Adhesive Intestinal Obstruction: When to Seek Specialized Care - Surgery

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Intestinal adhesions troubles?


I would like to ask the director, last year I underwent surgery for intestinal obstruction, but since the surgery, I have been suffering daily with bloating and can only eat 1-2 meals a day.
When I return to the outpatient clinic, the doctors are dismissive and unwilling to order an X-ray.
I have tried both traditional Chinese medicine and Western medicine, but there has been no improvement.
Although I understand that there are risks associated with another surgery, I am currently unable to work or live my life.
Should I choose a colorectal surgeon who specializes in these issues, or is it better to go with a general surgeon?

Xiao, 20~29 year old female. Ask Date: 2021/03/09

Dr. Xu Kaixi reply Surgery


If you continue to experience these gastrointestinal symptoms after surgery, it is recommended that you undergo further examinations to identify the cause and receive targeted treatment.

Reply Date: 2021/03/09

More Info


Adhesive intestinal obstruction is a condition that can arise after abdominal surgery, where scar tissue (adhesions) forms and causes the intestines to become blocked. This can lead to significant discomfort, pain, and a reduced quality of life, as you've described. Given your situation, it is crucial to understand when to seek specialized care and what options might be available to you.

First and foremost, if you are experiencing persistent abdominal pain, bloating, and difficulty eating, it is essential to consult a healthcare professional who can provide a thorough evaluation. While you mentioned that your previous visits to the clinic have not yielded satisfactory results, it is important to advocate for your health. If your current physician is not responsive to your concerns, consider seeking a second opinion or asking for a referral to a specialist.

In cases of adhesive intestinal obstruction, a gastroenterologist or a colorectal surgeon would be the most appropriate specialists to consult. These professionals have specific training and experience in managing conditions related to the intestines, including obstructions caused by adhesions. They can perform diagnostic tests, such as imaging studies (e.g., X-rays, CT scans) to assess the severity of the obstruction and determine the best course of action.

If conservative treatments, such as dietary modifications or medications, have not provided relief, surgical intervention may be necessary. While surgery carries inherent risks, it may be the only option to alleviate the obstruction and improve your quality of life. A colorectal surgeon is particularly well-suited for this type of surgery, as they specialize in the lower gastrointestinal tract and are experienced in dealing with complex cases involving adhesions.

In preparation for your consultation with a specialist, it may be helpful to keep a detailed record of your symptoms, including the frequency and intensity of your pain, any changes in bowel habits, and the impact on your daily life. This information can assist the physician in making an accurate diagnosis and formulating an appropriate treatment plan.

In addition to surgical options, there are also non-surgical approaches that may help manage symptoms. These can include dietary changes, such as increasing fiber intake to promote regular bowel movements, and staying well-hydrated. Some patients find relief through physical therapy or abdominal massage, which can help alleviate discomfort and improve bowel function.

Ultimately, the decision to pursue surgery or other interventions should be made collaboratively with your healthcare team. It is essential to weigh the potential benefits against the risks and to consider your overall health and lifestyle. If you feel that your concerns are not being adequately addressed, do not hesitate to seek out a specialist who can provide the focused care you need.

In summary, if you are experiencing ongoing symptoms of adhesive intestinal obstruction, it is crucial to seek specialized care from a gastroenterologist or colorectal surgeon. They can provide a comprehensive evaluation and discuss the most appropriate treatment options for your situation. Remember, advocating for your health is vital, and you deserve to receive the care and attention necessary to improve your quality of life.

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