bowel sounds disappear
Introduction
Introduction When the intestines move, the gas and liquid in the intestines flow with it, producing an intermittent snoring sound, which is a bowel sound. The bowel sound is also called "belly sound", which means that the bowel moves. This disease is first seen in "The Question of Difficulty and Dirty Law", also known as "Thunder in the Intestines", "Bitterness in the Intestines", etc., "Certificate of Correction", "Zhangshi Medical", "Dialects" "The source of miscellaneous diseases and rhinoceros" has been discussed in this case. Spleen and stomach disorders, ups and downs, always heard, called the disappearance of bowel sounds (static abdomen), common in acute peritonitis. If you continue to auscultate for 3 to 5 minutes without hearing bowel sounds, you should focus on auscultating the right lower abdomen, and you can use your fingers to gently rub or rub your abdomen without bowel sounds, called bowel sounds disappearing, seen in acute peritonitis or paralysis. intestinal obstruction.
Cause
Cause
Muscle strain of the intestinal wall for various reasons, when the bowel movements are weakened, the bowel sounds are also weakened and reduced. It may be heard only once in a few minutes, and the bowel sounds are weakened. It is seen in senile constipation, peritonitis, electrolyte imbalance (hypokalemia). , gastrointestinal motility and so on. If you continue to auscultate for 3 to 5 minutes, you will not hear the bowel sounds, which is called the disappearance of bowel sounds. It is seen in acute peritonitis or paralytic ileus. At this point, you can use your fingers to gently rub or rub the abdomen to induce bowel sounds.
Examine
an examination
Related inspection
Gastrointestinal CT examination of bowel sounds gastrointestinal dysfunction dynamic examination of fiberoptic gastrointestinal disease ultrasound examination
Clinically, patients with disappearance of bowel sounds should be examined:
First, physical examination
Taking a medical history gives us a first impression and revelation, and also guides us to a concept of the nature of the disease.
Second, laboratory inspection
Laboratory examinations must be summarized and analyzed based on objective data learned from medical history and physical examination, from which several diagnostic possibilities may be proposed, and further consideration should be given to those examinations to confirm the diagnosis.
Diagnosis
Differential diagnosis
Silent abdomen: If the effusion in the abdominal cavity exceeds 500ml, the mobile voiced sound can be extracted. Auscultation of bowel sounds can disappear at the beginning, the so-called "silent belly." This symptom is caused by ulcerative perforation of the stomach. Acute perforation is one of the most common serious complications of gastric ulcer. Hospitalized cases of ulcer perforation account for about 20% of hospitalizations for ulcer disease.
Bowel: It is a symptom of gastrointestinal snoring in the abdomen. Under normal circumstances, the bowel sounds are weak and gentle, and it is generally difficult to smell. When the intestinal tract is abnormal or blocked, the bowel sounds are high and frequent. The clinical location and disease are judged based on the location and sound of the sound.
Gastrointestinal flatulence: It is very common in the clinic, often manifested as hernia, abdominal distension, abdominal pain and sagging (fart). In normal adults, a small amount of gas of about 100-150 ml is retained in the gastrointestinal tract every day. When the amount of gas increases, gastrointestinal flatulence is formed. One is to swallow the air into the gastrointestinal tract with swallowing or drinking water, the other is that the food is enzymatically produced by the bacteria in the intestine, and the third is that the gas diffuses from the blood vessels into the intestinal lumen.
Gut intestine: can be seen in intestinal paralysis, which affects the intestinal autonomic balance of the intestine due to various reasons, or affects the local nerve conduction in the intestine, or affects the contraction of the smooth muscle of the intestine, so that the intestinal tube expansion and peristalsis disappears. The contents of the intestines are pushed forward and caused. Paralytic tympanic bowel is a common symptom of sepsis after burns, which can be accompanied by changes in consciousness. The wound surface can be deteriorated for a short time, the color is dark, the necrotic foot and the secretions are increased, and bleeding is easy.
Reduced bowel movements: reduced bowel movements can cause diseases such as constipation. The main manifestations of constipation are reduced stool frequency, prolonged interval, or normal, but the faeces are dry and difficult to discharge; or the faeces are not dry and the discharge is not smooth. Can be accompanied by abdominal distension, abdominal pain, loss of appetite, heating nausea, stool with blood embolism. It can often be found in the left lower abdomen and the intestines of the feces or sputum.
The main clinical manifestations of acute peritonitis, early symptoms of peritoneal irritation such as (abdominal pain, tenderness, abdominal muscle tension and rebound tenderness). Due to infection and toxin absorption in the later stage, it is mainly manifested as symptoms of systemic infection.
