Small Bowel Obstruction
by Julie Rackliffe Lucey, MS
Small bowel obstruction means the small intestine is partially or totally blocked. When this happens, the contents of the intestine cannot properly get out of the body. Stools, fluid, and gas build up inside the intestine. This is a potentially serious condition that requires urgent medical care.
Bowel obstruction may be caused by a mechanical problem. In this case, something inside the body blocks the movement of material through the intestine.
It can also be caused by ileus, a slowing down or stopping of bowel activity. Ileus is a nonmechanical type of obstruction, which may also be referred to as pseudo-obstruction.
Mechanical small bowel obstruction may be caused by:
Ileus may be caused by surgery on the intestine or certain medications such as opioids.
Factors that may increase your chances of small bowel obstruction include:
Symptoms of small bowel obstruction often occur in combination. Small bowel obstruction may cause:
Ileus pain is often less severe than mechanical small bowel obstruction.
You will be asked about your symptoms and medical history. A physical exam will be done. The exam will include listening for bowel sounds in your stomach. Very high pitched bowel sounds heard through a stethoscope suggest mechanical bowel obstruction. Conversely, ileus often produces no bowel sounds.
Imaging tests are used to evaluate abdominal structures. These may include:
Treatment depends on the cause and severity of the obstruction. You will usually require treatment by a specialist. Your doctor will also treat you for any underlying conditions that contribute to small bowel obstruction.
Before any surgical treatment or procedure can begin, you may need to be stabilized. This may include:
After the blockage is relieved, nutrition is given through an IV or feeding tube until you are able to eat solid foods. Other treatment for small bowel obstruction includes:
Medications may include:
Surgery may be needed if you do not respond to medical treatment, or in the following circumstances:
There are no current guidelines to prevent small bowel obstruction. Managing any underlying conditions such as Crohn disease, can reduce your chances.
National Cancer Institute
National Institute of Diabetes and Digestive and Kidney Diseases
Canadian Association of Gastroenterology
Crohn's and Colitis Canada
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Last reviewed November 2018 by EBSCO Medical Review Board Daus Mahnke, MD
Last Updated: 12/20/2014
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