kuna boy wangu ALIPIGANA NA WATU WATATU AKIWA MLEVI SASA YEYE HAKUTUAMBIA , KUMBE WALIKUWA WAMEMUUMIZA TUMBO, he went home and slept the next day he had minor injuries and he went ahead and ate normally . after two days he just fainted and was rushed to hospital were surgery was done on his intestines which had intertwined and food was rotting in his stomach.
Colonic volvulus is where a part of the large intestine twists causing obstruction. Some people have longer bowel than others and parts of the intestine are not attached to the abdominal wall and hang loosely. They easily twist and cause obstruction. People with chronic constipation overstretch the last part of the large bowel, causing it to be loose and flabby and resulting in a twist. The same thing happens to people who take a lot of roughage and overload the large bowel by forming bulky stool. Laxatives and enemas cause the same problem as they dilate and extend the colon.
Other causes are a mass/tumour in the abdomen, pregnancy, some diseases (spinal cord paralysis, nerve problems, trypanosomiasis [the one for tse tse fly] etc) or previous surgery (CS, appendectomy etc).
Mortality is 100% if intestinal obstruction is left unattended for 72 hours. Passing a tube or scope up the rectum can reduce the twist but with the risk of recurrence, surgery is indicated. The mobile bowl is resected and a colostomy (where the bowel is brought to the surface and a plastic bag used to collect poop to give the bowel time to heal) may or may not be fashioned. Recovery is usually uneventful but elderly patients need closer care.
If I say more than that, this might turn into a surgery lecture na sitaki.
The punch perforated his bowel and caused peritonitis.
Blunt force to the abdomen is often ignored by many (esp young strong men). I’ve seen a man who was hit by a bicycle boda boda and he fell. Got up, no apparent injuries, went home. Presented to hospital at night in hypovolemic shock. He had massive internal bleeding from a ruptured spleen.
The patient will complain of abdominal pain, nausea and vomiting.
The surgeon will note a distended abdomen and will elicit pain on touch. If the gut has already perforated, there will be rebound tenderness (akifinya hakuna uchungu, akitoa uchungu ni mingi).
A well done abdominal x-ray is enough to confirm the obstruction (the colon will be so distended, it will touch the diaphragm; there will be pockets of air filled with fluid in it; and there will be no gas in the rectum).
How do you know? I could be the guy who walks the corridors of the hosi, with a shaver; shaving the patients meant for surgery (legs, underarms, groins, balls etc); eavesdropping in clinical rounds and snooping into files.
great…That Rela is my siz too…before i thought the abdominal pains were just normal till one Doc said that she shouldn’t go home…Straight kwa Theatre coz ikiburst ni noma…Hizi Mwili ni Maua kweli…can never tell
Na vile maboy wanapenda kupigana ili wavaane Kahacho(upper cut) Me huavoid fights at all cost coz hujui mtu na mashida zake…then ujiget wewe ni state guest forever eti murder was the case…