Typical clinical features

• severe colicky epigastric and periumbilical (mainly) pain (Fig 30.11)

• spasms last about 1 minute

• spasms every 3-10 minutes (according to level)

• absolute constipation (nil after bowel emptied)

• abdominal distension (especially if lower SBO)

colicky central pair» vomiticig distension


umbilicus and hernia orifices checi;

umbilicus and hernia orifices

Fig. 30.11 Typical pain distribution of small bowel obstruction

Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

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