Symptoms of intestinal obstruction in the elderly
summary
The body immunity of the elderly is relatively low. As they are older, the organs of the body may gradually degenerate. In this case, it may also lead to gastrointestinal dysfunction. If there is a disease such as intestinal obstruction, timely medication should be used to regulate, which is also better for health, Effective prevention of dyspepsia, the elderly appear intestinal obstruction, the disease can live for how long the problem also varies from person to person, in most cases will not have a certain harm to life. Let's talk about the symptoms of intestinal obstruction in the elderly.
Symptoms of intestinal obstruction in the elderly
The clinical manifestations of adhesive ileus are as follows: (1) chronic obstruction and repeated acute attack in the past（ 2) Most patients had a history of abdominal surgery, trauma, bleeding, foreign bodies or inflammatory diseases（ 3) The clinical symptoms were paroxysmal abdominal pain, accompanied by nausea, vomiting, abdominal distension and stop exhaust and defecation. Physical examination: (1) general condition: there is no obvious change in the early stage of obstruction, but there may be signs of fluid loss in the late stage. When strangulation occurs, systemic toxic symptoms and shock may occur（ 2) Abdominal examination should pay attention to the following: ① abdominal incision scar can be seen in patients with a history of abdominal surgery; ② Patients may have abdominal distension, and abdominal distension is often asymmetric; ③ Intestinal type and peristaltic wave could be seen in most cases; ④ Abdominal tenderness is not obvious in the early stage, but can appear with the development of the disease; ⑤ When ileus loop was fixed, tenderness mass could be found; ⑥ The patients with increased peritoneal fluid or intestinal strangulation may have peritoneal irritation sign or mobile voiced sound; ⑦ Before intestinal obstruction developed to intestinal strangulation and enteroparalysis, all patients showed hyperactivity of bowel sounds, and could hear the sound of Qi over water or metal sound.
The clinical manifestations of strangulated intestinal obstruction: (1) abdominal pain is persistent severe abdominal pain, frequent paroxysmal aggravation, no complete intermission, vomiting can not relieve abdominal pain and distension（ 2) Vomiting appeared earlier and more frequently（ 3) Early systemic changes, such as pulse rate, body temperature, white blood cell count, or shock tendency（ 4) Abdominal distension: low intestinal obstruction, obvious abdominal distension, closed loop intestinal obstruction, asymmetric abdominal distension, can touch isolated distended large intestine loop, no exhaust defecation（ 5) Continuous observation: the symptoms of septic shock, such as increased body temperature, accelerated pulse, decreased blood pressure and disturbance of consciousness, were found, and the bowel sounds changed from hyperactivity to weakening（ 6) Obvious peritoneal irritation（ 7) Vomitus is bloody or bloody fluid discharged from anus（ 8) Abdominal puncture was bloody fluid.
Auxiliary examination: abdominal plain film in X-ray standing position showed flatulent intestinal loops and most of the gas-liquid levels 4-6 hours after the occurrence of intestinal obstruction. The presence of intestinal strangulation should be noted if there is a fixed position of coffee bean like pneumatosis on abdominal plain film.
matters needing attention
In the case of intestinal obstruction, the elderly should choose different treatment schemes according to their own physical conditions, and can choose surgical methods for treatment. In this case, it will not affect the life of patients, but the effect of conservative treatment varies from person to person.
