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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Bloating In Stomach After Bowel Obstruction Surgery?

I have had a hospital stay of 5 days for small bowel obstruction, post surgery 18 mths ago for removal of partial pancreas, full spleen and full gall bladder removal. After being home 2 days my stomach is again bloated, what is the best way to look after my self after this ordeal. I have been sticking to a light diet of jelly, fruit smoothies, soup and juices, tea. The Dr advised to stay of bread, rice and grains for a period of 2 weeks since the obstruction cleared in hospital just prior to possible surgery. is it possible to have the bowel rekink with in a couple of days by lifting things or by doing too much?
Mon, 26 Dec 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.,
Noted the history of removal of partial pancreas, spleen and gall bladder 18 months back, developed small bowel obstruction and was admitted for 5 days, after returning home after 2 days the abdomen again bloated, taking light diet of jelly, fruit smoothies, soups, juices and tea. Doctor advised to stay off bread, rice an grains for a period of 2 weeks since the obstruction cleared in hospital prior to possible surgery. wants to know whether it is possible that the bowel has re-kink, by lifting weight or by doing too much...
As per the history your have provided, this looks to be due to intestinal obstruction and although was conservatively managed may need exploratory surgery if this becomes a recurrent phenomenon.
I would advise you hte following:
Get admitted so that a clinical evaluation, examination and investigations can be done to know the exact timely problem.
X-ray of the abdomen in standing position.
Contrast enhanced CT scan of the abdomen.
This will give an idea about the extent of intestinal obstruction, the need whether to continue conservative management or need a surgery to relieve the intestinal obstruction.
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What Causes Bloating In Stomach After Bowel Obstruction Surgery?

Hi. Thanks for your query., Noted the history of removal of partial pancreas, spleen and gall bladder 18 months back, developed small bowel obstruction and was admitted for 5 days, after returning home after 2 days the abdomen again bloated, taking light diet of jelly, fruit smoothies, soups, juices and tea. Doctor advised to stay off bread, rice an grains for a period of 2 weeks since the obstruction cleared in hospital prior to possible surgery. wants to know whether it is possible that the bowel has re-kink, by lifting weight or by doing too much... As per the history your have provided, this looks to be due to intestinal obstruction and although was conservatively managed may need exploratory surgery if this becomes a recurrent phenomenon. I would advise you hte following: Get admitted so that a clinical evaluation, examination and investigations can be done to know the exact timely problem. X-ray of the abdomen in standing position. Contrast enhanced CT scan of the abdomen. This will give an idea about the extent of intestinal obstruction, the need whether to continue conservative management or need a surgery to relieve the intestinal obstruction.