Recognition of intestinal signs in children

The article is consulted professionally by resident doctor, Dr. Nguyen Hung Tien – Pediatric Resident Doctor – Newborn – Pediatrics – Newborn – Share99 Hai Phong International Health Hub.

Intestinal cage is a common surgery emergency in young children, due to a segment of the intestine entering the lap of the next paragraph. Parents need to pay attention to the signs of the child having an intestinal cage to get to the hospital in time. If admitted to the hospital early, the doctor will remove the baby's cage with steam without surgery.

1. What is a intestinal cage?

The intestinal cage is a common gynecological abdominal emergency, when a segment of the intestine is turned upside down and enters the lap of the next intestinal passage, causing mechanical intestinal obstruction. The cage block prevents food and displacement from moving downwards, the intestinal wall pressed against each other causing edema, inflammation and blood supply to the caged intestine. As a result, the intestines become infected, necrosis and perforation.

The causes of intestinal cages in children are not yet well defined, however some experts believe that intestinal cages may be related to:

  • Bacteria or viruses that cause respiratory infections, gastrointestinal infections;
  • Imbalance between ileum size versus ileum valve;
  • Inflammation of the intestinal mesenteritis;
  • After an acute course of gastritis;
  • Physical lesions.

Intestinal cages can be encountered at any age, but it is common for children under 2 years of age (accounting for up to 80% of cases), the most of which are babies from 4-9 months and rare in older children. The disease is mostly encountered in well-fat, dusty children, boys more than girls with a ratio of about 2:1.

Clinically, this condition is not the same at two ages, namely:

  • young < 24 tháng: Biểu hiện cấp tính, diễn biến nhanh, tiên lượng nặng theo từng giờ;
  • Older children: Presenting less severely, the pain is shady, sometimes urgent, but not as fast and severe as in breastfeeding babies.

If the pediatrician is taken to the hospital early, the doctor only needs to perform a steam cage removal procedure (the success rate is more than 90% and the recurrence after removing the cage is 8-12%). If the child arrives late or removes the cage with a slightly failed vapor, the doctor will choose the appropriate surgical method based on the situation (the recurrence rate is 0-3%). Children are at risk of dying after cage removal surgery if they have pneumonia andhigh fever seizures , but the number of cases of complications has decreased significantly.

Intestinal cage

Intestinal cage in young children

2. Signs of a child's intestinal cage

There are 4 symptoms when the child has an intestinal cage that parents should note are:

2.1. Abdominal pain

Abdominal pain is the earliest and most prominent symptom, appearing in 75% of cases of children with intestinal cages. Features of abdominal pain caused by intestinal cages are manifested as follows:

  • The child cries every time, when the pain subsides, he will stop crying temporarily;
  • Sudden, intense abdominal pain;
  • Children, twisting, contracting their knees toward their chests or legs;
  • At night, you must wake up during the day and stop all activities;
  • Children quit playing, quit breastfeeding;
  • Each pain lasts 5-15 minutes, appears and disappears suddenly;
  • Symptoms can be repeated immediately, the distance between pains is increasingly short;
  • Children are weaker, tired.

Crying children

Children present with abdominal pains

2.2. vomit

65% of cases of children with intestinal cages will vomit from the first pain. At first the patient vomits out food, then vomits green or yellowish epidemics.

2.3. Bloody mucous ate

Bloody bowel movements account for 95% of cases of babies with intestinal cages still sucking. This sign may appear from the first pain if the cage is tight, difficult to remove, or appears late after 24 hours. Most when the patient is ate, they will find out:

  • Fresh blood and mucus;
  • Blood is red or brown;
  • Sometimes there are several drops of fresh blood flowing out of the anus or wire out of diapers.

However, there are also cases where blood mucus is detected only in gloves when the doctor examines the rectum.

2.4. Constipation or diarrhea

This is an easy sign of misdiagnosing because there are 3 cases that occur as follows:

  • If the cage mass causes complete obstruction: The patient will be squashed – bye(constipation);
  • If the intestines are not completely clogged: The person still has normal bowel movements;
  • In addition, there are still some children who appear diarrhea after having an intestinal cage.

