Intestinal pseudo-obstruction is a massive colonic dilation with signs and symptoms of colonic obstruction, but without a mechanical cause. A 49-year-old female patient complained of nausea, vomiting, and abdominal distension 1 month after a massive brainstem hemorrhage. No improvement was seen with conservative treatments. An extended-length rectal tube was inserted to perform glycerin enema. In addition, bethanechol (35 mg per day) was administered to stimulate colonic motility. The patient's condition gradually improved over a 2-month period without any surgical intervention. Extended length rectal tube enema and bethanechol can be used to improve intestinal pseudo-obstruction in stroke patients.
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The Impact of Microbiota on the Gut–Brain Axis: Examining the Complex Interplay and Implications Tuba Shahid Chaudhry, Sidhartha Gautam Senapati, Srikanth Gadam, Hari Priya Sri Sai Mannam, Hima Varsha Voruganti, Zainab Abbasi, Tushar Abhinav, Apurva Bhavana Challa, Namratha Pallipamu, Niharika Bheemisetty, Shivaram P. Arunachalam Journal of Clinical Medicine.2023; 12(16): 5231. CrossRef
Neostigmine for Treating Acute Colonic Pseudo-Obstruction in Neurocritically Ill Patients Tae Jung Kim, Luis Torres, Atzhiry Paz, Ji Sung Lee, Soo-Hyun Park, Huimahn Alex Choi, Sang-Bae Ko Journal of Clinical Neurology.2021; 17(4): 563. CrossRef
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A case of refractory Ogilvie syndrome following a haemorrhagic stroke Peter David Wanklyn, Alyn German Clinical Medicine.2013; 13(6): 623. CrossRef