Paralytic Ileus (intestinal paralysis)

About Paralytic Ileus (intestinal paralysis)

A temporary paralysis of a portion of the intestines after an abdominal surgery. The syndrome causes constipation, abdominal distension, and sometimes vomiting. It usually resolves on its own but may limit the ability to eat for some days following surgery.

Symptoms

Absent bowel sounds, abdominal fullness, gaseous abdominal distention, abdominal pain and cramping, vomiting, failure to pass gas or stool (constipation), diarrhea.

Tests & Diagnostics

A history and physical exam will be performed. Usually the diagnosis is obvious if surgery has just occurred. Abdominal X-rays may be done to confirm the problem.

Common tests: Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, Lipase, Urinalysis (UA), X-ray.

Conventional treatment summary

A nasogastric (NG) tube from the nose to the stomach can relieve nausea. This problem almost always improves on its own within a few days.

Medical specialties

Gastroenterology · Pediatric Gastroenterology

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Paralytic Ileus (intestinal paralysis).