Colonic pseudoobstruction is a condition where the colon behaves as if it's blocked even though there is no physical obstruction. Also known as Ogilvie's syndrome, it occurs when the nerves or muscles of the colon stop working properly and slow down bowel movements.
Symptoms can resemble other digestive disorders. You may experience:
Colonic pseudoobstruction can be triggered by various factors:
Our Katy-based team specializes in expert diagnosis and treatment of colonic pseudoobstruction, offering fast access to imaging, personalized care plans, and compassionate support every step of the way. Don't wait to feel better-call us now or book your appointment online to get started on your path to relief.
We've successfully treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.
With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients
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.
Colonic pseudoobstruction, also known as Ogilvie's syndrome, occurs when the colon behaves as if it's blocked even though no physical obstruction is present. It results from a failure of the nerves or muscles in the colon to move waste normally.
In a true bowel blockage, a physical barrier such as a tumor, adhesions, or hernia blocks the intestine. In colonic pseudoobstruction, imaging and scopes show an open colon with no mechanical blockage-only a loss of normal motility.
Common signs include abdominal swelling or bloating, cramping or pain in the belly, constipation or minimal gas passage, nausea or vomiting, a persistent feeling of fullness, and decreased appetite.
People who have recently had abdominal or pelvic surgery, serious infections or sepsis, nerve or muscle disorders (for example, Parkinson's disease or diabetes), low electrolyte levels (potassium or magnesium), or those taking medications that slow digestion (such as opioids or sedatives).
Diagnosis typically involves abdominal X-rays or CT scans to check for colon distension, a colonoscopy to rule out mechanical blockage, blood tests to assess electrolyte balance and signs of infection, and a review of medical history and symptoms.
While not all cases are preventable, you can reduce risk by staying well hydrated, maintaining regular physical activity, managing chronic conditions (like diabetes), and using medications that affect gut motility only as directed by your doctor.
Most patients do not require surgery. Initial treatment focuses on bowel rest, IV fluids, medications to stimulate movement (for example, neostigmine), and minimally invasive procedures to relieve trapped air or stool. Surgery is reserved for cases that fail to improve or develop complications.
Recovery time varies: some people improve within a few days of medical treatment, while others may need longer hospital monitoring and support, depending on the severity of symptoms and underlying health factors.
A local gastroenterologist in Katy offers fast access to advanced imaging and testing, personalized treatment plans, and a caring, experienced team familiar with your community's needs-ensuring clear communication and timely care.
GastroDoxs in Katy provides expert evaluation and treatment for colonic pseudoobstruction. You can call our office or schedule an appointment online for prompt, trusted care close to home.
