TIME-SENSITIVE โ assess severity and escalate if deteriorating.
๐ Recognise
Distension, nausea, no flatus after surgery; differentiate mechanical obstruction.
๐ First actions
Review opioid and electrolyte burden, fluids, early mobilisation and appropriate NG use.
๐งช Investigate / reassess
Assess abdominal signs, imaging if prolonged or worsening.
โ ๏ธ Escalation / pitfalls
Do not miss bowel obstruction, ischaemia or leak in apparent ileus.
Editorial status: Teaching draft, specialist review required; the entire topic has not undergone independent clinical sign-off. Follow your trust guidelines and senior advice. Not a standalone treatment protocol.