this might help,i had some of these,but not all, and some different ones as well. funny, these silly docs make such a big deal about clearing it up, it really quite simple if you use your head. Somehow i know this won't satisfy you, which is why i didn't want to even get into it. you don't believe anything anyone tells you, so what's the point? you don't even realize the many people on this web site are more versed in health than most docs, and yes, gasp, they can read and understand medical journals.
Past surgical and medical history may shed light on etiology of SBO. In the absence of prior surgery and any apparent cause, or in presence of clinically confusing clinical picture, intussusception, MD, gall stone ileus, and neoplasms are suspects. The four cardinal symptoms of bowel obstruction are pain, vomiting, obstipation/absolute constipation, and distention. Obstipation, change in bowel habits, complete constipation, and abdominal distention are the predominant symptoms in LBO. Vomiting occurs late in the course of the desease. On the other hand, pain, vomiting, and distention are commonly seen in SBO. The pain is colicky in nature and becomes dull late in the course of SBO. Vomiting is a pronounced symptom in high SBO. The vomitus is bilious or semi-indigested food in high SBO, and feculant in low SBO. Obstipation and constipation are present to a variable degree. ďTumbling SBOĒ describes intermittent symptoms of obstruction seen in patients with gallstone ileus. These episodes correspond to stone impaction, subsequent release, and reobstruction. Biliary symptoms are present before the onset of obstruction in 20Ė56% of cases. Intermittent partial bowel obstructive symptoms are also suggestive of intussusception.