NAME : WA ODE WULAN

NIM : 124021 2018 094

CLASS : 2C

ABDOMINAL COLIC

A. DEFINATION OF ABDOMINAL COLIC

Abdominal colic is a disorder of the normal flow of intestinal ontents
along the intestinal track. Obstruction occurs when there is a distrubancee that.
Obstruction of the flow of intestinal contents forward but the peristaltis is normal.

B. CAUSES OF ABDOMINAL COLIC

1. Mechanical adhesions or adhesions after surgery (90% of mechanical
obstruction)
 Carcinoma
 Volvulus
 Intussusception
 Obstipation
 Polyps
 Stricture

2. Fuctional (non mechanical)

 Paralytic ileus
 Spin)al cord lesions
 Regional enteritis
 Electrolyte imbalance
 Uremia

C. SYMPTOMS OF COLIC ABDOMEN

1. Simple mechanics – upper small intestine
Colic disease (cramps) in the mid to upper abdomen, distension, initial bile
vomiting, increased bowel sounds (high-pitched chirping sounds at short
intervals), minimal diffuse tenderness.
2. Simple mechanics – lower intestine
Significant midabdominal colic disease, severe distention, vomiting – little
or no – then have pulp, bowel sounds and ‘hush’ sounds increased, diffuse
tendernss is minimal.

3. Simple mechanics – colon

Cramps (middle to lower abdomen), distention that appears last then
vomiting (facular), increased bowel sounds, minimal diffuse tenderness.

4. Partical mechanical obstruction

Can occur with intestinal granulomatosa in crohn’s disease. Symptoms of
abdominal colic are cramping abdominal pain, mild distension and diarrhea.

5. Stragulation
Symptoms of abdominal colic develop quickly; severe continuous and
localized pain; moderate distension; persistent vomiting; usually bowel sounds
decrease and tenderness is localized violently. Stool or vomitus becomes dark or
bloody or contains faint blood.

D. ABDOMINAL COLIC TREATMENT

 RL ifusion; if anuria -> infusion RL: D5= 1 : 1
 If severe dehydration -> drips, a catheter is inserted
 Give mild analgesics (xylomidone), Spasmolytic: baralgon, sulfas aliopin
(inj): if very painful -> give 1 ampid petidin, don’t give antibiotics if the
cause is unclear
 If the patient is restless, give Diazpam 10 mg iv, can be repeated every 30
minutes
 If it’s hot, give antipyretics (paracetamol)
 If the general condition is bad, give supportive vitamin/alonamin F (inj),
cortison inj 3 cc or dexamethasone 2 amp