Symptoms of intussusception in infants

Written by Hu Qi Feng
Pediatrics
Updated on September 22, 2024
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The clinical manifestations of intussusception mainly include abdominal pain, vomiting, bloody stools, and an abdominal mass. The abdominal pain is often spasmodic and regular, manifesting as sudden severe colicky pain. The child appears to be crying and restless, with knees drawn up to the abdomen, pale complexion, and the pain lasts for several minutes or longer but lessens after; it recurs every ten to twenty minutes, accompanied by intestinal movements. Vomiting is an early clinical symptom, initially consisting of milk curds or food residue, and later may include bile and fecal-like liquid. Bloody stool is an important symptom, appearing within the first few hours; initially, the stools can be normal, with about 85% of cases excreting jam-like mucoid bloody stools within six to twelve hours of onset. The abdominal mass is often located in the upper right abdomen below the costal margin, where a slight, tender mass can be palpated.

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Written by Bai Yan Hui
Pediatrics
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How to check for intussusception?

Intussusception is primarily diagnosed based on medical history, symptoms, physical signs, and auxiliary examinations. Medical history is mainly gathered by asking the parents, which is very important. Physical signs involve the doctor performing an abdominal palpation, where generally a mass can be felt on the abdominal wall. Auxiliary examinations usually include abdominal ultrasonography and upright abdominal plain films. For more complicated cases or when the location is unique and difficult to detect, a CT scan of the intestines may be performed to make the final diagnosis.

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Written by Bai Yan Hui
Pediatrics
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Intussusception should visit which department?

Intussusception generally falls under pediatric surgery, but many children arrive at the hospital without a clear self-diagnosis of intussusception; they often come due to abdominal pain. They can visit either the internal medicine department or the surgical department. At this point, the attending physician will conduct a thorough medical history inquiry, such as a standing abdominal radiograph, abdominal ultrasonography, and physical examination, to aid in diagnosis. If a diagnosis confirms the need for surgical intervention, whether it involves air enema or surgery, it is definitely within the scope of the surgical department.

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Written by Quan Xiang Mei
Pediatrics
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Is intestinal intussusception easy to treat?

Intussusception is a common pediatric surgical condition in infancy and early childhood. It is characterized clinically by abdominal distension, abdominal pain, and the passage of jelly-like stools. Mild cases of intussusception can usually be treated in a clinical setting with an air enema under surgical guidance. However, severe intussusception, which has led to ischemia or necrosis of the intestinal mucosa, must be treated surgically. Therefore, the treatment of intussusception is not difficult, but it is crucial to avoid misdiagnosis. With timely diagnosis, the condition is relatively easy to manage with the best and most appropriate treatment, where diagnosis is the most critical aspect.

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Written by He Zong Quan
General Surgery
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Can I take a bath after an enema for intussusception?

Patients with intussusception may experience a variety of symptoms including abdominal pain, a mass, and bloody stools, and may need an air enema for reduction. If symptoms disappear after the enema reduction and imaging suggests that the intussusception has been reduced, then the condition is improving. Since the enema does not cause localized wounds or obvious external trauma, it does not affect bathing. Intussusception often occurs in children, while in adults it is usually due to a structural disease, especially tumors, and a definitive diagnosis is needed for proper management. As long as the patient has not undergone surgical treatment, they can bathe.

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Written by Hu Qi Feng
Pediatrics
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Infant Intussusception Symptoms and Treatment

Clinical manifestations of intussusception include: firstly, abdominal pain, which is paroxysmal, regular, and characterized by sudden episodes of colicky pain. The child may cry, appear restless, draw knees to the abdomen, have a pale face, and experience pain that lasts for several minutes or longer. The pain subsides, and the child may fall asleep quietly, but the pain typically recurs at intervals of ten to twenty minutes. Secondly, vomiting is an early symptom, initially reflexive and containing curds and food residue, later possibly including bile. Thirdly, bloody stools are an important symptom, with about 85% of cases passing jelly-like mucoid bloody stools within six to twelve hours after onset. Fourthly, an abdominal mass is often located in the upper right abdomen below the costal margin, where a slightly prominent intussusception mass can be felt. In terms of systemic symptoms, the general condition is good in the early stages, with no symptoms of systemic poisoning. As the disease progresses, the condition worsens, and complications such as intestinal necrosis or peritonitis may develop, leading to deterioration of systemic symptoms and possibly resulting in dehydration, high fever, coma, shock, and other toxic symptoms. Treatment methods include both surgical and non-surgical treatments.