Treatments and drugsBy Mayo Clinic staff
Treatment for intestinal obstruction depends on the cause of your condition, but generally requires hospitalization.
Hospitalization to stabilize your condition
When you arrive at the hospital, the doctors will first work to stabilize you so that you can undergo treatment. This process may include:
- Placing an intravenous (IV) line into a vein in your arm so that fluids can be given
- Putting a nasogastric (NG) tube through your nose and into your stomach to suck out air and fluid and relieve abdominal swelling
- Placing a thin, flexible tube (catheter) into your bladder to drain urine and collect it for testing
Treatment for partial mechanical obstruction
If you have mechanical obstruction in which some food and fluid can still get through (partial obstruction), you may not need further treatment after you've been stabilized. Your doctor may recommend a special low-fiber diet that is easier for your partially blocked intestine to process. If the obstruction does not clear on its own, you may need surgery to relieve the obstruction.
Treatment for complete mechanical obstruction
If nothing is able to pass through your intestine, you'll usually need surgery to relieve the blockage. The procedure you have will depend on what's causing the obstruction and which part of your intestine is affected. Surgery typically involves removing the obstruction, as well as any section of your intestine that has died or is damaged.
Alternatively, your doctor may recommend treating the obstruction with a self-expanding metal stent. The wire mesh tube is inserted into your colon via an endoscope passed through your mouth or colon. It forces open the colon so the obstruction can clear. Stents are generally used to treat people with colon cancer or to provide temporary relief for people who are at high risk of emergency surgery. You may still need surgery, once your condition is stable.
Treatment for paralytic ileus
If your doctor determines that your signs and symptoms are caused by paralytic ileus, he or she may monitor your condition for a day or two in the hospital. Paralytic ileus is often a temporary condition that gets better on its own.
If paralytic ileus doesn't improve within several days, your doctor may prescribe medication that causes muscle contractions, which can help move food and fluids through your intestines. If paralytic ileus is caused by an illness or medication, the doctor will treat the underlying illness or stop the medication.
- Feldman M, et al. Sleisenger & Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-1-4160-6189-2..X0001-7--TOP&isbn=978-1-4160-6189-2&about=true&uniqId=229935664-2192. Accessed Oct. 22, 2012.
- Marx JA, et al. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa.: Mosby Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-323-05472-0..X0001-1--TOP&isbn=978-0-323-05472-0&uniqId=230100505-57. Accessed Oct. 22, 2012.
- Bonin EA, et al. Update on the indications and use of colonic stents. Current Gastroenterology Reports. 2010;12:374.
- Baron TH. Acute colonic obstruction. Gastrointestinal Endoscopy Clinics of North America. 2007;17:323.
- Intestinal pseudo-obstruction. National Institute of Diabetes and Digestive and Kidney Diseases. http://digestive.niddk.nih.gov/diseases/pubs/intestinalpo/index.htm. Accessed Oct. 21, 2012.
- Abdominal adhesions. National Institute of Diabetes and Digestive and Kidney Diseases. http://digestive.niddk.nih.gov/diseases/pubs/intestinaladhesions/index.htm. Accessed Oct. 21, 2012.