what to eat if you have cancer in the intestinal blockage

A blocked bowel (bowel obstruction)

A bowel obstruction means at that place is a blockage in the bowel. It is a serious complexity, which is much more common with avant-garde cancer.

About bowel obstruction

Your bowel might become completely or partly blocked. This means that the waste matter from digested food tin't get past the blockage. The diagram shows the bowel and the rest of the digestive system.

Diagram showing the position of the small bowel in the digestive system

Bowel obstruction tin happen when:

  • cancer in the abdominal expanse (such every bit ovarian, bowel or stomach cancer) presses on the bowel
  • other cancers (such as lung or breast cancer) spread to the abdomen and press on the bowel
  • cancer grows into the nerve supply of the bowel and amercement it - this tin can stop the muscles working
  • a solid mass of boxy material collects in the bowel (called a bezoar)

Bowel obstacle is much more mutual with advanced cancer. People who have had surgery or radiotherapy to the tummy (abdomen) are more at take chances of developing a bowel obstruction.

Symptoms of bowel obstruction

The symptoms include:

  • feeling bloated and full
  • pain (usually colicky tummy pain)
  • feeling sick
  • vomiting large amounts (including undigested food or bowel fluid)
  • constipation (shown by not passing wind and no bowel sounds)

Diagnosing a bowel obstruction

Your md will examine you and inquire yous questions. They will then adjust some tests and investigations. These might include blood and urine tests.

You lot may also accept an abdominal ten-ray. Or you might have a barium enema to detect out exactly where the obstruction is in your bowel.

Treating a bowel obstruction

Information technology'due south important to empathize what your doctors are trying to achieve with any treatments they recommend. And then talk it through with them or with your specialist nurse.

Treatments for a blocked bowel can include:

Drips and drains

Your physician might advise treatment to give your bowel time to rest. You need to finish eating and drinking until your bowel is working unremarkably once more. Yous may demand fluids through a drip then yous don't go dehydrated. This is called an intravenous infusion.

Sometimes you lot tin can have an infusion of fluids at home. You have this through a fine needle put just under the pare, instead of into a vein.

This may fix the blockage. But if it isn't successful, yous may need other treatments.

You might have a tube that goes up your nose and down into your breadbasket (called a nasogastric tube). This drains fluid from your stomach and stops you feeling ill.

Or your doctor might propose that you have a venting gastrostomy to aid salvage nausea and airsickness. This is when they put a special tube chosen a percutaneous endoscopic gastrostomy tube (PEG tube) into your stomach through an opening made on the outside of your belly. Y'all usually have this nether sedation.

Surgery

If your cancer is advanced and cannot be cured your doctor might propose surgery to offer you longer term relief from your symptoms. The surgeon removes enough of the cancer to unblock the bowel. They might remove role of the bowel besides.

After the functioning your surgeon is most likely to repair the bowel by stitching the ends back together. But sometimes it isn't possible to exercise this and you may need to accept a colostomy or ileostomy (stoma). A stoma is an opening from the bowel onto the abdomen. Your poo comes out of this opening into a plastic pocketbook that sticks over it.

Deciding whether to have an operation like this can exist difficult.

The surgery won't cure your cancer. Merely it tin relieve the symptoms that you have. Unfortunately, no one can tell beforehand how much yous will benefit from an operation to unblock your bowel.

The operation could be successful and the cancer might non abound back to cake the bowel once again. But it is quite a big operation to take when y'all are likely to be feeling very weak and ill.

You might want to talk through having this functioning with your close family and friends as well as your medico and nurse.

A stent

A stent is a tube that the surgeon puts into the bowel. Information technology expands to keep the bowel open. This can salve the symptoms caused by the obstacle.

Your surgeon may be able to put in a stent if you lot are non able to accept a big functioning.

Medicines

Instead of an operation, medicines can sometimes assistance to control symptoms of a blocked bowel. Unfortunately these types of treatment volition usually only control your symptoms for a while.

A drug chosen hyoscine butylbromide (Buscopan) stops muscle spasms and reduces pain. You lot can also have painkillers and anti sickness medicines.

You might also take a drug called octreotide. Octreotide reduces the amount of fluid that builds up in your stomach and digestive arrangement. It tin help to control sickness.

Or you might have steroids. Steroids can help to reduce the inflammation of your bowel. They can also assistance to command sickness.

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Source: https://www.cancerresearchuk.org/about-cancer/coping/physically/bowel-problems/types/blocked-bowel-obstruction

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