Expert Treatment for Colonic Pseudoobstruction by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Physical Exam
He reviews your recent surgeries, hospital stays, medication use (especially narcotics or anticholinergics), and underlying conditions like diabetes or Parkinson's. He then performs a careful abdominal exam to assess distention, tenderness, and bowel sounds.
Blood Tests
We draw labs to check white blood cell count, electrolytes, kidney function, and inflammatory markers-ruling out infection, dehydration, and metabolic imbalances that can mimic or worsen pseudoobstruction.
Imaging Studies
- Abdominal X-ray or CT scan to identify colonic dilation, measure cecal diameter, and exclude a mechanical blockage.
- Ultrasound if needed to evaluate other abdominal organs and rule out alternate causes of epigastric pain.
Endoscopic Assessment
A diagnostic colonoscopy allows direct visualization of the colon to confirm no true obstruction and enables therapeutic decompression when indicated.
Colonic Motility Testing (if needed)
In select cases, specialized transit studies or manometry help assess nerve and muscle function within the colon.
Frequently Asked Questions
What is colonic pseudoobstruction?
It is a condition where the large intestine stops moving normally, causing symptoms of blockage without any physical obstruction.
What causes it?
It can occur after surgery or serious illness, with certain medications (like narcotics or anticholinergics), or from chronic conditions such as diabetes, Parkinson's, nerve or spinal damage, or prolonged bed rest.
What are the symptoms?
Common signs include belly bloating, abdominal pain, nausea, vomiting, inability to pass stool or gas, and feeling full quickly.
How is it treated?
Treatment may involve diet and lifestyle changes, pro-motility medications, IV fluids, pain management avoiding narcotics, or procedures like colonoscopic decompression or percutaneous endoscopic colostomy.
How quickly does treatment work?
Some patients experience relief within hours of decompression or medication, while others may need a few days of supportive care.
Is this condition dangerous?
If untreated, the colon can become overly distended and risk perforation or infection. Early diagnosis and management prevent serious complications.
Will I need to stay in the hospital?
Mild cases may be managed at home with close follow-up. Severe cases often require a brief hospital stay for IV fluids, monitoring, and possible endoscopic intervention.