Question
A nine-year-old child underwent surgery for intestinal obstruction 15 days ago and has been recovering well postoperatively. However, symptoms of dry heaves began on the seventh day after surgery, followed by the expulsion of green, thick stomach fluid through a gastric tube. A diagnosis of adhesive intestinal obstruction was confirmed, and a second surgery was performed. The parents inquire about whether the child can fully recover and what precautions should be taken.
Answer
Adhesive intestinal obstruction is a common complication following abdominal surgery, often caused by factors such as surgery, inflammation, fluid accumulation, or blood clots. Symptoms include abdominal pain, dry heaves, and cessation of bowel movements. The recurrence of dry heaves in the child indicates a complete occurrence of intestinal obstruction, necessitating surgery. It is recommended that since your child is being treated at a prestigious hospital with top-notch medical technology and equipment levels, a second surgery is necessary. The doctor may consider various reasons for the recurrence of intestinal obstruction and thus surgery is necessary. The postoperative recovery will depend on the effectiveness of the surgery and the severity of complications. Parents should closely monitor their child’s symptoms and follow the doctor’s advice for care. In case of any new symptoms or deterioration of the condition, immediate contact with the doctor is required. As adhesive intestinal obstruction may recur, parents need to understand how to identify symptoms and seek medical attention promptly.