Postoperative abdominal distension

Introduction Postoperative abdominal distension is one of the common symptoms after surgery. Early postoperative bloating is due to inhibition of gastrointestinal motility. As the gastrointestinal tract is restored, it can be relieved by itself. Postoperative pain is a response to the body's surgical stimulation (tissue damage), including a series of physiological, psychological and behavioral responses. The performance is bloating, the anus is not exhausted. Severe abdominal distension can induce various diseases. If it has not been vented for several days after surgery and has abdominal distension, it may be due to peritonitis or other causes of intestinal paralysis. Such as abdominal distension with paroxysmal colic, bowel sounds hyperthyroidism, is an early intestinal adhesion or other causes of mechanical intestinal obstruction, should be further examined and treated.

Cause

More common after abdominal surgery, due to the exposure and surgical operation of the gastrointestinal tract, the increase of gas in the gastrointestinal tract is mainly due to the increase of the amount of gas entering the gastrointestinal tract from the outside, the amount of gas generated in the gastrointestinal tract, and the absorption of the gastrointestinal tract. Caused by the decrease in the amount of gas discharged. Major surgery outside the abdomen can also cause, especially in patients who are unable to move in bed.

an examination

Related inspection

Colonoscopy fiber enteroscopy

Physical examination:

The performance is bloating, the anus is not exhausted. Severe abdominal distension can induce various diseases. If it has not been vented for several days after surgery and has abdominal distension, it may be due to peritonitis or other causes of intestinal paralysis. Such as abdominal distension with paroxysmal colic, bowel sounds hyperthyroidism, is an early intestinal adhesion or other causes of mechanical intestinal obstruction, should be further examined and treated. Severe abdominal distension can increase the diaphragm, affect respiratory function, and can also compress the inferior vena cava, affecting blood reflux. In addition, it will also affect the healing of the gastrointestinal anastomosis and abdominal wall incision, so it needs to be treated in time.

Differential diagnosis

Differential diagnosis:

Postoperative pain is a response to the body's surgical stimulation (tissue damage), including a series of physiological, psychological and behavioral responses. In clinical nursing work, pain has become the fifth vital sign after four major vital signs of body temperature, pulse, sucking and blood pressure, and has received increasing attention.

Tetanus after surgery is a tetanus due to surgical infection and is a type of tetanus.

Gastric resection syndrome: refers to gastric emptying after gastrectomy, glucose is rapidly absorbed by the intestinal mucosa, resulting in a sudden increase in blood sugar, stimulated a series of hypoglycemia caused by excessive islet secretion of insulin.

Postoperative acute mental disorder refers to the occurrence of brain dysfunction in elderly patients without pre-operative mental abnormalities, mainly in the aspects of disturbance of consciousness, cognitive impairment and psychomotor abnormality. It often occurs in the first 4 days after surgery and is prone to attack at night. It has the characteristics of light morning light and night.

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