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Volvulus

Also known as Intestinal Volvulus, Bowel Volvulus, Intestine Volvulus, and Bowel Torsion

A volvulus is a bowel obstruction where the loop of bowel has completely twisted around its site of mesenteric attachment.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with volvulus, 90% report having sharp abdominal pain, 65% report having vomiting, and 47% report having constipation. The symptoms that are highly suggestive of volvulus are constipation, peripheral edema, elbow cramps or spasms, elbow weakness, and excessive growth, although you may still have volvulus without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with volvulus often receive complete blood count, hematologic tests, radiographic imaging procedure, kidney function tests, electrolytes panel, glucose measurement, plain x-ray and liver function tests .

Common Medications

The most commonly prescribed drugs for patients with volvulus include morphine (rms), metronidazole, midodrine, repaglinide (prandin), trimethobenzamide (tigan), iohexol (omnipaque), naloxone (suboxone), lactulose, zosyn, amiodarone, allopurinol, midazolam (versed) and digoxin .

Morphine (Rms)
$89
(28 days)
Metronidazole
$29
(14 days)
Midodrine
$106
(28 days)
Repaglinide (Prandin)
$165
(28 days)
Trimethobenzamide (Tigan)
$55
(14 days)
Iohexol (Omnipaque)

Naloxone (Suboxone)
Under $1
(0 days)
Lactulose
$24
(21 days)
Zosyn
$520
(7 days)
Amiodarone
$18
(28 days)
Allopurinol
$4
(28 days)
Midazolam (Versed)

Digoxin
$6
(28 days)

Who is at risk?

Groups of people at highest risk for volvulus include age 75+ years. On the other hand, race/ethnicity = hispanic almost never get volvulus.

Age

< 1 years
0.1x
1-4 years
0.1x
5-14 years
0.9x
15-29 years
0.8x
30-44 years
0.4x
45-59 years
1.1x
60-74 years
1.1x
75+ years
3.3x

Sex

Male
0.9x
Female
1.1x

Race/Ethnicity

Black
1.2x
Hispanic
0.0x
White
1.3x
Other
0.1x
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