Know All About
Intussusception
Definition:
A condition wherein a part of the intestine, mostly large intestine, slides into the part ahead (like a telescope) leading to obstruction. (picture a must)
Sex or Age most Affected
All ages, but most common in infants and children between 2 months and 6 years. It is more common in boys.
Signs & Symptons
Early stages:
- Cramping abdominal pain. Infants cry out, bring the legs up to the abdomen, and become pale and sweaty during an attack.
- Vomiting.
Later stages:
- Rectal bleeding – dark red resembling jelly.
- Swollen abdomen.
- Mass in the abdomen that can be felt.
Causes
Early stages:
Cramping abdominal pain. Infants cry out, bring the legs up to the abdomen, and become pale and sweaty during an attack.
Vomiting.
Unknown factors cause a loop of bowel to turn in on itself. This blocks the bowel’s blood supply, and if untreated may cause gangrene (death of tissue). Intussusception is a life-threatening emergency.
Risk Increases With
- Family history of intussusception.
- The seasons (for unknown reasons). It is most common in late spring, early summer and midwinter.
Prevention
No specific preventive measures.
Diagnostic Measures
- Observation of symptoms.
- History and exam by a doctor.
- Laboratory blood tests.
- X-rays of the abdomen and intestinal tract (barium enema). The radiologist may manipulate the barium, which may clear the obstruction.
Possible Complications
- Dehydration and shock.
- Intestinal perforation and peritonitis.
- Gangrene.
Probable Outcomes
Spontaneous recovery in 24 hours (sometimes). If not, this is curable with early diagnosis and surgery or barium treatment. Without treatment, complications are life threatening. The disorder sometimes recurs.
TREATMENT
General Measures
Observe your child carefully if symptoms develop. Prevent complications by seeking medical attention during early stages.
Medication
Medicine usually is not necessary for this disorder unless infection develops. Then your doctor may prescribe antibiotics. Don’t use home remedies or non-prescription drugs, such as laxatives, for this condition. They may be dangerous. Many cases may require surgical milking out of bowel segment.
Activity
The child should rest in bed until the obstruction is cleared. Activities may then be resumed gradually.
Diet
Don’t feed a child with signs of intestinal obstruction. Intravenous fluids are necessary until the obstruction is removed. No special diet is required then.
Contact your Doctor
Your child has signs or symptoms of intestinal obstruction. This condition changes quickly from a curable one to a life-threatening one. This is an emergency!