58 years old male having abdominal pain with distension, vomiting Please diagnose the case and suggest treatment

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multiple dilated gaseous small intestinal loops. No air fluid levels suggest sub acute intestinal obstruction. Go for USG & ct scan of abdomen. rx accordingly manage conservatively ref to surgery for care & needful

gaseous distension of intestine. Maybe due to Intestinal obstruction but CT scan is advisable before laparotomy

Multiple gaseous distended loops no fluid levels ? Sigmoid callous Chest component BC of X-ray suggest I've of Miliary T B


1.NBM 2.RYLE'S TUBE 3.IV ANTIBIOTICS 4.PROPER HISTORY 5proper examination along with per rectal examination . 6ANY HISTORY OF ABADOMINAL MASSAGE ,DRUG HISTORY. 7.cbc,s.electrolytes,rft ,lft,etc 8.cect abdomen . 9. Then decide for conservative or surgical intervention.

xray show multiple gaseous intestinal loops ..to rule out go for usg nd ct abd..rx accordingly ..

intestinal. obstruction

Multiple dilated gaseous intestinal loops with no air fluid levels Advised CECT abdomen to look for cause of any subacute intestinal obstruction. Causes could be 1. Ch. Constipation. 2 . Benign or malignant recto - sigmoid pathology. 3 Ascariasis. 4.Gastro - intestinal paresis. 5 . Incomlete simoid or caecal volvulus. 6 Bands of ladd or other bands causing obstruction. 7.Ileo caecal tuberculosis.

Flatus tube will help

Multiple dilated gaseous bowel loops but no air fluid levels... Subacute intestinal obstruction Needs CECT A+P

Thanks sir
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