The symptoms of intussusception are different in children and adults. The first symptom observed in a child is abdominal pain, and this pain is so much that it leads to loud crying of the child. The abdominal pain is detected by a posture where the children pull their chests towards their knees to overcome the pain. The duration of the abdominal pain is irregular, and it lasts for about 20 minutes initially, but later on, the duration of the abdominal pain increases, and they are felt often. The other symptoms reported in children are the formation of a lump in the abdomen, diarrhea, vomiting, the child may feel lethargic, and blood and mucus in the stool. The symptoms of intussusception are not visible in children and can only be detected through specific tests.
The symptoms of intussusception in adults differ from that of children, and the chances of intussusception in adults are scarce. However, the symptoms of intussusception in adults are very similar to other problems, and it becomes very assiduous to identify them. The symptom of intussusception that is very common is a pain in the abdomen, which comes spasmodically. The other symptoms are vomiting, and nausea and these symptoms can last for one week.
The risk factors associated with intussusception are sex, other conditions, age, and birth problems. The chances of intussusception are common in males when compared with females. The other conditions such as Henoch-Schonlein purpura, celiac disease, cystic fibrosis, and Crohnâ€™s disease increase the chances of intussusception.
The chances of intussusception are common in young children below the age of 3 years. The condition where the intestine does not rotate is called intestine malrotation, which increases the chances of intussusception.
Causes and Complications of Intussusception
The causes of intussusception are different in adults and children. The intestine of the human body is like a long tube, and in the case of intussusception, one part of the intestine generally, the small one slides over the long part. The reason for this sliding is due to the growth of tumors in the intestine. The contractions present in the intestine, grab this tumor and drag it into the bowel.
The causes of intussusception are entirely unknown, but the chances of this condition occurring in children are higher in the winter and summer regions. The reason behind this may be the infection of the virus in these seasons, leading to cold and cough. The other causes are the presence of a tumor-like abnormal growth found in the lower intestine.
The causes of intussusception in adults may include any surgery or procedure that may have gone wrong. The surgeries that can lead to intussusception are intestinal tract surgeries and gastric bypass surgeries. The other causes of intussusception in adults are tumor growth, adhesions in the intestine, and inflammation created by Crohnâ€™s disease.
The complications associated with intussusception are the death of intestinal tissue due to excess loss of blood. The death of the tissue can lead to perforation in the wall of the intestine and further leads to infection in the abdominal cavity.
The infection in the abdominal activity is severe and can even lead to death. The symptoms of this problem in children consist of rapid pulse rate, anxiety, cool and pale skin, and irregular breathing.
Diagnosis and Treatment of Intussusception
The diagnosis of intussusception includes checking the childâ€™s medical history, and the child will feel that the intestine is like a sausage. However, these diagnosis methods do not completely confirm that the child is suffering from intussusception. The confirmation is done through other methods such as ultrasound or imaging of the abdomen. The computerized tomography or ultrasound can detect the obstruction created in the intestine by intussusception. The image shows the coiling of the intestine with each other, and it also tells whether the intestine is perforated or not.
The treatment of intussusception occurs only when there is an emergency, and this emergency occurs when loss of blood leads to the death of the tissue. The emergency arises when intussusception leads to shock and dehydration of the intestine. The two treatment options that the doctors recommend are air enema and surgery. The air enema is a treatment and a diagnostic method, and the results are 90% in children. The method of air enema is not performed when the intestine gets perforated, and this treatment can rupture the intestine, so it is performed carefully. The other treatment method is surgery, which is only recommended when the intestine gets torn and an air enema is impossible. The surgery involves the removal of obstruction and any tissue that becomes dead due to loss of blood. In the case of adults, surgery is also recommended.
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