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33 Possible Causes for Hyperactive Bowel Sounds, Hyponatremia, Ileus

  • Small Bowel Obstruction

    On the other hand, if very hyperactive bowel sounds are heard they are indicative of mechanical obstruction.[] However, hyponatremia ( 134 mmol/L) and CT scan findings of wall thickening or a suspected closed loop were independently associated with bowel ischemia.[] Synonyms Ileus: paralytic ileus, adynamic ileus, non mechanical obstruction, intestinal pseudo obstruction Small bowel obstruction: mechanical ileus, obstructive ileus, dynamic[]

  • Volvulus

    bowel sounds High rate of mortality, particularly in older patients ( Eur Rev Med Pharmacol Sci 2013;17:127 ) Radiology description Dilated loops of intestine Volvulus may[] After birth, 10-15% of newborns with CF may develop intestinal obstruction within a few days of birth because of meconial ileus.1 This obstruction is a result of dehydrated[] […] and intestinal obstruction without hernia K56.0 Paralytic ileus K56.1 Intussusception K56.2 Volvulus K56.3 Gallstone ileus K56.4 Other impaction of intestine K56.49 Other[]

  • Colonic Pseudo-Obstruction

    sounds can be normal or hyperactive in about 40% Imaging Findings Plain films of the abdomen are the study of choice Colon is dilated May have multiple, long fluid levels[] (ex, hyponatremia) Conservative therapies are preferred: [ Shukla, 2007 ] Bowel rest Nasogastric decompression Rectal tube decompression (if distention extends to sigmoid[] Ileus usually arises from an exaggerated intestinal reaction to abdominal surgery that is often exacerbated by numerous other conditions.[]

  • Salmonella Infection

    An abdominal radiograph showed marked gastric dilatation with no evidence of obstruction or ileus.[]

  • Amebiasis

    bowel sound, vomiting, and change in stool texture.[] Three days after hospitalization, ileus developed and right hemicolectomy was performed.[] This paper paper describes a four-month-old male infant with Entamoeba histolytica presenting initially with refusal of feeds, hyperactive bowel sound, vomiting, and diarrhea[]

  • Decreased Bowel Sounds

    Decreased or absent bowel sounds often indicate constipation. Increased ( hyperactive ) bowel sounds can sometimes be heard even without a stethoscope.[] One must ascultate for a mininum of five minutes before declaring an absence of bowel sounds. [1] Differential Diagnosis Common Causes Intestinal obstruction Adynamic ileus[] Hyperactive bowel sounds, on the other hand, refer to an increase in intestinal activity. Hyperactive bowel sounds may occur after a meal or during bouts of diarrhea.[]

  • Acute Gastroenteritis

    Diluted ORS often lead to Hyponatremia.[] […] their child was “dehydrated” and got an IV) CON: Requires more parental/caregiver involvement (we American’s are generally lazy) CON: Can’t be used in the setting of an ileus[] Campylobacter species - Bacteremia, meningitis, cholecystitis, urinary tract infection, pancreatitis, and Reiter syndrome C difficile - Chronic diarrhea, toxic megacolon, and ileus[]

  • Ileus

    Continued absence of bowel sounds suggests paralytic ileus whereas hyperactive bowel sounds may indicate a mechanical ileus ( Ruis-Tovar etal., 2010 ).[] Etiology Adynamic ileus can be caused by a number of conditions: drugs: e.g. opioids metabolic: e.g. hyponatremia sepsis: especially gram-negative bacteria abdominal trauma[] See Meconium ileus, Paralytic ileus.[]

  • Paralytic Ileus

    Bowel sounds are generally minimal or absent. In contrast, mechanical obstructions are associated with hyperactive bowel sounds.[] Hyponatremia 3. Hypomagnesemia 4. Hypermagensemia • Reflex ileus.[] Physiologic ileus resolves within 2 to 3 days; thus, ileus persisting beyond 3 days are already considered adynamic or paralytic etiologically.[]

  • Obstipation

    Symptoms were fever, leucocytosis, meteorism, and diarrhea, followed by hypoproteinemia and hyponatremia. Prognosis was poor in all these cases.[] One child had pseudoobstruction syndrome complicated by recurrent obstipation; the other had cystic fibrosis complicated by recurrent obstruction from meconium ileus equivalent[] Acute constipation must be carefully distinguished from ileus secondary to intra-abdominal emergencies, including infections.[]

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