Ileus history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
Obtaining a history gives important information in making a diagnosis of ileus. The areas of focus should be on onset, duration, and progression of symptoms with special focus on past medical history and current medications. Previous history of hypothyroidism, diabetes and renal failure can hasten the onset of ileus. Common symptoms of ileus include postprandial [[Abdominal pain|abdominal discomfort]], [[abdominal distension]], [[nausea]] and [[vomiting]], feeding intolerance, [[constipation]], [[flatulence]], and [[belching]]. Less common symptoms include wound dehiscence and impaired wound healing. | |||
==History and Symptoms== | ==History and Symptoms== | ||
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* Bloating or flatulence | * Bloating or flatulence | ||
* Appetite changes | * Appetite changes | ||
* Nausea & | * Nausea & vomiting | ||
* Past medical history (such as cirrhosis, pneumonia, renal failure) | * Past medical history (such as cirrhosis, pneumonia, renal failure) | ||
* Previous history of thyroid disease | * Previous history of thyroid disease | ||
Revision as of 23:54, 3 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]
Overview
Obtaining a history gives important information in making a diagnosis of ileus. The areas of focus should be on onset, duration, and progression of symptoms with special focus on past medical history and current medications. Previous history of hypothyroidism, diabetes and renal failure can hasten the onset of ileus. Common symptoms of ileus include postprandial abdominal discomfort, abdominal distension, nausea and vomiting, feeding intolerance, constipation, flatulence, and belching. Less common symptoms include wound dehiscence and impaired wound healing.
History and Symptoms
History
Obtaining a history gives important information in making a diagnosis of ileus. It provides insight into the cause, precipitating factors, and associated comorbid conditions. A complete history will help determine the correct therapy and helps in determining the prognosis. The areas of focus should be on onset, duration, and progression of symptoms such as:[1][2]
- Abdominal cramps and fullness
- Bloating or flatulence
- Appetite changes
- Nausea & vomiting
- Past medical history (such as cirrhosis, pneumonia, renal failure)
- Previous history of thyroid disease
- Current medications
- Bleeding disorders
- History of diabetes
Symptoms
Common symptoms of ileus include:[3][4]
- Postprandial abdominal discomfort
- Abdominal distension
- Nausea and vomiting
- Feeding intolerance
- Constipation
- Flatulence
- Belching
Less common symptoms of ileus include:
- Wound dehiscence
- Impaired wound healing (in postoperative ileus)
References
- ↑ Kitahata R, Nakajima S, Suzuki T, Plitman E, Mimura M, Uchida H (2016). "Relapse of ileus in patients with psychiatric disorders: A 2-year chart review". Gen Hosp Psychiatry. 38: 31–6. doi:10.1016/j.genhosppsych.2015.09.003. PMID 26589763.
- ↑ Gökçe AM, Özel L, İbişoğlu S, Ata P, Şahin G, Gücün M, Kara VM, Özdemir E, Titiz Mİ (2015). "A Rare Reason of Ileus in Renal Transplant Patients With Peritoneal Dialysis History: Encapsulated Peritoneal Sclerosis". Exp Clin Transplant. 13 (6): 588–92. doi:10.6002/ect.2014.0036. PMID 25343532.
- ↑ Rami Reddy SR, Cappell MS (2017). "A Systematic Review of the Clinical Presentation, Diagnosis, and Treatment of Small Bowel Obstruction". Curr Gastroenterol Rep. 19 (6): 28. doi:10.1007/s11894-017-0566-9. PMID 28439845.
- ↑ Zeinali F, Stulberg JJ, Delaney CP (2009). "Pharmacological management of postoperative ileus". Can J Surg. 52 (2): 153–7. PMC 2663489. PMID 19399212.