Treatments for Intestinal Conditions
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Hospital statistics for Intestinal Conditions:
These medical statistics relate to hospitals, hospitalization and Intestinal Conditions:
- Hospitalization statistics in Australia:
- 0.78% (30,879) of hospital episodes were for intestinal infectious diseases in public hospitals in Australia 2001-02 (Australian Hospital Data, AIHW, Australia, 2001-02)
- 21% of hospitalisations for intestinal infectious diseases were single day episodes in public hospitals in Australia 2001-02 (Australian Hospital Data, AIHW, Australia, 2001-02)
- 90% of hospitalisations in public hospitals for intestinal infectious diseases were by public patients in Australia 2001-02 (Australian Hospital Data, AIHW, Australia, 2001-02)
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Hospitals & Medical Clinics: Intestinal Conditions
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Book Excerpts: Treatment of Intestinal Conditions
Treatments of Intestinal Conditions: Online Medical Books
16 MEDICAL BOOKS ONLINE!
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for more information about the treatments of Intestinal Conditions.
Constipation:
Treatment
(In a Page: Signs and Symptoms)
- If history, physical, and evaluation are all negative, a series of lifestyle modifications and conservative treatments are indicated
–Increase fiber and fluid intake
–Exercise
–Avoid causative medications
–Saline cathartics: Magnesium-containing compounds
and phosphate enemas work by osmotic effect; avoid in renal insufficiency; for acute cases only
–Hyperosmotic nonabsorbing sugars (e.g., lactulose) may be used for long-term management and are less toxic
–Lavage solutions may be used for refractory constipation and impactions
–Enemas: Low volume tap water or sodium phosphate (FLEET) may be used for severe constipation
–A combination of suppositories (glycerin or bisaccodyl) and enemas (phosphate) will soften impactions; however, digital disimpaction may be necessary
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Constipation:
Treatment
(In A Page: Pediatric Signs and Symptoms)
- Functional constipation
–Parental education and demystification of the process of normal defecation
–Disimpaction with oral laxatives, senna, magnesium citrate, enemas
–Maintenance stool softeners for 6–12 months, osmotic agents such as lactulose, polyethylene glycol 3350 (Miralax), mineral oil, milk of magnesia, Mylanta
–Dietary manipulations: Increase fluid intake and increase dietary fiber (14 g/1,000 cal required)
-
Cessation of offending drugs when possible
-
Correction of electrolyte disturbance
-
Treatment of endocrinologic disease
-
Hirschsprung disease is treated by surgical resection of agangliotic segment with subsequent reanastomosis
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Intestinal obstruction:
Treatment (Tx)
(Professional Guide to Diseases (Eighth Edition))
Surgery, nasogastric tube, total parenteral nutrition, supportive care (I.V. fluids, bed rest)
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Constipation:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Caution the patient not to strain during defecation to prevent injuring rectoanal tissue. Instruct him to avoid using laxatives or enemas. If he has been abusing these products, begin to wean him from them. Use a disposable glove and lubricant to remove impacted fecal contents. (Check if an oil-retention enema can be given first to soften the fecal mass.)
Stress the importance of a high-fiber diet, and encourage the patient to drink plenty of fluids. (Explain that he may experience temporary bloating or flatulence after adding fiber to his diet.) Also, encourage him to exercise at least 1½ hours each week, if possible.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Intestinal obstruction:
Treatment
(Handbook of Diseases)
Initial therapy involves correcting fluid and electrolyte imbalances, resting the bowel by decompressing it to relieve vomiting and distention, maintaining nothing by mouth status, and treating shock and peritonitis. A strangulated obstruction usually necessitates blood replacement as well as I.V. fluid administration. Nasogastric tube suction is necessary to relieve vomiting and abdominal distention.
Close monitoring of the patient’s condition determines the duration of treatment; if the patient fails to improve or if his condition deteriorates, surgery is necessary. Surgery is performed on all patients with large-bowel obstruction.
Total parenteral nutrition may be appropriate if the patient suffers a protein deficit from chronic obstruction, postoperative or paralytic ileus, or infection.
Drug therapy includes an analgesic and a sedative. An antibiotic is given for peritonitis due to bowel strangulation or infarction. A broad-spectrum antibiotic should be given to provide anaerobic and gram-negative coverage.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Chronic constipation:
Treatment
(Handbook of Diseases)
Effective treatment varies with the patient’s age and condition and depends on the cause. A diet high in fiber, sufficient exercise, and increased fluid intake should relieve constipation. (See Breaking the constipation habit.)
Treatment for severe constipation may include bulk-forming laxatives, such as psyllium, or well-lubricated glycerin suppositories; for fecal impaction, manual removal of stool is necessary. Administration of an oil-retention enema usually precedes stool removal; an enema is also necessary afterward. For lasting relief of constipation, the patient with inactive colon must modify his bowel habits.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Constipation:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Caution the patient not to strain during defecation to prevent injuring rectoanal tissue. Instruct him to avoid using laxatives or enemas. If he has been abusing these products, begin to wean him from them. Use a disposable glove and lubricant to remove impacted fecal contents. (Check if an oil-retention enema can be given first to soften the fecal mass.)
Stress the importance of a high-fiber diet, and encourage the patient to drink plenty of fluids. (Explain that he may experience temporary bloating or flatulence after adding fiber to his diet.) Also, encourage him to exercise at least 1½ hours each week, if possible.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Constipation:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Prepare the patient for diagnostic tests, such as proctosigmoidoscopy, colonoscopy, barium enema, plain abdominal films, and an upper GI series.
▪ If the patient is on bed rest, reposition him frequently, and help him perform active or passive exercises, as indicated.
Patient teaching
▪ Teach the patient abdominal toning exercises if his abdominal muscles are weak.
▪ Teach relaxation techniques to help him reduce stress.
▪ Encourage the patient to avoid straining.
▪ Stress the importance of a high fiber diet and encourage the patient to drink plenty of fluids.
▪ Discuss the importance of regular exercise and avoidance of chronic use of laxatives or enemas.
▪ Explain the cause of his constipation and the treatment plan.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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