Spastic intestinal obstruction

　　The occurrence of spastic intestinal obstruction is mainly related to the following factors:
　　1. Intestinal lumen factors Such as foreign bodies in the intestinal lumen, parasites, inflammation, irritant foods, intestinal wall ulcers, and circulatory disorders, which sometimes can cause intestinal wall spasm.
　　2. Reflex factors Abdominal trauma or surgery, intestinal or other abdominal organ lesions, such as intussusception, can cause intestinal spasm and obstruction through the reflex action of the peritoneal plexus and the inferior mesenteric plexus.
　　3. Factors caused by the central nervous system Such as brain tumors, abscesses, hysteria, uremia, and various abdominal colics, which can occasionally cause intestinal spasm through the action of the central nervous system.
　　4. Other Food poisoning and other unknown causes.
　　

　　The clinical manifestations of spastic intestinal obstruction are very similar to those of mechanical intestinal obstruction, with all patients experiencing marked abdominal colic. Spastic intestinal obstruction can also lead to complications such as electrolyte imbalance, peritoneal infection, and sepsis.

　　The clinical manifestations of spastic intestinal obstruction are very similar to those of mechanical intestinal obstruction, with all patients experiencing marked abdominal colic. Patients with small bowel obstruction have nausea and vomiting; patients with colonic obstruction have constipation, and even stop defecating and passing gas. Those with prolonged obstruction often have visible intestinal loops or can feel hard cord-like objects in the abdomen. Patients often have hyperactive bowel sounds, even water-sound gurgling, and can also appear progressive abdominal distension, so it is often misdiagnosed as mechanical intestinal obstruction in clinical practice.

　　Prevent spastic intestinal obstruction, pay attention to the following aspects in daily life:
　　1. Reducing the occurrence of gastrointestinal dysfunction: The occurrence of obstruction is related to the condition of gastrointestinal function. Most gastrointestinal dysfunction is caused by irregular diet, so avoid overeating and overdrinking.
　　2. Avoid strenuous exercise after meals, which may trigger intestinal obstruction.
　　3. Pay attention to the treatment of intestinal worms and dietary hygiene: worm obstruction of the intestines is caused by intestinal worms, and in addition to maintaining hygiene, attention should be paid to deworming treatment.

　　In addition to routine treatment, attention should also be paid to the following aspects of diet in the case of spasmodic intestinal obstruction.

　　First, suitable diet
　　1. Eat light and nutritious, liquid foods such as rice porridge, vegetable soup, lotus root starch, egg flower soup, and noodles.
　　2. Eat more fibrous foods such as various vegetables, fruits, brown rice, whole grains, and beans, which can help defecate, prevent constipation, stabilize blood sugar, and lower blood sugar.

　　Second, dietary taboos
　　1. Do not overeat peanuts and other foods that are prone to cause intestinal obstruction.
　　2. Do not eat spicy, greasy, and hard foods.

　　If spasmodic intestinal obstruction can be established, it is generally advisable to first adopt non-surgical therapy.

　　1. Non-surgical Treatment
　　The treatment principle is to relieve intestinal spasm and reduce intraintestinal pressure: use antispasmodics such as atropine, belladonna mixture, etc.; abdominal hot compress; sedatives such as diazepam (Valium), phenobarbital (Rumalaya) etc.; gastric and intestinal decompression. With the above measures, most cases can be relieved from obstruction, especially for intestinal spasm caused by trauma or infection. If

　　2. Surgical Treatment
　　If the obstruction cannot be relieved after various non-surgical treatments, or if it cannot be clearly excluded that mechanical intestinal obstruction is present, then it is necessary to perform surgery and laparotomy for exploration. After laparotomy, if spasmodic and narrowed intestinal loops are found, they can be slightly massaged under anesthesia, and the intestinal tubes can gradually relax, expand, and return to normal shape. If there are local factors that may become the cause of intestinal spasm, such as foreign bodies in the intestinal cavity, they should be removed.