Constipation babies

Constipation may be encountered when an intestinal cage appears

3. diagnose

3.1. Physical symptoms

When taking the child to the hospital, the doctor will conduct a clinical examination in the abdomen to diagnose the child with intestinal cage. Physical symptoms include:

  • 85 – 95% of cases will palpable horizontal cage blocks on the navel, long, mobile, firm, smooth face and pain when pressed;
  • In case of not palpable tufts of the cage is caused by lying deep under the right flank, cage to the corner of the liver, or obstruction of the intestines to late, causing the abdomen to strain;
  • Sinkhole must be empty
  • Rectal examination found bloody mucus in gloves due to intestinal hemorrhage
  • Sometimes the head of the cage is palpable at rectal examination if the intestinal cage is low.

3.2. Symptoms of the whole body

The full-body manifestations of a child with an intestinal cage in the early stages are often little changed, entering a late stage the patient usually:

  • Tired, weakened;
  • Less activity;
  • Dehydration and electrolyses
  • Bacterial infections – intoxication
  • Increased body temperature
  • Fever may appear
  • Some children are in a state of shock, manifestations of worship, separation.

After 48 hours may appear symptoms of mechanical intestinal obstruction.

Children with high fever

Children are tired of having intestinal cages

3.3. Sub-clinical

  • Radiotholynglic abdominal scan (Contraindicing: Intestinal obstruction arrives ≥ 48 hours, peritonitis or perforation of the intestines);
  • General abdominal ultrasound: As a reliable and accurate method of diagnosing the intestinal cage, the longitudinal cross section sees the cage block in the shape of a sandwich, the cross section sees a Donut or a bullet beer;
  • Color Doppler ultrasound: Used to pred up and prescribe surgery or removal of the cage, based on the flow of blood in the cage intestine;
  • Computer-class scan: in cases where ultrasound cannot accurately test the cage block.

3.4. Defining diagnosis

In case the pediatrician arrives early in the hospital early, the doctor can make a definitive diagnosis if the following signs of intestinal cage are present simultaneously:

  • Severe abdominal pain and palpation of the cage mass;
  • Severe abdominal pain, vomiting and blood on rectal visits;
  • Severe abdominal pain, and specific X-ray (or ultrasound) images.

On the contrary, if you arrive late, the child with intestinal cage will be diagnosed with symptoms of intestinal obstruction or peritonitis, accompanied by anal mucous blood.

3.5. Differentive diagnosis

In addition to the intestinal cage, there are also some other conditions that usually appear in children with similar symptoms, thereby it should be noted the differentive diagnosis as follows:

  • Bloody bye: entulous syndrome, colorectal and small intestine polyps, hemorrhoids, rectalprosthesis , hemorrhagic inflammation – rectum, necrotizing enteritis;
  • Vomiting: Meningitis, throat or bronchi;
  • Palpation of the mass in the abdomen: Intestinal obstruction due to tufts of worms; due to food pulp…
  • Severe abdominal pain: Acute appendicitis, acute gastritis,…

The intestinal cage after removal is still likely to recur as soon as a few hours or days. Therefore, parents need to detect symptoms early to bring their children back to the hospital in a timely manner. When children see signs of intestinal cavity such as sudden abdominal pain, twisting, crying, vomiting food … you need to take it to the doctor immediately.

In addition, it is recommended to keep the child warm to limit inflammation of the respiratory tract in the cold season, eat hygiene in case of mesentitis leading to the intestinal cage.

Pediatric examination, pre-vaccination examination

Parents should take the child to a medical facility as soon as abnormal symptoms appear

The pediatrics department at Share99 International Health Hub is the address to receive and examine the diseases that babies as well as young children are susceptible to: Viral fever, bacterial fever, otitis media, pneumonia in children,…. With modern equipment, ile space, minimize the impact as well as the risk of spreading the disease. Along with that is the dedication from experienced doctors to pediatric patients, making the examination no longer a concern of parents.

Customers can directly go to Share99 Health System nationwide for examination or contact the hotline HERE for assistance.

SEE MORE:

  • Complications of acute appendicitis
  • How to treat intestinal cages in a child
  • Signs of children with intestinal cages and how to recognize them
SEE MORE:

  • What can be caused by taste pain with belching, belching, nausea?
  • Common types of intestinal obstruction and causes of the disease
  • Is chronic gastritis curable?

About: Minh Quynh

b1ffdb54307529964874ff53a5c5de33?s=90&d=identicon&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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