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Colonic Pseudoobstruction

At GastroDoxs in Houston, our expert team specializes in diagnosing and treating colonic pseudo-obstruction, providing comprehensive personalized care to relieve chronic abdominal distension and pain while tailoring each treatment plan to meet the specific needs of our community's digestive health.

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Bharat Pothuri
Symptoms

What is Colonic Pseudoobstruction?

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.

Common Symptoms

The signs often mimic a true bowel obstruction. You may experience:

  • Swollen or bloated abdomen
  • Abdominal cramping or pain
  • Trouble passing gas or stool
  • Nausea or vomiting
  • Feeling full quickly

Causes

Several factors can trigger colonic pseudoobstruction:

  • Recent abdominal or pelvic surgery
  • Severe illness or physical trauma
  • Medications such as opioids or sedatives
  • Nerve disorders like Parkinson's disease
  • Electrolyte imbalances (low potassium, low magnesium)
  • Autoimmune diseases
Treatment

Treatment Options for Colonic Pseudoobstruction in Houston

Treatment includes medical interventions and supportive care:

  • Bowel rest and IV fluids: Allow the colon to rest, correct fluid imbalances, and prevent dehydration.
  • Medications: Agents like neostigmine help stimulate colonic motility and restore normal function.
  • Colon decompression: Placement of a decompression tube or endoscopic decompression to relieve pressure and distension.
  • Surgery: Performed only if conservative measures fail or if there's evidence of ischemia, perforation, or other complications.
  • Diet modifications: Gradual reintroduction of fluids and a fiber-balanced diet to support healthy bowel movements.
  • Follow-up care: Regular monitoring, management of underlying conditions, and adjustments in therapy to prevent recurrence.

Ready to Book Your Appointment?

Your digestive health is our priority. At GastroDoxs in Houston, our board-certified specialists offer fast, accurate diagnostics and personalized treatment plans for colonic pseudoobstruction and related conditions. Call us today at 832-632-4070 or visit our online portal to schedule your consultation. Let us help you find relief and get back to living comfortably.

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Patients Treated

We've successfully treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

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Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What is the ICD-10 code for colonic pseudoobstruction?

The ICD-10 code for colonic pseudoobstruction is K59.8, which covers other specified bowel disorders.

How do doctors know it's not a true blockage?

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.

Can medications cause colonic pseudoobstruction?

Yes. Certain drugs-particularly opioids, anticholinergics, and some sedatives-can slow intestinal motility and trigger pseudoobstruction.

Is colonic pseudoobstruction dangerous?

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.

How is colonic pseudoobstruction different from ileus?

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.

How long does recovery from colonic pseudoobstruction take?

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.

Can diet help after recovery?

Yes. A balanced, fiber-rich diet along with adequate hydration supports healthy bowel function and may reduce the risk of recurrence.

Will I need surgery for colonic pseudoobstruction?

Most patients respond to non-surgical treatments like medications and decompression. Surgery is reserved for severe cases or complications such as perforation.

Can colonic pseudoobstruction happen again?

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.

Where can I find care for colonic pseudoobstruction in Houston?

GastroDoxs in Houston specializes in digestive disorders including colonic pseudoobstruction. We offer fast appointments, advanced diagnostics, and personalized treatment plans.

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