What to do if you can't find the cause of recurrent intestinal obstruction

When intestinal obstruction recurs and the cause cannot be found, we should first consider whether there is functional intestinal obstruction, occult diseases or specific undetected causes. At this time, it is necessary to seek medical attention for more in-depth examinations, using imaging, endoscopy or laparoscopy to make a clear diagnosis and develop a treatment plan.

Recurrent intestinal obstruction is usually caused by specific pathological or functional problems. Causes may include genetic factors, such as collagen-related diseases or familial polyposis syndrome; external environmental influences, such as recurrent infections or drug side effects; endogenous physiological problems, such as postoperative intestinal adhesions or intestinal muscle abnormalities; occult diseases, such as small intestinal tumors, Crohn's disease, or intestinal malrotation. In complex cases, imaging examinations (such as CT, MRI) can rule out intestinal stenosis, masses, or thrombosis, and capsule endoscopy can detect subtle lesions. Laparoscopic evaluation is recommended when necessary, especially for postoperative adhesions. If the examination still has no clear conclusion, further attention should be paid to functional intestinal obstruction, which may be related to intestinal neuromuscular abnormalities, irritable bowel syndrome, or psychological stress. Such problems need to be checked through stress testing, barium contrast, and a detailed medical history.

Recurrent intestinal obstruction is usually caused by specific pathological or functional problems. Causes may include genetic factors, such as collagen-related diseases or familial polyposis syndrome; external environmental influences, such as recurrent infections or drug side effects; endogenous physiological problems, such as postoperative intestinal adhesions or intestinal muscle abnormalities; occult diseases, such as small intestinal tumors, Crohn's disease, or intestinal malrotation. In complex cases, imaging examinations (such as CT, MRI) can rule out intestinal stenosis, masses, or thrombosis, and capsule endoscopy can detect subtle lesions. Laparoscopic evaluation is recommended when necessary, especially for postoperative adhesions. If the examination still has no clear conclusion, further attention should be paid to functional intestinal obstruction, which may be related to intestinal neuromuscular abnormalities, irritable bowel syndrome, or psychological stress. Such problems need to be checked through stress testing, barium contrast, and a detailed medical history.

Patients need to pay attention to a reasonable diet structure, maintain small and frequent meals, and avoid high-fiber or difficult-to-digest foods. You can increase the amount of foods rich in soluble dietary fiber, such as oats or kiwis, to help the intestines function smoothly. For functional disorders, probiotics can be used to assist in adjusting the intestinal flora. Some severe patients can use drugs that promote intestinal peristalsis (such as neostigmine, metoclopramide) under the guidance of a doctor, or take surgery to loosen adhesions and remove lesions as appropriate. You need to have a regular work and rest schedule, avoid long-term overwork, and seek medical attention as soon as possible if you feel unwell to avoid delaying the disease.