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Ileus (functional or paralytic) is a term used to denote temporary and reversible obstruction in the intestines caused by bowel motility problems. Problems with peristalsis (or wave-like contractions that help move food along the digestive tract) results in the accumulation of intestinal contents in certain areas of the intestines. Therefore, ileus is not a primary disease, rather a result due to some other disease or condition affecting motility of intestine.
After recording a detailed history and performing a complete physical examination, routine laboratory tests will be conducted. These tests include complete blood count, biochemistry profile, and urinalysis. The main objective of the diagnostic effort is to find the underlying cause of this problem. Results of routine laboratory testing may reveal some information related to the underlying disease. Abdominal X-rays and ultrasound will help in finding various abnormalities including: presence of gas, fluid, mechanical obstruction (e.g., foreign body), tumor in abdomen, and other such conditions.
For confirmation, your veterinarian may use more specific testing like Barium-Impregnated Polyethylene Spheres (BIPS). Barium is a chemical used in certain radiological studies to enhance visualization of anatomical structures. BIPS are markers given orally and will demonstrate the extent of intestinal obstruction and motility disorder. Your veterinarian will assess the time it takes for these markers to move along the intestines and how much delay is involved. This test also helps in the localization of the anatomical site involved.
Endoscopy is also an option for diagnosis, especially for an assessment of mechanical obstruction. Your veterinarian will look directly into the stomach and intestine using an instrument called an endoscope. A rigid or flexible tube will be inserted into your dog’s stomach, where your veterinarian will be able to visually inspect and take pictures. In some cases, exploratory surgery may need to be performed to rule out mechanical obstruction. X-ray, computed tomography scan, magnetic imaging test, and analysis of cerebrospinal fluid (fluid circulate around brain and spinal cord) may be required in animals with suspected spinal cord injury.
As ileus is the result of some other underlying disease, treating the underlying cause is of utmost importance for resolution of this problem. For example, your veterinarian will use fluid therapy to address fluid and electrolyte derangements, which is common in dogs with ileus. In some dogs, drugs to enhance intestinal motility are also given to stimulate intestinal movements. During treatment, your veterinarian will use a stethoscope to listen to the abdomen in order to find the status gut sounds and motility.
If the primary underlying cause is identified and corrected, the prognosis is excellent in affected animals. But determining the exact underlying cause may be difficult in some animals. Follow directions given by your veterinarian regarding care and nutrition of your dog, and call your veterinarian immediately if you see any untoward symptom in your dog.
In patients with a history of infections, regular temperature monitoring may be required at home. If medicines are prescribed for your dog, strictly follow the exact frequency and dosage of each drug. In addition, do not stop or alter treatment prior to consulting with your veterinarian.
The prediction of a disease’s outcome in advance
Something that is related to the whole body and not just one particular part or organ
An in-depth examination of the properties of urine; used to determine the presence or absence of illness
Contraction of the smooth muscles
The digestive tract containing the stomach and intestine
The process of making something larger by dilating or stretching it
A type of instrument that is used to look inside the body
The whole system involved in digestion from mouth to anus
The term for when peristalsis of the intestines ceases