I had an Ileus that got so bad 5 days post surgery (and after discharge) that I spent 4 days in the hospital to decompress the bowel. Thanks to an APN who happened to walk by while I was in the ER waiting room, I had an NG tube inserted that took out a liter of bile in the first 2 minutes, and another liter in the next 5. He figuratively, if not literally, saved my life. The pain was excruciating.
Watching this video and several others like it makes it very clear just how bad my public health hospital emergency room is, not just how they don't do their job but also how they manipulate the steps of the diagnosis process and selectively omit key tests, so that they can discharge the patient and then safely file a report that makes it appear there's nothing seriously wrong with the patient who comes in with the first signs of SBO. All they are doing is passing the buck onto their colleagues who will have to deal with extra complications and extra damage caused by delayed diagnosis.
Very nice presentation 👏 it's important as a Radiologist to be able to name the cause of the ileus. It's also important as a non- medical worker to know that this condition exists and abdominal pain should be taken seriously.
In patients with acute small bowel obstruction, routine laboratory studies help assess the presence and severity of hypovolemia and electrolyte abnormalities and may indicate the possibility of complications (eg, leukocytosis, metabolic acidosis).
This is good to know. I have COPD and every time I have a COPD exacerbation I get an ileus. My bowels shut down, become very distended and extremely painful and stay that way for a week. I can't eat or take anything in orally as it comes right back up. It goes away on it's own, I figure the stress my body is put under when I stop breathing causes a lot of trauma to my system. It's the most painful thing I have ever had including unmedicated child birth!
I find it interesting that spastic ileus seems to have never been taken up as a frequent cause of self limited ileus. You have to go back to a 1918 paper to even find it, and the author complains likewise that it is not getting the attention it deserves in the classification of ileus. SPASTIC ILEUS (SPASMODIC INTESTINAL OBSTRUCTION), 1918 Since we can have hiccups which are spasmodic, and leg cramps, doesn’t take much to believe there can be intestinal cramps. I think my one ileus event was spasmodic, lasting 4 days, triggered by excessive coffee consumption (up to 5 cups a day). Although could also have been round worms triggering it, according to the 1918 paper, and that indeed had been my first suspicion then.
i have sever pain in middle of my stomach and nosia for 4 years i did axial ct yesterday they didn’t find any problem cani i know if there is blockage in small intestine with axail ct only what do you suggest ?!
There are studies that coca cola can assist in bowel obstructions. I keep some handy when or if I feel discomfort. Drink a little at a time and see / feel improvement
Now latest surgery like robotic, laproscopic. Its not a final solution to do..before go for surgery try to take plenty of water as much every one hour intervel. Much essential to take fibre content in food. Night food should to take fruits and vegetables as much as possible literally then fried food..additionally 20 minutes walk..moreover chew the food slowly atleast your food should be taken by you 10 to 15mins. Partially some medicine intake up to few months..hopefully u will be alright👍.
Hello Doctor, I have intestinal paralysis. I visited more than one doctor and did not find a solution. I lost my weight. I weighed 80 and now it is 49. I always feel heavy with fullness and satiety. I vomit every meal. I became like a skeleton. By God, my life is tired and destroyed. Is there a cure for this disease?
I had an Ileus that got so bad 5 days post surgery (and after discharge) that I spent 4 days in the hospital to decompress the bowel. Thanks to an APN who happened to walk by while I was in the ER waiting room, I had an NG tube inserted that took out a liter of bile in the first 2 minutes, and another liter in the next 5. He figuratively, if not literally, saved my life. The pain was excruciating.
Watching this video and several others like it makes it very clear just how bad my public health hospital emergency room is, not just how they don't do their job but also how they manipulate the steps of the diagnosis process and selectively omit key tests, so that they can discharge the patient and then safely file a report that makes it appear there's nothing seriously wrong with the patient who comes in with the first signs of SBO.
All they are doing is passing the buck onto their colleagues who will have to deal with extra complications and extra damage caused by delayed diagnosis.
Very nice presentation 👏 it's important as a Radiologist to be able to name the cause of the ileus. It's also important as a non- medical worker to know that this condition exists and abdominal pain should be taken seriously.
Very informative, concise, clear and value lecture. Thank you, we appreciate that.
Though i don't understand much of what is presented here, there such a density of information that I actually learned a lot.
Thank you for this.
Straight to the point info.
Adequate, straight to the point information. Gracias.
Informative lecture. Thank you. 👍
In patients with acute small bowel obstruction, routine laboratory studies help assess the presence and severity of hypovolemia and electrolyte abnormalities and may indicate the possibility of complications (eg, leukocytosis, metabolic acidosis).
