Cessation of venting is a symptom of anal cessation of venting due to intestinal obstruction and other causes. Adhesions and adhesion zone compression Adhesions can cause symptoms of obstruction due to bowel folding and twisting. It is the most common cause of intestinal obstruction in adults, but a few cases can be without a history of abdominal surgery and inflammation.
Differential diagnosis of cessation of exhaustion due to intestinal obstruction: 1. Presence of intestinal obstruction The diagnosis of intestinal obstruction is generally not difficult based on abdominal pain, vomiting, abdominal distension, anal cessation of defecation and exhaustion, and changes in bowel sounds with x-ray examination. However, in clinical practice, there are still cases where internal diseases (acute gastroenteritis, violent food poisoning, angina pectoris, allergic purpura, etc.) are treated as mechanical intestinal obstruction and operated on, resulting in the death of the patient, which needs to be noted.
2.Differentiate between mechanical obstruction and paralytic obstruction The former mostly requires surgery, while the latter often does not, so the differentiation is very important.
The main basis for the diagnosis of mechanical intestinal obstruction is paroxysmal abdominal pain, accompanied by hyperactive bowel sounds and fluid planes in the enlarged intestinal cavity as seen on abdominal fluoroscopy.
However, the following two conditions should be noted; one is mechanical obstruction without reasonable treatment, and the muscle of the upper part of the obstructed intestine is overdistended and eventually paralyzed, thus the clinical manifestation is gradual reduction of abdominal pain, while there is an increase of abdominal distension and diminished or absent bowel sounds; the other is necrosis and perforation of the upper part of the obstructed intestine, and the paroxysmal abdominal pain may thus be reduced. The formation of peritonitis may also cause secondary intestinal paralysis, masking the original mechanical intestinal obstruction. The differentiation between intestinal paralysis secondary to mechanical intestinal obstruction and primary paralytic intestinal obstruction is mainly based on detailed medical history.
The importance of differentiating simple obstruction and strangulated obstruction is that the prognosis of strangulated intestinal obstruction is serious and must be treated surgically, while simple intestinal obstruction can be treated non-surgically first.
4.Differentiate between small bowel obstruction and colonic obstruction Because colonic obstruction may be closed collaterals, the effect of gastrointestinal decompression on treatment is unsatisfactory and requires early surgery, so it is very important to differentiate. In high small bowel obstruction, vomiting appears earlier and more frequently, with serious imbalance of water, electrolyte and acid-base balance, and abdominal distension is not obvious. Colon obstruction is often characterized by insignificant abdominal pain, early onset of abdominal distension and located around the abdomen, late onset of vomiting, obvious distension in the colon on x-ray examination and sudden abortion at the obstruction, and barium enema visible at the site of obstruction.
5.Identify partial and complete intestinal obstruction Partial obstruction, the disease development is slow, with defecation, exhaust; complete obstruction. The development of the disease is fast and heavy, and there is no defecation and exhaustion.