Ruptured Bowel Treatment
A ruptured bowel is a hole in the small or large intestine. The contents of the digestive system will then leak into the abdominal cavity via this hole. This leakage leads to an inflammation, a condition termed peritonitis. A ruptured bowel is considered a medical emergency as it can lead to an abdominal abscess, infection, sepsis, internal bleeding and death. Therefore treatment must be commenced immediately should someone be presenting the symptoms of a ruptured bowel.
Symptoms of a Ruptured Bowel
The most obvious symptom of a ruptured bowel is severe pain. The pain is usually of rapid onset and will affect the entire abdomen and sometimes radiate towards the sufferers back. Other symptoms include tenderness of the abdomen, abdominal swelling, vomiting, fast pulse and faintness.
Treatment of a Ruptured Bowel
A ruptured bowel will most commonly require surgical intervention. An x-ray or CT scan will be used to confirm the presence of a rupture and the exact location thereof. A patient with a ruptured bowel will usually present a higher white blood cell count than a healthy patient.
Surgery will be done to repair the hole in the bowel. The leakage from the gut into the abdomen will also be cleared during the surgery to prevent infection. In some cases surgery may involve a section of the damaged bowel being removed. It may transpire that a temporary colostomy or ileostomy may be needed following the surgery.
In very rare cases a tear in the bowel may have healed itself, which will be confirmed following the appropriate testing, in which case treatment will involve a strong course of antibiotics and careful monitoring of the patient. However, in most cases emergency surgery will be the appropriate route to take.
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