Ileal obstruction due to round worm obstruction treatment is
**Core Concept**
Ileal obstruction due to roundworm (Ascaris lumbricoides) infestation requires a specific treatment approach. The treatment should aim to remove the obstruction and avoid complications. This requires an understanding of the pathophysiology of intestinal obstruction and the properties of the causative agent.
**Why the Correct Answer is Right**
The correct treatment for ileal obstruction due to roundworm infestation involves administering a laxative to help the worm pass through the intestines. This is typically achieved with **pyrantel pamoate** or **albendazole**, which act as anthelmintics to kill the worm. The laxative helps to stimulate bowel movements and facilitate the passage of the worm. This approach is essential to avoid complications such as bowel perforation or strangulation.
**Why Each Wrong Option is Incorrect**
**Option A:** Surgical intervention may be required in cases of bowel obstruction due to other causes, but it is not the first-line treatment for ileal obstruction due to roundworm infestation.
**Option B:** Antibiotics are not effective against roundworms, which are helminths that do not respond to antimicrobial therapy.
**Option C:** Enemas may help to loosen the stool and provide temporary relief, but they do not address the underlying cause of the obstruction and may not be effective in removing the roundworm.
**Clinical Pearl / High-Yield Fact**
In cases of intestinal obstruction due to roundworm infestation, it is essential to administer a laxative to help the worm pass through the intestines. This approach can help to avoid complications and ensure successful treatment.
**Correct Answer: C. Enemas may help to loosen the stool and provide temporary relief, but they do not address the underlying cause of the obstruction and may not be effective in removing the roundworm.