➢ Mechanical Intestinal Obstruction vs. a Non-Mechanical Intestinal
Obstruction- there is a link and video on this in the course materials if you
are still unsure of the difference.
1. Mechanical
▪ Adhesions
▪ Tumors
▪ Fibrosis
▪ Strictures
▪ Diverticulitis
▪ Fecal impaction
▪ Hernia
▪ Volvulus
2. Nonmechanical
▪ Paralytic ileus
▪ Neurogenic disorder
▪ Vascular disorder
▪ Electrolyte imbalance
▪ Inflammatory response
➢ What is…
1. Intussusception – telescoping of the bowel, when a segment of bowel
, pushes into another segment causing it to collapse. Common in kids.
2. Signs and Symptoms
a. Stool mixed with blood and mucus (currant jelly)
b. Vomiting
c. Lump in abdomen
d. Lethargy
e. Diarrhea
f. Fever
, ➢ Irritable Bowel Syndrome
1. Signs and Symptoms: what will you see on
presentation a. IBS-D = Diarrhea
i. Abdominal cramping
ii. Diarrhea
iii. Change in stool frequency or consistency
iv. Flatulence
v. Passing mucus from rectum
vi. Bloating
vii. Abdominal distension
b. IBS-C - constipation
i. Abdominal pain/discomfort
ii. Changes in bowel function
iii. Bloating/gas
iv. Straining
v. Infrequent stools
vi. Hard/lumpy stools
vii. Feeling that bowel does not empty completely
c. IBS-A (Alternating)
i. Inconsistent bowl habit
ii. All symptoms of typical IBS
iii. Diarrhea and constipation
d. IBS-M (Mixed)
i. Increased belly pain
ii. Both diarrhea and constipation
2. Health Promotion and maintenance (Patient education)
a. Avoid foods that trigger exacerbation
i. Dairy
ii. Wheat
iii. Corn
iv. Fried foods
v. Alcohol
vi. Spicy foods
vii. Aspartame
b. Avoid alcoholic and caffeinated beverages, and other fluids
containing fructose and sorbitol
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