The study of Abd-El Maeboud et al.22 with 200 women after cesarean delivery under general anesthesia in Egypt revealed that the group that chewed gum experienced bowel sounds
10.9 hours after surgery and the control group 15.6 hours after surgery.
On POD2, the patient started to have more abdominal distension despite passing stool, and bowel sounds
become sluggish then nonaudible.
Postoperative follow-up was done in keeping patients NPO and given fluids till the return of bowel sounds
. Antibiotic was given 5 days in every case and removal of stitches after 7 - 10 days.
may also be heard in left side of the chest.
were normal and there were no signs of reflux or intestinal obstruction.
Abdominal examination revealed a mildly distended abdomen, with pain all over but mostly in the epigastric and umbilical areas (there was some pain at the surgical site), no rigidity, no rebound tenderness and sluggish bowel sounds
. Rectal examination showed normal stool.
Classic signs of peritonitis include a rigid abdomen, distension, muscle guarding and absent or hypoactive bowel sounds
. In the deteriorating patient fever, tachycardia and hypotension mark sepsis and need for urgent intervention.
Historically, professionals of gynecology and obstetrics waited until gut function returns allowing oral or entered feeding, characterized by symptoms such as bowel sounds
, first flatus or stool, and feeling of hunger (5).
With holes and gaps in the medical record--not describing bowel sounds
, checking tube patency or assessing resident tolerance to feedings--facility staff had not shown that daily skilled services were provided by a licensed nurse.
This article describes the impact of music auditory training (MAT) for nursing students in an accelerated master's entry program on their competence in detecting heart, lung, and bowel sounds
. During the first semester, a two-hour MAT session with focused attention on pitch, timbre, rhythm, and masking was held for the intervention group; a control group received traditional instruction only.
were exaggerated in 88 (45.4%) patients and appeared sluggish in 11 (6.4%) patients, but unexpectedly 75 (42.9%) patients had normal sounds.
The ObGyn's examination revealed minimal abdominal distension, sluggish bowel sounds
, and some guarding, with no rebound tenderness or acute distress.