Colonic pseudoobstruction happens when the colon fails to move waste normally, leading to swelling and symptoms that mimic a blockage-yet no actual obstruction is found. The underlying issue involves disrupted nerve or muscle signals in the colon (ICD-10 code: K59.09).
Symptoms may develop slowly or come on suddenly. Common signs include:
In many cases the exact cause is unknown, but common triggers include:
With a focus on patient-centered care and comprehensive digestive health solutions, GastroDoxs provides expert diagnostics and effective treatment for abdominal distension, colonic pseudoobstruction, and related conditions. Our approach is rooted in compassionate, personalized care to help you achieve long-term relief and improved quality of life.
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Colonic pseudoobstruction can result from nerve or muscle dysfunction in the colon. It's often linked to nervous system disorders (e.g., Parkinson's), effects of abdominal surgery, certain medications (like opioids or anticholinergics), or electrolyte and hormone imbalances such as low potassium or thyroid issues.
Higher-risk groups include older adults, people with prior abdominal surgeries, those taking opioid or anticholinergic medications, and individuals with underlying nervous system or metabolic disorders.
Diagnosis typically involves abdominal X-rays or CT scans to rule out mechanical blockage, along with contrast studies or motility tests to assess how well the colon is moving.
Yes. Many patients improve with conservative measures such as prokinetic medications to stimulate colonic movement, laxatives when needed, IV fluids for dehydration, and dietary modifications.
Surgery is considered if conservative treatments fail or complications arise (e.g., risk of perforation). Options include placing a cecostomy tube or, in severe cases, resecting the affected segment of colon.
A soft, low-fiber diet during flare-ups can reduce symptoms. As bowel function improves, fiber is gradually reintroduced. Eating small, frequent meals and staying well-hydrated also supports recovery.
Patients typically remain in the hospital for about 2 to 5 days following surgery, depending on the procedure. Full recovery at home varies but often takes several weeks with proper follow-up care.
Yes. Chronic cases may recur, so ongoing monitoring, adherence to treatment plans, and regular follow-up with a gastroenterologist are important to minimize relapses.
Absolutely. Staying well-hydrated supports normal bowel function and can help alleviate symptoms like constipation and bloating.
To see a digestive health expert, contact GastroDoxs in Cypress. Our gastroenterologists will perform a thorough evaluation and develop a personalized treatment plan to manage your condition.