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July 27th, 2010
Bowel Obstruction:Complete or Partial

Bowel obstruction is not a easy field to get one’s head around. It is a vast and complex medical science with a mile long list of possible causes and terminology. Bare with me as I try and simplify it a bit.

Bowel obstructions  can be partial (a small portion of the bowels are open) or complete (bowels are completely blocked) . It is often wrongly diagnosed as gastroenteritis.

How can one tell the difference between a obstruction and gastroenteritis? Not easily. The symptoms of a bowel obstruction are very similar to gastroenteritis and could be the following.

  • Persistent vomiting
  • No stools –  Often the case in complete obstructions
  • Diarrhea
  • Gas
  • Distention of the stomach.(Bloated stomach)
  • Tender stomach
  • Foul breath.
  • Irritability OR lethargic mental status – depending on the type of obstruction.
  • Colic. A child pulls up his legs and screams in pain.
  • Fever

Symptoms also vary according to where the obstruction is located, for example in the small or large intestines.  Bowel obstruction can only be confirmed by doing a X-ray of a child’s abdomen. Other means of diagnosing a bowel obstruction are blood tests, CT scans, Barium enemas and Ultrasounds.

Often a physician only becomes suspicious of a diagnoses of gastroenteritis when a child’s symptoms persist longer than would be expected. This means valuable time is wasted in treating this emergency situation.

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