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Common physical exam findings may include signs of dehydration, abdominal distension with tympany, nonspecific abdominal tenderness, and high pitched tinkly bowel sounds. [11] In large bowel obstruction, the pain is felt lower in the abdomen and the spasms last longer. Common symptoms include abdominal pain, distension, and severe constipation ...
Bowel obstruction may present with grumbling bowel sounds or high-pitched noises. Healthy persons can have no bowel sounds for several minutes [9] and intestinal contractions can be silent. [10] Hyperactive bowel sounds may be caused by partial or complete bowel obstruction as the intestines initially try to clear the obstruction. [11]
A stomach rumble, also known as a bowel sound, peristaltic sound, abdominal sound, bubble gut or borborygmus (pronounced / ˌ b ɔːr b ə ˈ r ɪ ɡ m ə s /; plural borborygmi), is a rumbling, growling or gurgling noise produced by movement of the contents of the gastrointestinal tract as they are propelled through the small intestine by a series of muscle contractions called peristalsis. [1]
Auscultation of the abdomen can produce several clues to the cause of nausea and vomiting. A high-pitched tinkling sound indicates possible bowel obstruction, while a splashing "succussion" sound is more indicative of gastric outlet obstruction. Eliciting pain on the abdominal exam when pressing on the patient may indicate an inflammatory process.
On CT imaging, the small bowel feces sign appears as a mottled, mixed-density pattern within a distended small bowel loop. It is typically located proximal to the site of obstruction and is often accompanied by other features of small bowel obstruction, such as: [5] Dilated bowel loops: Loops proximal to the obstruction exhibit dilation (>2.5-3 ...
Frequent urge to defecate, [12] and frequent bowel movements/toilet visits, [35] where only fecal pellets may be passed. [20] Conversely, there may reduced number of bowel movements per week. [19] [1] Abnormal stool texture, which may be anything from watery/loose (overflow diarrhea), [12] to fragmented, [23] very hard [19] or pellet-shaped. [12]
Sigmoid colon volvulus, also known as sigmoid volvulus, is volvulus affecting the sigmoid colon.It is a common cause of bowel obstruction [1] and constipation.It is common in Asia, India (7% of intestinal obstruction) and especially South India because of the high fibre diet.
Ogilvie syndrome, or acute colonic pseudo-obstruction, is the acute dilatation of the colon in the absence of any mechanical obstruction in severely ill patients. [ 1 ] Acute colonic pseudo-obstruction is characterized by massive dilatation of the cecum (diameter > 10 cm) and right colon on abdominal X-ray.