Occurs with reduced or absent peristalsis secondary to altered neuromuscular transmission of the parasympathetic innervation to the bowel.
Nonmechanical obstruction
The nursing management of this condition should include the importance of diet, sitz baths, monitoring for complications like bleeding, and emphasizing the need to avoid constipation and straining.
Hemorrhoids
This is the most common type of hernia. It occurs at the point of weakness in the abdominal wall where the spermatic cord in men or the round ligament in women emerges.
Inguinal hernia
An ostomy in the ileum?
Ileostomy
fecal occult blood test, barium enema, stool DNA- carcinoembryonic antigen (CEA), CBC, colonoscopy, endoscopy, CT
Colorectal cancer
audible abdominal sounds caused by hyperactive intestinal motility
Borborygmi
For this condition, the nurse should encourage a high-fiber diet to promote soft and painless bowel movements. It is also advisable to avoid common gas-producing foods, such as broccoli and cabbage. Patients should keep a diary to track their symptoms, diet, and episodes of stress, which can help identify triggers for their condition.
Irritable Bowel Syndrome
It occurs when there is a protrusion through the femoral ring into the femoral canal. It easily becomes strangulated and occurs more frequently in women.
Femoral hernia
created by dividing the bowel and bringing the proximal end as a single stoma.
End stoma:
The distal portion of the gastrointestinal (GI) tract is surgically removed, or it is oversewn and left in the abdominal cavity. If the distal bowel is removed, then the stoma is permanent.
CBC, fecal occult blood test, endoscopy, colonoscopy, blood test for celiac, no single test can diagnose
Irritable bowel syndrome
Protrusion of tissue, such as the intestine, through an abnormal opening or a weakened area in the wall of the cavity in which it is normally contained
Hernia
To manage this condition, the nurse should keep a strict record of intake and output, including vomit and tube drainage, and closely monitor the patient for signs of dehydration and electrolyte imbalances. Notify the provider of changes in vital signs, changes in bowel sounds, decreased urine output, increased abdominal distention, and pain.
Bowel Obstruction
It occurs when the rectus muscle is weak (as with obesity).
Umbilical hernia
An ostomy in the colon
Colostomy
visualization on examination, digital rectal exam, anoscopy, barium x-ray, sigmoidoscopy, colonoscopy, fecal occult blood test, CBC
Hemorrhoids
Surgical repair of a hernia, known as
herniorrhaphy
After this procedure, the nurse should encourage deep breathing but not coughing. Teach patients to splint the incision and open the mouth when coughing or sneezing. Educate the patient to avoid heavy lifting (>10 lb) for 6–8 weeks.
Hernia repair
A weakness of the abdominal wall at the site of a previous incision or stoma causes this.
Ventral or incisional hernia
Constructed by bringing a loop of the bowel to the abdominal surface and then opening the anterior part of the bowel to provide fecal diversion.
Loop stoma:
This results in one stoma with a proximal and distal opening and an intact posterior bowel wall that separates the two openings. A loop stoma is usually temporary.
visible and/or palpable on inspection, no lab tests, CT, ultrasound, x-ray
Hernia
Abnormally dilated veins that may be internal (occurring above the internal sphincter) or external (occurring outside the external sphincter)
Hemorrhoids
For this disorder, nurses should encourage patients to adopt healthy lifestyles by exercising regularly, maintaining their ideal body weight, quitting smoking, limiting alcohol consumption, and practicing sun safety. It is also important to follow a diet high in fruits, vegetables, and whole grains while low in fat, processed foods, and red meat.
Colorectal Cancer
This condition can cause severe pain and mimic bowel obstruction symptoms, including vomiting, cramping abdominal pain, and distention. It cannot be resolved without emergency surgery.
Strangulated hernia
The bowel is divided, and both the proximal and distal ends are brought through the abdominal wall as two separate stomas.
Double-barrel stoma:
The proximal one is the functioning stoma; the distal, nonfunctioning stoma is called the mucus fistula. The double-barreled stoma is usually temporary.
CBC (Hb & Hct), metabolic panel (BUN, creatinine), lactic acid, x-ray, CT, ultrasound, endoscopy, or colonoscopy
bowel obstruction