Adhesions in the Abdomen: Understanding Treatment Options and Inflammation Management

Abdominal adhesions typically result from surgical procedures, where scar tissue forms between the intestines and the abdominal wall. In most cases, taking anti-inflammatory medications does not resolve adhesions. These adhesions commonly develop due to the manipulation of abdominal organs during open surgeries. After suturing, the peritoneum may heal with scar formation, leading to a rough inner surface that promotes the sticking together of intestinal loops and the abdominal wall. Most individuals with adhesions experience no symptoms at all.

When Adhesions Cause Symptoms

Problems arise when the adhesions cause the intestines to twist or form sharp angles, obstructing the normal passage of intestinal contents. This can lead to symptoms such as abdominal pain, bloating, and reduced gas passage or bowel movements. In such cases, adhesions may cause partial or complete bowel obstruction, which often requires hospitalization.

Treatment Approaches for Bowel Obstruction

Once admitted, the primary treatment involves allowing the gastrointestinal tract to rest. In more severe cases of obstruction, a nasogastric tube may be inserted to remove the buildup of fluids above the blockage, thereby reducing pressure and strain on the bowel. Intravenous fluids and electrolytes are administered to maintain hydration and balance. Importantly, antibiotics are not always necessary unless there is a concern for infection. As bowel function begins to return, patients are gradually reintroduced to food, starting with easily digestible liquids and soft foods.

Managing Long-Term Health

For individuals with a history of abdominal surgery, understanding the potential for adhesions is key. While inflammation is a natural part of the healing process, managing it effectively post-surgery can support better long-term outcomes. Focus should be placed on medical supervision and lifestyle adjustments rather than relying solely on medication.