An ilieus occurs when normal peristaltic movements slow down or altogether stop in the intestines. It most commonly occurs in the small intestines. It is a fairly common complication of any abdominal surgery. An ilieus can cause pain, distension, and nausea as air and gastric secretions build up in the gastrointestinal system. The best indicator that the intestines are working properly post-operatively is the passage of gas through the rectum. Although not generally considered pleasant, the sound of flatus is greatly appreciated by doctors and nurses world over. Early ambulation after surgery and careful usage of opioid pain medicine can help to prevent an ilieus from forming. Best wishes.