Can enlarged spleen cause bowel obstruction?

Our case highlights a massively enlarged spleen, representing the sequelae of 2 chronic disease processes. Colonic obstruction is a rare complication of massive splenomegaly and has been infrequently cited in the literature.

Can your spleen affect your bowels?

It's situated next to your spleen. While gas is normal, splenic flexure syndrome can cause excessive gas and discomfort. This condition, considered a chronic digestive disorder, is thought to be a sub-type of irritable bowel syndrome.

Can an enlarged spleen cause constipation?

Other symptoms may include a bulging abdominal mass, constipation, bloating, nausea, vomiting, frequent difficult urination, and/or menstrual problems in women. In some cases, the spleen may lack proper blood supply due to the twisting of the splenic arteries.

What is the most common cause of large bowel obstruction?

The most common cause of large bowel obstruction is colorectal cancer. This activity explains the risk factors, evaluation, and management of large bowel obstruction and highlights the importance of an interprofessional team in enhancing care for affected patients.

What is the most common symptom associated with bowel obstruction?

Bowel Obstruction - Causes and Pathophysiology

What is the most common cause of small bowel obstruction?

Small bowel obstructions are usually caused by scar tissue, hernia, or cancer. In the United States, most obstructions occur as a result of prior surgeries. The bowel often forms bands of scar (called adhesions) after being handled during an operation.

Can you have a partial bowel obstruction and still poop?

You may have pain, nausea, vomiting, and cramping. Most of the time, complete blockages require a stay in the hospital and possibly surgery. But if your bowel is only partly blocked, your doctor may tell you to wait until it clears on its own and you are able to pass gas and stool.

When should you suspect a bowel obstruction?

The doctor may suspect intestinal obstruction if your abdomen is swollen or tender or if there's a lump in your abdomen. He or she may listen for bowel sounds with a stethoscope. X-ray. To confirm a diagnosis of intestinal obstruction, your doctor may recommend an abdominal X-ray.

Can you poop with bowel obstruction?

Complete obstructions

Severe bowel obstruction can entirely block part of the intestine. This may stop all solids, liquids, and gases from passing through the digestive system. Someone with a complete obstruction will find passing a stool or gas difficult, if not impossible.

Can a bowel obstruction be seen on an xray?

Bowel obstruction can be complete or partial. Gas in the rectum, as seen in this case, is a feature of incomplete obstruction. If bowel obstruction is seen on an abdominal X-ray then a CT is indicated to help plan treatment - see image below.

What does the spleen do in the digestive system?

The spleen is part of your lymphatic system, which fights infection and keeps your body fluids in balance. It contains white blood cells that fight germs. Your spleen also helps control the amount of blood in your body, and destroys old and damaged cells. Certain diseases might cause your spleen to swell.

What is the most common cause of an enlarged spleen?

Infections, such as mononucleosis, are among the most common causes of splenomegaly. Problems with your liver, such as cirrhosisand cystic fibrosis, can also cause an enlarged spleen. Another possible cause of splenomegaly is juvenile rheumatoid arthritis. This condition can cause inflammation of the lymph system.

What are the symptoms of spleen problems?

Does a gastroenterologist deal with the spleen?

For example, hematologists (doctors who specialize in treating blood disorders), oncologists (cancer specialists), and gastroenterologists (liver and digestive tract specialists) all commonly take care of patients who may have enlarged spleen as a response to another condition.

How serious is an enlarged spleen?

Left untreated, an enlarged spleen can lead to serious complications. In most cases, treatment of the underlying cause of the enlarged spleen can prevent removal of the spleen. In some cases, the spleen will need to be removed surgically (splenectomy).

Does an enlarged spleen cause bloating?

Splenomegaly may not always cause symptoms. However, if symptoms do occur, they may include: abdominal bloating. feelings of abdominal fullness, even after eating only a small amount.

What does a partial bowel obstruction feel like?

Feelings of fullness or swelling in your belly. Loud sounds from your belly. Feeling gassy, but being unable to pass gas. Constipation (being unable to pass stool)

How can you tell the difference between a bowel obstruction and constipation?

Identifying Bowel Obstruction Symptoms

Most people affected by a bowel obstruction are unable to pass gas or have a bowel movement, and may have a swollen abdomen. Infrequent bowel movements or hard stools usually do not indicate obstruction.

How do you clear a bowel obstruction without surgery?

How can you tell the difference between small bowel and large bowel obstruction?

In small bowel obstruction, the pain tends to be colicky (cramping and intermittent) in nature, with spasms lasting a few minutes. The pain tends to be central and mid-abdominal. Vomiting may occur before constipation. In large bowel obstruction, the pain is felt lower in the abdomen and the spasms last longer.

What does the hospital do for a bowel obstruction?

Hospitalization: Patients with an intestinal obstruction are hospitalized. Treatment includes intravenous (in the vein) fluids, bowel rest with nothing to eat (NPO), and, sometimes, bowel decompression through a nasogastric tube (a tube that is inserted into the nose and goes directly to the stomach).

What does a doctor do for a bowel obstruction?

Enemas of air or fluid can help clear blockages by raising the pressure inside your bowels. A mesh tube called a stent is a safe option for people who are too sick for surgery. Your doctor puts it in your intestine to force the bowel open. Some people may not need anything more than a stent.

What is the most common complication which a patient with a small bowel obstruction might experience?

A bowel obstruction, whether partial or complete, can lead to serious and life threatening conditions if left untreated. The intestine can get swollen from the trapped air, fluid, and food. This swelling can make the intestine less able to absorb fluid. This leads to dehydration and kidney failure.

What happens if you take MiraLAX with a bowel obstruction?

You should not use MiraLAX if you have a bowel obstruction or intestinal blockage. MiraLAX should produce a bowel movement within 1 to 3 days of using the medication. Polyethylene glycol 3350 normally causes loose or even watery stools. FDA pregnancy category C.

How long does it take for a bowel obstruction to clear on its own?

Number of cases

The shortest was 2 weeks, while the longest approached 30 years. Of the 293 admissions, medical management alone was used during 220 (75.1%) admissions. The duration of observation until resolution of bowel obstruction ranged from 2 to 12 days (average 6.9 days, Table ​2).