Paralytic ileus is characterized by all except

Paralytic ileus may present with nausea, vomiting, refusal to eat, bowel distension and absence of flatus or bowel movements. Abdominal radiography reveals a dilated bowel.Treatment is usually suppoive with maintenance of adequate hydration and electrolyte levels. There is usually little pain, and gas-filled loops with fluid levelsare seen distributed throughout the small and large intestines on abdominal imaging. In paralytic ileus, bowel sounds are reduced or absent. Ref: Bailey & Love&;s Sho Practice of Surgery,E25,Page-264,996