Fecal vomiting: causes, first aid, treatment
Causes of fecal vomiting: treatment implications
Fecal vomiting refers to the developed symptoms of intestinal obstruction or fistula between the stomach and colon. It occurs a few days after the development of the disease. Vomiting of this nature indicates a serious pathology of the gastrointestinal tract.
Why there is fecal vomiting
Vomiting feces develops because of acute intestinal obstruction of a thick Department. This condition develops in different etiological factors. This may be a mechanical obstruction or increased tone of the muscles of the intestine. As a consequence there is an obstacle to the passage of feces. This has the annoying effect. As a result, receptors thick intestine nerve impulses go to the brain and illuminates antiperistaltic. This means that the smooth muscles of the intestine pushes the contents back up towards the stomach. Vomiting feces prior accompanied by spastic pain and nausea. In intestinal obstruction the person will tear after some time. In this case, fecal vomiting suggests the presence of obstruction in the upper part of the colon.
The development of a fistula between the stomach and colon can be the etiology of the vomiting feces in humans. Fistula is a hole, through which it is reported the cavity of the stomach and intestines. Tightly knitted together bodies contribute to the passage of faecal masses in the stomach and vomiting the development of an appropriate nature. The development of a fistula is a gradual process. Typically, such people have observed the pain of a chronic nature. Initially, the authorities are soldered among themselves, then over time the wall becomes thinner and there is a fistula. Intestinal contents moving through the colon division, thrown into the stomach through the fistula. In addition, the formation of a hole is accompanied by severe pains in the stomach.
Two of these conditions require emergency surgical care.
The previous state
Vomiting feces tells about the hard and running processes in the gastrointestinal tract. To this state must pass a certain amount of time. It all depends on the factors leading to fecal vomiting.
Earlier signs would be the following:
- pain in the abdomen;
- intoxication of intestinal contents in severe malaise, slight fever, temperature;
- the pain will be of a spastic nature.
- at the time of the appearance of obstruction of the bowel externally visible wave antiperistaltic.
These signs may appear long before the onset of vomiting. Timely access to a doctor in the presence of these manifestations reduces the risk of developing this condition.
With the development of intestinal obstruction initially, the vomit is of gastric contents, several times a day. After a time intestinal juice will flow into the stomach. After the complete blockage of the body will begin to leave the remains of the digested food. They will have appropriate foul-smelling odor. It also is vomiting feces. Another symptom is bloating. The blockage leads to the accumulation of gases in the stomach and intestines. Bloating and the appearance of vomiting occurs almost simultaneously. A special feature is that the vomit will not bring relief. Swelling will only increase.
One of the serious complications is the development of life-threatening conditions. Peritonitis occurs when the penetration of intestinal contents in the peritoneal cavity. This complication appears in the later stages of intestinal obstruction.
Sepsis will develop as the outcome of peritonitis. Septic complications cause the development of multiple organ failure. This is a factor of fatal outcome.
These two complications occur acutely and as a consequence of the existing obstruction or fistula.
The absence of the chair leads to auto-intoxication of the organism. All the toxins and impurities from the bowels begin to be absorbed into the systemic circulation and influence all physiological processes. Primarily affect the brain. It is manifested by fever, chills, severe weakness.
Vomiting and indigestion contribute to the development of dehydration and electrolyte imbalance. Dehydration in advanced cases may reach the stage of hypovolemic shock.
Pikalaina vomiting is a sign of a severe pathological process. Complications in this case arise quite quickly.
At pre-hospital stage it is necessary to timely recognize the outbreak of a pathological condition. Symptoms:
- The appearance of vomiting with fetid odor, accompanied by severe spastic abdominal pain.
- The presence of pronounced distention.
- Vomiting, not bringing relief.
When such symptoms should immediately contact the hospital or call a team of medical professionals.
The use of antiemetic drugs has no effect. The most important thing is to identify the condition which caused vomiting of intestinal contents.
At home before the arrival of the medical team need to provide complete rest. Fecal vomiting is a sign of serious intestinal obstruction or fistula running.
After the establishment of the etiology requires conservative treatment or surgical intervention.
To establish the etiological factor carry out some research. X-ray examination allows the correct diagnosis. In the picture in intestinal obstruction will have the following characteristics:
- gas in the stomach and in the intestine;
- bowl kloybera;
- the fluid in the lumen of the intestine;
- haustra (imagine a stretched gas loop of the intestine).
In the case of a fistula between the stomach and intestine is carried out ultrasound examination of abdominal cavity.
If diagnosis is difficult, it is performed laparoscopic study. It allows you to assess the condition of the abdominal organs.
In addition to these events draws attention to the General condition of the patient. The characteristic pale skin, he sweat on the face, bloating, foul-smelling breath.
After admission, the doctor examines the patient. In some cases pikalaina vomiting is the basis for the beginning of the surgical intervention.
In General, therapy consists of the following steps:
- the identification of the etiology of fecal vomiting;
- adherence to electrolyte balance;
- dehydration therapy;
- the introduction of antispasmodics and pain medications;
All these stages are conducted almost simultaneously. An acute condition accompanied by fecal vomiting, requires immediate solution. Not always this method will allow you to completely get rid of the etiological factor. If the etiological factor of mechanical obstruction is a tumor, it still requires radiation therapy after surgery.
Vomiting of intestinal contents refers to the symptoms of acute pathological conditions. The outcome depends on the time of contact. At home be extremely dangerous, as there can be serious complications.