Use of certain drugs, such as narcotic pain drugs or high blood pressure medicine
Low blood supply to parts of intestine (mesenteric ischemia)
A risk factor is something that increases your chance of getting a disease or condition.
Risk factors for ileus include:
Abdominal surgery, infection, or injury
Joint or spine surgery
A previous history of ileus
Use of certain pain or high blood pressure drugs
Certain health conditions or diseases, such as:
Lower lobe pneumonia
Symptoms of ileus may include:
Inability to pass stool or gas
Your doctor will ask about your symptoms and medical history and perform a physical exam. Diagnosis of ileus is usually based on symptoms and testing. Tests may include:
—a test that uses radiation to take a picture of structures inside the body
—a test that uses radiation to take multiple pictures of the inside of your body
—a test that uses radiation to take a picture of the colon, after the colon has been filled with barium
—a thin, lighted tube inserted through the rectum and into the colon to examine the lining of the colon
If ileus was caused by surgery, it will usually resolve within 48 to 72 hours. In other cases, the disease that caused the ileus needs to be treated. This may involve adjusting the dose of a medication or replacing electrolytes.
Other treatments may be used to help ease symptoms. These may include:
Patients who suffer from ileus should not be fed until the ileus has resolved.
Nasogastric Suction (NG Tube)
A tube is inserted through the nose and into the stomach to remove digestive fluids. This will help relieve pain and bloating.
Intravenous Fluids and Electrolytes
Fluids are given by vein to avoid dehydration. Electrolytes are given by vein to help the ileus resolve.
There are medications that increase peristalsis (ie, neostigmine, tegaserod) that can be used in selected patients to help ileus resolve.
A flexible tube may be inserted into the colon to relieve pressure.
Rarely, surgery is required to remove the part of the bowels affected.
Since ileus is generally the result of injury, surgery, or a medical condition, there is little that can be done to prevent it.
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a