mother spits back her oral feeds. Please help.

Query: Hi doctor, My mom has had issues with eating. She has a PEG tube, which was placed for this reason. She does not vomit the tube feeding, but she spits back up what she takes orally. Whatever food she takes, it comes back and is full of phlegm. She is an end stage COPD patient and BiPAP dependent. Wh...  Read Full »

Dr. Kagathara Happy Kumar Devkaranbhai

Answer: Hello, Welcome to As per your mother's history, there are two different infections. They are Clostridium difficile infection and yeast infection. The site of yeast infection is not mentioned in the question, though esophageal yeast infection is common. C.difficile colitis can...  Read Full »

How treat duodenal stricture and colon obstruction caused by abdominal tuberculosis?

Query: Hello doctor, My mother has abdominal tuberculosis, duodenum stricture, and obstruction in rectosigmoid and distal sigmoid colon. She does not take any food, not even liquid food. And she does not pass urine and stools from the past four months. Please help.  Read Full »

Dr. Kagathara Happy Kumar Devkaranbhai

Answer: Hello, Welcome to Abdominal tuberculosis requires antituberculosis drugs for sure, but if a stricture is present even after taking medications for 3 to 4 months, then surgery is recommended to relieve obstruction due to stricture. Presently, she is neither able to eat nor able to pass...  Read Full »

My 4-year-old son suffers from pain above the belly button. What is the cause?

Query: Hi doctor, My son is 4 years old. He has had pain above his belly button for two days. He only wants to sleep. He is vomiting and not eating anything. Why? What is he suffering from?  Read Full »

Dr. Faisal Abdul Karim Malim

Answer: Hi, Welcome to Is he passing stools? This is a very important question because if he is not then, it may point to obstruction. Another possibility is that there may be some mild gastritis. You can manage the pain by giving syrup Colicaid (Simethicone) 5 mL only when there is the pain. F...  Read Full »

My 3-year-old son is having stomach pain and vomiting. What is the cause?

Query: Hello doctor, My 3 year old son is having stomach pain and vomiting. The vomiting is at regular intervals. As soon as he eats or drinks, he throws out everything. He feels like vomiting every 15 to 20 minutes, but only spits out. He is on glucose and he did not have anything for a day. Yet, he had ...  Read Full »

Dr. Faisal Abdul Karim Malim

Answer: Hi, Welcome to There is a large rise in the number of acute gastroenteritis cases as of now. From your description, it seems more like a stomach infection. I suggest you give him syrup Ondem (Ondansetron) 4 mL thrice a day for up to three days. You will also have to take care of hydra...  Read Full »

Can colon spasm cause G-J tube to pop out?

Query: Hi doctor, This patient had a G-J tube inserted two weeks ago. Is it possible to pop out of the body on its own after two weeks? Would the symptom of diarrhea caused by colon spasms produce enough pressure to pop out both the balloon type and bumper type feeding tube? Please clarify.  Read Full »

Dr. Kagathara Happy Kumar Devkaranbhai

Answer: Hello, Welcome to It is not possible by any reason for a G-J tube (gastrostomy-jejunostomy tube) to pop out unless the fixation was done adequately. Colon spasm may cause obstruction sometimes and in this situation, it is not advisable to continue G-J tube feeding. In such cases, in spi...  Read Full »

My son has abdominal swelling after Hirschsprung disease operation. Please help.

Query: Hello doctor, My son is 2 years old. He had a problem with stool passage and Hirschsprung disease. Last month, with the guidance of doctor laparoscopy and colonic biopsy were done under trans and endorectal pull-through operation. But, for the last two weeks, he is suffering from abdominal distentio...  Read Full »

Dr. Prashant Kumar Singh

Answer: Hello, Welcome to I have gone through the reports (attachment removed to protect patient identity) and your history as well. As per the report, there is an obstruction in the intestine due to the local infection, which generally happens post surgery in some cases. I would suggest you t...  Read Full »

What could cause problems like intestinal obstruction with constipation and piles?

Query: Hello doctor, I am 36 years old. I have a problem on the right side of the large intestine. I have four babies with cesarean surgeries. My youngest baby is 13 years old. My uterus was removed five years ago due to rasoli. After this operation, I felt pain in my anus and a year later I was alright b...  Read Full »

Dr. Rajesh Kumar Bansari

Answer: Hello, Welcome to I have reviewed your situation. For confirmation, what is going on, you need to visit to a gastroenterologist and get booked for upper and lower GI (gastrointestinal) endoscopy. But reading at your situation, it looks you have both acidity problem and constipation. ...  Read Full »

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