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are preferred. Individuals prone to DIOS tend to be at risk for repeated episodes and often require maintenance therapy with pancreatic enzyme replacement, hydration and laxatives (if the symptoms are also mild). Oral contrast instillation into the colon/ileum under radiological control has been
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Differentiation of DIOS from constipation is generally performed by unit specializing in the treatment of cystic fibrosis. Adequate hydration and an aggressive regimen of laxatives are essential for treatment and prevention of DIOS.
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120:(CT) imaging of the abdomen can confirm the diagnosis by demonstrating dilated loops of intestine with material in the intestinal lumen with bubbles. Air-fluid levels may be seen in those affected by DIOS.
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A complete history and physical examination can be suggestive, especially if a palpable mass in the right lower quadrant of the abdomen is present (though this can be present in the absence of DIOS).
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http://www.rbht.nhs.uk/healthprofessionals/clinical-departments/cystic-fibrosis/clinical-guidelines/nutritional-and-gastrointestinal-care/constipation-and-distal-intestinal-obstructive-syndrome/
92:, and a palpable mass (often in the right lower quadrant) in the abdomen. The characteristic abdominal pain is typically located in the center or right lower quadrant of the abdomen.
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Sleisenger and
Fordtran's Gastrointestinal and Liver Disease E-Book: Pathophysiology, Diagnosis, Management, Expert Consult Premium Edition - Enhanced Online Features
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DIOS is sometimes classified by the degree of obstruction as incomplete or complete DIOS.
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Kelly, T; Buxbaum, J (July 2015). "Gastrointestinal
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Additional diagnoses which may present with similar symptoms to DIOS include severe
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Feldman, Mark; Friedman, Lawrence S.; Brandt, Lawrence J. (2010).
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Signs and symptoms of DIOS include a sudden onset of crampy
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and occurs in about 20% of mainly adult individuals with
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found to reduce the need for surgical intervention.
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350:http://www.cfmedicine.com/htmldocs/CFText/dios.htm
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