… Clostridioides difficile can present without watery diarrhea and w/ ileus 👊🏾 !!
This is good to know. I have COPD and every time I have a COPD exacerbation I get an ileus. My bowels shut down, become very distended and extremely painful and stay that way for a week. I can't eat or take anything in orally as it comes right back up. It goes away on it's own, I figure the stress my body is put under when I stop breathing causes a lot of trauma to my system. It's the most painful thing I have ever had including unmedicated child birth!
Ohhhhh my Gosh, thank you! This video was my Christmas and New Year's gift! Thanks again!! I will be subscribing and browsing through your videos.
very good lecture please cover head neck and spine radiology
Tks, this was a very clear tutorial/lecture. Very helpful.
Thank you. This is so helpful!
Thank you so much , v. Informative & right to the point
I find it interesting that spastic ileus seems to have never been taken up as a frequent cause of self limited ileus. You have to go back to a 1918 paper to even find it, and the author complains likewise that it is not getting the attention it deserves in the classification of ileus.
SPASTIC ILEUS (SPASMODIC INTESTINAL OBSTRUCTION), 1918
Since we can have hiccups which are spasmodic, and leg cramps, doesn’t take much to believe there can be intestinal cramps. I think my one ileus event was spasmodic, lasting 4 days, triggered by excessive coffee consumption (up to 5 cups a day). Although could also have been round worms triggering it, according to the 1918 paper, and that indeed had been my first suspicion then.
What about metabolic causes: hypokalemia, hypothyroid? Very good presentation
Thnk u soo much for such wonderfull explanation ..😘😘
Thank u for this
I need help explaining my CT scan. Could u help me cos my doctors ain’t really transparent with me
Okkk tell me
Thank you so much
Awesome Lecture 👌
Thank U ♥️
Thank you
nice lecture
C. difficile causes a functional paralytic ileus! Don’t forget it nerds 💪🏾 ~ Noel
i have sever pain in middle of my stomach and nosia for 4 years i did axial ct yesterday they didn’t find any problem cani i know if there is blockage in small intestine with axail ct only what do you suggest ?!
There are studies that coca cola can assist in bowel obstructions. I keep some handy when or if I feel discomfort. Drink a little at a time and see / feel improvement
Can i get consultation wants to discuss my mother in law case which facing bowl obstruction?
thank you so much!
Tq
Thnku dr ♥️♥️♥️
I was absolutely delighted grateful with the immediate treatment I got through Dr igho channel on CZcams, keep saving live sir.
Nice
Hello,doctor, can i send you Mr.
Yo Estudio Fisioterapia..necesito Videos Sobre Esto:
OsteoMuscular_
Neuromuscular_
Cardiovascular_
Tegumentario_
I had a successful colonoscopy although my doctor said my colon is bent that’s why I get constipated a lot is there anything I can do to unbend it?
Now latest surgery like robotic, laproscopic. Its not a final solution to do..before go for surgery try to take plenty of water as much every one hour intervel. Much essential to take fibre content in food. Night food should to take fruits and vegetables as much as possible literally then fried food..additionally 20 minutes walk..moreover chew the food slowly atleast your food should be taken by you 10 to 15mins.
Partially some medicine intake up to few months..hopefully u will be alright👍.
Hello Doctor, I have intestinal paralysis. I visited more than one doctor and did not find a solution. I lost my weight. I weighed 80 and now it is 49. I always feel heavy with fullness and satiety. I vomit every meal. I became like a skeleton. By God, my life is tired and destroyed. Is there a cure for this disease?
😍😍😍
totally certain,I wrote quiz around that case.
note to self min 7
Gallstone penetrates through Gallbladder wall ??!!!!
Maybe she just recently had her NG tube removed
Does she have her microphone in her throat? We can hear everything she swallows her saliva,really annoying, however, the video is informative,
turn your volume down lol
@@slumpig360 I'll try that 👍
@@slumpig360 nope , I can still hear her salivary glands excreting digestive juices
I have the same situation but My Husband doesn't want ME In the Emergency Room
im sorry but i keep on hearing that gulping sound everytime you talk and its very annoying. aside from that. the lecture is ok ok.
Same here. It’s like she was sucking on candy or something. Super annoying
You have a condition called misophonia. Sounds are more annoying to you than to others.
pretty disgusting the swallowing sound, I quit watching the video just because of that
You have a condition caused “misophonia”. It is not as annoying to most humans as it is to you.