Acute colonic pseudoobstruction, or colonic pseudo-obstruction, is the swelling of the colon that occurs when the nerves or muscles can no longer function properly, slowing movement even though no physical blockage is present. Early testing and imaging can help prevent serious complications.
Its symptoms often resemble those of a bowel obstruction. You may experience:
Colonic pseudoobstruction may be caused by several factors:
We understand your digestive concerns and are here to help. At GastroDoxs, our board-certified specialists in Houston provide accurate diagnostics and personalized treatment plans for colonic pseudoobstruction and other gastrointestinal conditions — all with care and efficiency.
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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.
The ICD-10 code for colonic pseudoobstruction is K59.8, which includes other specified bowel disorders.
Physicians use imaging tests such as abdominal X-rays or CT scans to examine the colon. These tests confirm that there is no mechanical blockage, only dilation of the colon.
Yes. Certain medications—especially opioids, anticholinergics, and some sedatives—can slow intestinal motility and trigger pseudoobstruction.
It can be serious. If left untreated, the colon may become overstretched over time, increasing the risk of perforation, infection, or tissue death, and must be treated as a medical emergency.
Ileus affects movement in both the small and large intestines, while colonic pseudoobstruction impacts only the large bowel (colon) even though no physical blockage is present.
Recovery usually begins within a few days of treatment, including bowel rest, IV fluids, and prokinetic medications. Full recovery may take several weeks depending on the underlying cause.
Yes. Maintaining good hydration and following a healthy, fiber-rich diet supports normal bowel function and helps prevent recurrence.
Most patients respond well to non-surgical treatments such as medication and decompression. Surgery is reserved for severe cases or complications like perforation.
Yes. Recurrence can happen, particularly if the root cause—such as medication side effects or metabolic imbalance—remains unaddressed. Regular follow-up and ongoing management help prevent relapse.
GastroDoxs in Houston specializes in digestive system conditions, including colonic pseudoobstruction. We offer quick appointment scheduling, advanced testing, and individualized treatment to ensure the best outcomes.
