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Gas X works wonders for me, but i, too, thought it was a bowel obstruction at first and was freaking out. Air-fluid levels on upright view, in colon. Non obstructive bowel gas pattern | HealthTap Online Doctor Upright and decubitus abdominal radiographs typically reveal multiple air-fluid levels in the dilated small bowel because of accumulation of gas and fluid proximal to the obstruction ( Fig. Although some patients with suspected toxic megacolon have undergone barium enemas, most authors believe that such examinations are contraindicated because of the risk of perforation. Small bowel obstruction is often difficult to diagnose on abdominal radiographs. Vascular compromise may lead to edema and thickening or effacement of the folds within this loop. These findings depend on the amount of air present and on the orientation of the diaphragm. Is a Nonspecific Bowel Gas Pattern Normal? Causes & Meaning Postoperative ileus mimicking small bowel obstruction. Not surprisingly, CT also is more sensitive in detecting free air than left lateral decubitus radiographs. 12-4B ). What Does A Nonspecific Bowel Gas Pattern Mean? The radiographic appearance of pneumobilia is sufficiently characteristic to allow a confident diagnosis on the basis of the findings on abdominal radiographs. In patients with a competent ileocecal valve, the colon (especially the cecum) may become markedly dilated, and little or no gas may be seen in the small bowel. In combination with portal venous gas (see earlier, Portal Venous Gas ), linear gas collections in the intestinal wall are almost always a sign of bowel infarction in adult patients. Symptoms that may warrant the need for an abdominal X-ray include: Abdominal pain Constipation Nausea Vomiting Pain Lack of bowel movements } Intestinal gas is a natural contrast agent for the interpretation of abdominal radiographs. Other gas collections biliary, intramural, etc. Pancreatitis or gastritis may also result in reflex gastric atony, and general anesthesia may occasionally cause marked gastric dilation. Treatment If your gas pains are caused by another health problem, treating the underlying condition may offer relief. Closed-loop patterns and a whirl sign were seen only in patients with adhesive bands, and the beak sign and fat notch sign were present more often in patients with adhesive bands. In contrast, linear gas collections tend to be more readily apparent and should always be considered an important finding on abdominal radiographs, regardless of their location ( Fig.