Intestinal Obstruction

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chest pain, pressure or pain spreading to the arm, jaw or back
trouble breathing, blue lips, severe wheeze or choking
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collapse, fainting, seizure, confusion or extreme drowsiness
severe bleeding, black stools, vomiting blood or major injury
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severe abdominal pain, severe headache, stiff neck or sudden vision change
signs of severe dehydration, sepsis, high fever with worsening illness, or symptoms in a baby/young child that concern you

Connected health information

Explore this condition in a clear order

1. Attributes 2. Signs & symptoms 3. Drugs / medications 4. Treatments by type 5. Further tests / investigations 6. Biological / test markers

Condition overview

Attributes

Critical careis Yes

Linked signs and symptoms

7

Each sign/symptom opens its own page and links back to related conditions.

Linked drugs / medications

1

Medication information is educational only. A doctor or pharmacist should advise whether any medicine is appropriate.

PyridostigmineAnticholinesterase

Treatments, therapies and supportive options

22

Grouped by treatment type. These are educational database links, not personal treatment recommendations. Evidence labels are shown only where stored in the EH database.

Medical procedures and investigations

5

Surgery

4

Endoscopic procedures

1

Endoscopy

Medical therapy

9

Lifestyle changes

1

Intravenous fluids (IV)Weakly in Favour(Low Evidence)

Alternative and complementary therapies

1

Celandine (Ukrain, Chelidonium Majus)Weakly Against(Very Low Evidence)

Alternative medicine

1

Celandine (Ukrain, Chelidonium Majus)Weakly Against(Very Low Evidence)

Linked diagnostic tests and investigations

4

These are pulled from both EH diagnostic-test link tables, including the older large test-link table.

Biological markers/agents

4

This visual map shows biological markers/agents reported as increased or decreased with this condition. These are educational relationships only; test results must be interpreted by a qualified clinician because ranges vary by lab, method, age, sex and clinical context.

Often increased

3

Often decreased

1

Sodium (Na, Blood)Reference range exampleInfant (0 - 1y): 134–150 mEq/L; Child (0 - 16y): 136–145 mEq/LLinked diagnostic testsSodium Concentration (Na, Blood)

Introduction / full article

ID 970

Efficacy of Alternative and Other Treatments According to GRADE* Ranking:

Celandine (Ukrain, Chelidonium Majus) [4, 5, 6]:

Please note, this management does NOT treat the condition itself. It is proposed only as a weak supportive symptomatic support, and even then, has insufficient evidence to back up this claim at present.

Recommendation: weakly against (There is insufficient evidence that Celandine helps to cure or treat intestinal obstruction. In addition, the plant is mildly poisonous to humans. It may cause hepatitis as well as symptoms of pain, nausea, thirst, and fever.)

Grade of Evidence: very low quality of evidence

* www.gradeworkinggroup.org

Summary References

Treatments:
1. Small Bowel Obstruction overview Retrieved on February 19, 2010

2. Small Bowel Obstruction The Eastern Association for the Surgery of Trauma. February 19, 2010

3. http://www.merck.com/mmpe/sec02/ch011/ch011h.html?qt=intestinal%20obstruction&alt=sh#sec02-ch011-ch011h-514

4. Ades T, Alteri R, Gansler T, Yeargin P, "Complete Guide to Complimentary & Alternative Cancer Therapies", American Cancer Society, Atlanta USA, 2009
5. http://abchomeopathy.com/r.php/Chel

6. http://www.naturalstandard.com/index-abstract.asp?create-abstract=/monographs/herbssupplements/greatercelandine.asp