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Warning-sign checks

Intestinal obstruction and ileus: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Go to an emergency department promptly for:

    • Severe or constant abdominal pain
    • A very tender, firm, or rapidly swelling abdomen
    • Persistent vomiting or inability to keep fluids down
    • Fever with worsening abdominal symptoms
    • Blood in vomit or stool
    • Very little urine, marked weakness, or dizziness

    Call emergency services if there is fainting, confusion, breathing difficulty, cold or clammy skin, or severe weakness.

    These can be signs of shock or serious infection.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek urgent assessment if you develop abdominal swelling or pain with repeated vomiting, or if you cannot pass stool or gas.

    This is especially important if you have had abdominal surgery, have a hernia, or have previously had an obstruction.

    New or worsening pain, swelling, or vomiting should not wait for a routine appointment.

  3. 3

    Does any of this apply?

    Book an appointment

    Routine follow-up is appropriate after discharge if symptoms are steadily improving but you need advice about diet, medicines, bowel habits, wound care, or return to work.

Every sign above is quoted from the sofidex article on Intestinal obstruction and ileus. If you are not sure, err upward — it is always reasonable to be checked.