Colonic pseudoobstruction, also known as acute colonic pseudoobstruction, occurs when the nerves or muscles in the colon stop working properly, causing it to swell and slow down even though there is no physical blockage. Early evaluation with imaging and tests can help prevent serious complications.
The signs often mimic a true bowel obstruction. You may experience:
Several factors can trigger colonic pseudoobstruction:
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The ICD-10 code for colonic pseudoobstruction is K59.8, which covers other specified bowel disorders.
Physicians use imaging studies such as abdominal X-rays or CT scans to visualize the colon. These tests show colonic dilation without any mechanical obstruction.
Yes. Certain drugs-particularly opioids, anticholinergics, and some sedatives-can slow intestinal motility and trigger pseudoobstruction.
It can be. If untreated, the colon may become overly distended, increasing the risk of perforation, infection, or tissue death, all of which require emergency care.
Ileus involves reduced movement throughout both the small and large intestines, whereas colonic pseudoobstruction is limited to the large bowel (colon) despite no physical blockage.
Recovery often begins within a few days of treatment such as bowel rest, IV fluids, and prokinetic agents. Full recovery may take a few weeks depending on underlying causes.
Yes. A balanced, fiber-rich diet along with adequate hydration supports healthy bowel function and may reduce the risk of recurrence.
Most patients respond to non-surgical treatments like medications and decompression. Surgery is reserved for severe cases or complications such as perforation.
Recurrence is possible, especially if the underlying cause (e.g., medication effects or metabolic imbalance) is not addressed. Regular follow-up and management help prevent relapse.
GastroDoxs in Houston specializes in digestive disorders including colonic pseudoobstruction. We offer fast appointments, advanced diagnostics, and personalized treatment plans.