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Transanal irrigation uses a large volume water enema system. [2] It is carried out every day (or every 2 days) by the patient or carer as a long term management for bowel dysfunction, including fecal incontinence and/or constipation (especially obstructed defecation).
Fecal impaction is a common result of neurogenic bowel dysfunction and causes immense discomfort and pain. Its treatment includes laxatives, enemas, and pulsed irrigation evacuation (PIE) as well as digital removal. It is not a condition that resolves without direct treatment.
The doctor then recommends a course of action (e.g. enemas, laxative, and/or controlled diet). The next day, the process is repeated with modifications to help the child achieve a completely empty colon. After the course of this week the doctor can determine the precise amount and combination of what the child needs to achieve bowel management.
One type of constipation which may occur in people with neurogenic bowel dysfunction is obstructed defecation. [ 10 ] Neurogenic bowel dysfunction can have an impact on a person's life as it often leads to difficulties with self-esteem, personal relationships, social life and can also reduce a person's independence. [ 5 ]
In standard medicine, the most frequent uses of enemas are to relieve constipation and for bowel cleansing before a medical examination or procedure; [5] also, they are employed as a lower gastrointestinal series (also called a barium enema), [6] to treat traveler's diarrhea, [7] as a vehicle for the administration of food, water or medicine ...
Gastric volvulus causes nausea, vomiting, and pain in the upper abdomen. The Borchardt triad is a group of symptoms that help doctors to identify gastric volvulus. The symptoms are intractable retching, pain in the upper abdomen and inability to pass nasogastric tube into the stomach. [14]
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Depending on the level of obstruction, bowel obstruction can present with abdominal pain, abdominal distension, and constipation.Bowel obstruction may be complicated by dehydration and electrolyte abnormalities due to vomiting; respiratory compromise from pressure on the diaphragm by a distended abdomen, or aspiration of vomitus; bowel ischemia or perforation from prolonged distension or ...
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