Patients with intestinal obstruction may experience symptoms of vomiting and excretion, and treatment needs to be targeted according to the cause. Intestinal obstruction is a pathological state in which the passage of intestinal contents is blocked. Vomiting may include gastric contents, bile, and even fecal-like substances, which is a typical manifestation of high-level obstruction. Treatment methods include gastrointestinal decompression, fluid therapy, and surgical treatment, and the specific situation requires doctor evaluation. 1 The mechanism of vomiting and excretion caused by intestinal obstruction. When the intestine is blocked, the contents cannot pass normally, resulting in dilation and abnormal peristalsis of the proximal intestine. When the obstruction site is high, the intestinal contents reflux into the stomach and form vomit. The nature of the vomit varies with the site of the obstruction. High-level obstruction may contain gastric contents and bile, and complete obstruction may cause fecal-smelling vomit. Observing the color, properties, and smell of the vomit can help determine the site of the obstruction. 2 Treatment method 1: Gastrointestinal decompression. Continuous suction decompression through nasogastric or intestinal tube placement can relieve intestinal pressure and improve symptoms. The operation must be performed by professional medical staff, and attention should be paid to monitoring the amount and properties of drainage fluid. Decompression also requires intravenous fluid replacement to maintain water and electrolyte balance. 3 Treatment method 2: Drug treatment. Use antispasmodics such as atropine to relieve intestinal spasms, antibiotics to prevent infection, and analgesics to control pain when necessary. Drug treatment requires doctors to develop a plan based on the condition and closely observe changes in the condition. 4 Treatment method three: surgical treatment. For patients with strangulated intestinal obstruction, complete intestinal obstruction or ineffective conservative treatment, timely surgical intervention is required. Surgical methods include intestinal adhesion lysis, intestinal resection and anastomosis, intestinal fistula, etc. After surgery, vital signs should be closely monitored and complications such as anastomotic fistula should be noted. 5. Prevention and care measures. Pay attention to regular diet, avoid overeating, and exercise moderately to promote intestinal peristalsis. Get out of bed and move around early after surgery, encourage deep breathing and coughing to prevent recurrence of intestinal adhesions. During the recovery period, gradually transition from a liquid diet and avoid spicy and irritating foods. Intestinal obstruction is an acute abdomen that requires prompt diagnosis and treatment. Vomiting and excretion indicate a serious condition. If relevant symptoms occur, you should seek medical attention immediately, and the doctor will assess the condition and decide on the treatment plan. Early diagnosis and appropriate treatment are crucial to prognosis. Patients and their families need to actively cooperate with treatment, pay attention to changes in the condition, and follow the doctor's instructions for care and reexamination. Adherence to scientific treatment can improve the cure rate and reduce the risk of recurrence. |
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