What Is Colonic Pseudoobstruction?
Colonic pseudoobstruction, or Ogilvie's syndrome, happens when the large intestine stops working properly. It stretches out but isn't blocked by anything. This makes it hard to move stool through the colon. You may wonder how this is different from ileus. Ileus slows down the whole bowel. In pseudoobstruction, only the colon is affected.
Common Causes and Risk Factors
Several things can lead to this condition:
- Surgery or injury
- Serious illness like infection or heart problems
- Medicines that slow digestion
- Low potassium or magnesium levels
- Nerve or brain conditions (like Parkinson's or spinal cord injury)
- Being over 60 years old
Dr. Chadha uses these clues to quickly find and treat the cause.
Signs and Symptoms
Watch for these common symptoms:
- Belly swelling or bloating
- Pain or cramps in the stomach
- Constipation or no gas
- Feeling sick or throwing up
- Fast heartbeat or a mild fever
If you notice these signs in Houston, get help right away.
How Dr. Rishi Diagnoses Colonic Pseudoobstruction?
How Dr. Rishi Chadha Diagnoses This Condition
Here's how Dr. Chadha finds out if you have colonic pseudoobstruction:
Medical History and Exam
He'll ask about your symptoms, health history, and medicines.
Imaging Tests
An X-ray or CT scan shows how your colon looks and if gas is trapped
Blood Tests
These look for infection, dehydration, or low electrolytes.
Rule Out Blockage
A colonoscopy or barium enema checks if anything is physically blocking the colon. We follow expert guidelines, including the ICD-10 code K59.8, for accurate care.
Frequently Asked Questions
How is colonic pseudo-obstruction different from ileus
Ileus affects the entire bowel, slowing it down. Colonic pseudo-obstruction (Ogilvie's syndrome) involves only the large intestine without a physical blockage.
When should I get treatment
As soon as you experience symptoms abdominal distension, pain, constipation, or vomiting to avoid serious complications.
Whats the ICD-10 code
The ICD-10 code for colonic pseudo-obstruction is K59.8.
Can I fix it with diet alone
Dietary changes (small, low-fiber meals and hydration) may help mild cases, but most patients need medical evaluation and treatment.
Any home remedies
Gentle walking, staying well hydrated, and avoiding gas-producing foods can support gut motility but always consult your doctor if symptoms persist.
Is a CT scan painful
No. A CT scan is quick, noninvasive, and usually free of discomfort.
How fast will I feel better after decompression
Many patients feel relief within a few hours and can often go home the same or next day.
Can this happen again
Yes. Recurrences are possible. We offer long-term management plans and procedures like PEC for recurring cases.
Do you treat other gut issues
Yes. Dr. Chadha also manages gastroparesis, chronic constipation, intestinal motility disorders, and more.
Will my insurance cover this
Most insurance plans cover diagnosis and treatment. Our staff will assist you with pre-authorization and billing questions.