Ileus medical therapy: Difference between revisions
Created page with "__NOTOC__ {{Ileus}} {{CMG}} ==Medical Therapy== Nil per os (NPO or "Nothing by Mouth") is mandatory in all cases. Nasogastric suction and [[par..." |
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[[Nil per os]] (NPO or | ==Overview== | ||
[[Nil per os]] (NPO or Nothing by Mouth) is mandatory in all cases. [[Nasogastric intubation|Nasogastric suction]] and [[parenteral]] feeds may be required until passage is restored. There are several options in the case of paralytic ileus. Most treatment is supportive. If caused by medication, the offending agent is discontinued or reduced. Bowel movements may be stimulated by prescribing [[lactulose]], [[erythromycin]] or in severe cases, ([[Ogilvie's syndrome]]) [[neostigmine]]. If possible the underlying cause is corrected (e.g. replace electrolytes). | |||
There are several options in the case of paralytic ileus. Most treatment is supportive. If caused by medication, the offending agent is discontinued or reduced. Bowel movements may be stimulated by prescribing [[lactulose]], [[erythromycin]] or in severe cases, ([[Ogilvie's syndrome]]) [[neostigmine]]. | |||
If possible the underlying cause is corrected (e.g. replace electrolytes). | |||
==References== | ==References== | ||
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[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Needs | [[Category:Needs content]] | ||
Revision as of 16:09, 20 March 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Nil per os (NPO or Nothing by Mouth) is mandatory in all cases. Nasogastric suction and parenteral feeds may be required until passage is restored. There are several options in the case of paralytic ileus. Most treatment is supportive. If caused by medication, the offending agent is discontinued or reduced. Bowel movements may be stimulated by prescribing lactulose, erythromycin or in severe cases, (Ogilvie's syndrome) neostigmine. If possible the underlying cause is corrected (e.g. replace electrolytes).