Why are breastfeeding babies susceptible to intestinal cages?

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 scientific pathology encountered in young children, especially breastfeeding babies. This is a pathology when the upper intestine moves abnormally, burrowing and the lower intestine, clogging intestinal circulation.

1. Causes of intestinal cage in breastfeeding babies

The causes of an urgent intestinal cage in breastfeeding are unclear, but there are several accepted explanations:

  • Due to the imbalance between ileum size and ileum: In 4-month-olds, the size of the ileum and ileum is approximately the same, from 4-12 months of age, the ileum grows faster.
  • The colon and colon do not stick or loosely stick to the back abdominal wall. Some cases of the disease have a starting point due to Meckel divertic fissure, small intestine tumors, polyps, tufts of worms …
  • Lymphadenitis of the mesenteritis: babies who still suck Bauhin valves easily protrude into the colon, abundant lymphatic cysts, when there is a large swelling that interferes with the periillation of the small intestine.
  • Mesenteal lymphadenitis caused by viral infections. The high season of respiratory infections is also common in intestinal cages such as Adenovirus infection, Enterovirus …
  • The anesthile region – the ileum is the place of communication of 2 opposite waves of condum, the opposite of the colon towards the ileum and the downward movement of the ileum.

2. Symptoms of intestinal cage in breastfeeding babies

  • Abdominal pain: Children playing, crying every time due to sudden, intense pain, causing them to twist, twist, people, legs to pedal. At night wakes the child up, during the day quits playing, quits breastfeeding. The pain appears and loses suddenly, usually each pain lasts from 5-15 minutes. Symptoms can recur immediately afterwards, weakening the child, fatigue, and more and more pains appear.
  • Vomiting: appears possible from the first pain, initially vomiting out food, followed by green or yellowish epidemics.
  • Bloody mucous ate: this sign appears late, can be from the first pain or after 24 hours. Most stools are bloody and mucous, red or brown, sometimes with a few drops of fresh blood flowing from the anus to the diaper.
  • Squash – bowel movements: when the cage mass causes complete blockage, this symptom is easily misdiagnosed, especially in children with diarrhea after intestinal cage.
  • Examination: the horizontal cage mass is usually located on the lower right flank, on the navel. The child has now calmed the pain, the abdomen is soft, the palpable cage mass is a long mass, located along the position of the colon frame, mobile, smooth face, firm, painful when pressed.

Symptoms of intestinal cage in a child

Patients may palpation of the cage

The pelvic pit should be hollow: due to the clues moving upwards.

Visit the rectum with blood mucus in gloves or may palpation of the head of the cage if the intestinal cage is low.

After 48 hours: symptoms of mechanical intestinal obstruction.

  • Full body:

+ Early stage: little change.

+ Late stage: children are tired, less active, have symptoms of dehydration and electrolysis, bacterial infections – intoxication, high fever

3. Diagnosis of a child with intestinal cage

Intestinal diagnosis is mainly based on clinical examination and imaging especially ultrasound.

Unmed abdominal scan: less valuable in diagnosis, there may be several suggestive signs:

  • There are clouds under the liver or the asteriscy in the cage block position.
  • There is no vapor in the right pelvic pit due to higher movement of the clues.
  • Presenting water levels, slightly typical levels of intestinal obstruction when the patient is late.
  • Sickle vapor due to necrosis of the intestines, perforation.

Abdominal imaging with colon baryte indentation: there are specific images of intestinal diseases such as the bottom of the cup, crabs, hooks, badges or negative shapes. Do not shoot when the intestinal obstruction arrives ≥ 48 hours, there are signs of peritonitis, perforation of the intestines.

Abdominal imaging with colon air pumps: there are typical intestinal cage images such as baryte pumps, this procedure is safe, easy to apply.

  • Abdominal Ultrasound Images

Ultrasound is a reliable and accurate intestinal cage diagnostic method of cage block imaging, cage block position.

Diagnosis of a child with intestinal cage

Intestinal ultrasound images

+ Cage block image:

Cross section: the cage block has a round or oval shape, a diameter of more than 3 cm, has an increased central region, a sound-reducing peripheral zone.

Vertical cross section: the cage block looks like a 3-layer sandwich (the middle layer is the s tangy layer, the two layers on both sides are negative).

Color Doppler ultrasound: helps the predrdrm and prescribes surgery or removal of the cage, based on the flow of blood in the cage intestine, if there is no flow of blood vessels, the mesenter is pinched in the cage intestine, then surgery.

  • Computer-layered imaging

Images of small intestine obstruction with intestinal jaws on the cage, underneath flattened, rarely applied in children

Parents who see children showing signs of intestinal cage should soon take the child to a medical facility for examination, treatment, avoiding necrotic cage intestines.

Dr. Dr. Tien has more than 8 years of experience in the field of Pediatrics – Newborn, specializing in Emergency Resuscitation, Pediatric Cardiologist, Newborn Resuscitation. Doctors have been trained domesticly and internationally such as: National Children's Health Hub; University of Sydney, Australia; Seoul National University, South Korea before being a Resident Doctor of Pediatrics – Infants at Share99 Hai Phong International Health Hub as it is today.

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About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&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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