What are Bowel Strangulation Symptoms?Prior to the actual strangulation of the bowel, obstructive symptoms are often present. These symptoms include nausea, vomiting, and constipation. As the strangulated bowel loses its blood supply, severe abdominal pain sets in. Severe abdominal pain unrelieved by any position is one of the characteristic symptoms of bowel strangulation. The release of inflammatory mediators leads to the development of fever.
Signs that give the doctors a clue on bowel strangulation include a very ill-looking patient, in distress because of abdominal pain. Abdominal examination generally shows abdominal tenderness, guarding, and muscle rigidity. The patient's vital signs often progressively worsen as the disease process progresses.
What are the Causes of Bowel Strangulation?
Bowel strangulation can be caused by different conditions. These include small bowel obstruction, hernias,volvulus, intussusception, tumors, and inflammatory bowel disease. Post-operative adhesions may also cause strangulated bowel. However, the end pathology and the treatment are the same: the strangulated bowel has to be surgically removed and the viable bowel saved. Broad-spectrum antibiotics and adequate fluid resuscitation are also given.