Intestinal Pseudo-obstruction is a rare disabling gastrointestinal disorder which is characterised by abnormalities affecting the involuntary, coordinated muscular contractions of the gastrointestinal tract. The digestive system under the control of nerves, pace maker cells and hormones propels the food. The abnormalities which affect the muscles and nerves associated with peristalsis results intestinal pseudo obstruction.
The condition can occur at any age but some infants are born with congenital intestinal pseudo – obstruction. It may range from moderate to acute. The condition is often caused by problems in the nerves, muscles or interstitial cells of cajal. The interstitial cells of the Cajal convey messages from nerves to muscles.
The causes of secondary Intestinal Pseudo Obstruction include abdominal or pelvic surgery, diseases which affect muscles and nerves such as lupus erythematosus and Parkinson diseases, infections, radiations to the abdomen, certain cancers including lung cancer.
A clinical exam is done which includes medical history, imaging studies and a biopsy and blood test. The doctor will run test to confirm the diagnosis. Intestinal Pseudo Obstruction is difficult condition to diagnose therefore the correct diagnosis may take a long time. During the physical examination the doctor will examine the person’s body by using a stethoscope to listen the bodily sounds and taps on the specific areas of the body. Tests conducted to diagnose the condition include: Abdominal x ray, upper GI series, Lower GI series, Computerised tomography scan, Upper GI endoscopy.
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Chronic intestinal pseudo-obstruction (CIPO) is a rare gastrointestinal motility disorder characterized by recurring episodes resembling mechanical obstruction in the absence of organic, systemic, or metabolic disorders, and without any physical obstruction being detected by X-ray or during surgery.read more
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