Concerns About Recurring Bowel Obstruction After Childhood Surgery

Q: Concerns About Recurring Bowel Obstruction After Childhood Surgery

Hello： Symptoms of intestinal obstruction include difficulty in bowel movements, abdominal distension, altered bowel sounds, and even nausea and vomiting. <br>Patients who have undergone abdominal surgery are prone to adhesions and intestinal obstruction. <br>It is preferable to

At the age of 5, a sigmoid colon resection was performed. Recently, the individual has been feeling down, often fatigued, and has a desire to sleep. Is there a possibility of recurrent bowel obstruction?

Past Medical History: At the age of 5, the cause was unknown, as stated in the title.
At 21, I experienced a paralytic ileus (cause unknown), and later a gastroenterologist advised that surgery was not necessary (the intestines were not obstructed), and I was hospitalized for 4 days.
Current Situation: I often feel depressed and am taking medication for the nervous system, but this also makes me want to lie in bed frequently.
I experience bloating 2-3 times a month (since the surgery).
I previously read in a book that "prolonged bed rest can lead to bowel obstruction." I would like to know if someone like me is at risk of recurrence? Additionally, is there no definitive surgical solution, and must I wait for an occurrence before undergoing surgery (I previously asked a surgeon, who was not the one who performed my initial surgery, and he could not provide an answer)? Thank you for your response.

Mr. Zhang, 20~29 year old female. Ask Date: 2014/08/01

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello: Symptoms of intestinal obstruction include difficulty in bowel movements, abdominal distension, altered bowel sounds, and even nausea and vomiting.
Patients who have undergone abdominal surgery are prone to adhesions and intestinal obstruction.
It is preferable to maintain normal bowel movements and gas passage, and even to take medication if necessary, to avoid a situation that requires surgery.
However, if the adhesions are severe, surgery may be unavoidable.
Wishing you safety and health.
Department of Gastroenterology, Taoyuan General Hospital, Ministry of Health and Welfare, Dr.
Chi-Feng Chen.

Reply Date: 2014/08/01

More Info

It sounds like you have been through a challenging journey with your gastrointestinal health, and I appreciate your willingness to seek clarity on your concerns regarding recurring bowel obstruction after childhood surgery. Let's break down your questions and concerns systematically.

Recurrence of Bowel Obstruction
Bowel obstruction can occur for various reasons, and while surgery can resolve an immediate issue, it does not guarantee that obstructions won't happen again in the future. In your case, having experienced a bowel obstruction at the age of 5 and again at 21, it is understandable to be concerned about the possibility of recurrence.
The risk of recurrent bowel obstruction can be influenced by several factors, including:
1. Previous Surgeries: Surgical interventions can lead to the formation of adhesions (bands of scar tissue) that may cause future obstructions. While not every surgery results in adhesions, they are a common complication.

2. Underlying Conditions: If there are underlying gastrointestinal conditions (like inflammatory bowel disease or motility disorders), they can predispose you to obstructions.

3. Lifestyle Factors: As you mentioned, prolonged bed rest can lead to decreased bowel motility, which may contribute to issues like constipation and, subsequently, bowel obstruction. Regular physical activity is crucial for maintaining healthy bowel function.

Surgical Options
Regarding your question about whether there is a definitive surgical solution to prevent future obstructions, the answer is complex. While certain surgical techniques can minimize the risk of adhesions, no surgery can completely eliminate the possibility of future obstructions. In some cases, surgeons may perform procedures aimed at reducing the likelihood of adhesions, but these are not foolproof.

If you experience symptoms of bowel obstruction again, such as severe abdominal pain, vomiting, or inability to pass gas or stool, it is essential to seek medical attention promptly. Depending on the severity and cause of the obstruction, treatment may involve conservative management (like bowel rest and hydration) or surgical intervention.

Mental Health Considerations
You mentioned feeling low and taking medication for your nervous system. It's important to recognize that mental health can significantly impact physical health, including gastrointestinal function. Stress and anxiety can exacerbate gastrointestinal symptoms, leading to a cycle of discomfort. Engaging in stress-reducing activities, seeking therapy, and maintaining a support system can be beneficial.

Conclusion
In summary, while there is a risk of recurrent bowel obstruction after previous surgeries, the exact likelihood can vary based on individual circumstances. Maintaining an active lifestyle, managing stress, and staying vigilant about any gastrointestinal symptoms are essential steps you can take. If you have ongoing concerns, it would be wise to consult with a gastroenterologist who can provide personalized advice based on your medical history and current health status.

Remember, you are not alone in this journey, and seeking help is a positive step towards managing your health effectively. If you have further questions or need clarification, don't hesitate to reach out to your healthcare provider.

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