Treatment Options for Intestinal Adhesions
Intestinal adhesions commonly occur following abdominal surgeries. In mild cases, patients may experience slight abdominal discomfort, particularly after meals. This pain is usually manageable and does not significantly disrupt daily activities.
In more severe cases, intestinal adhesions can lead to bowel obstruction. Symptoms of obstruction include intense abdominal pain, bloating, nausea, vomiting, and the cessation of gas and stool passage. These signs indicate a more serious condition that requires prompt medical attention.
Non-Surgical Management of Mild Adhesions
For patients with mild symptoms, lifestyle and dietary adjustments can be beneficial. Eating smaller, more frequent meals and avoiding strenuous activity after eating can help reduce discomfort. It is also important to avoid spicy or irritating foods that may exacerbate symptoms.
When pain or cramping is present, doctors may recommend antispasmodic medications to relieve discomfort. These treatments aim to improve quality of life by managing symptoms without the need for further intervention.
Treatment for Bowel Obstruction Due to Adhesions
If an intestinal adhesion leads to a blockage, treatment becomes more intensive. Patients are typically advised to stop eating and drinking, and intravenous fluids are administered to maintain hydration and balance electrolytes and acid-base levels.
In such cases, gastrointestinal decompression using a nasogastric tube may be necessary. Additionally, antibiotics might be prescribed to prevent or treat infections that can arise from prolonged obstruction.
When Surgery Is Necessary
If conservative treatments fail and the condition progresses to a more dangerous form—such as strangulated bowel obstruction—urgent surgical intervention is required. Surgery aims to restore blood flow to the affected area of the intestine and, if necessary, remove any damaged sections.
In some situations, a surgeon may perform a resection and anastomosis, which involves removing the affected part of the intestine and reconnecting the healthy ends. Early detection and treatment are crucial to preventing life-threatening complications.