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Causes and symptoms of baby's intussusception
○ Children's intussusception mostly occurs in infants under two years old. If a normally healthy baby has symptoms such as abdominal pain, crying, vomiting, jam-like bloody stool and abdominal mass, it should be vigilant.

○ The disease is dangerous, so it needs to be treated quickly, otherwise it may develop into intestinal necrosis and even life-threatening.

The fat boy who looks dignified and strong has always been in good health and rarely cries. One day, his temper suddenly changed. He not only cried sharply, but also curled his legs desperately to his abdomen, looking miserable. At this time, parents should be careful. The baby is likely to suffer from dangerous intussusception. Don't treat it as an ordinary stomachache. Experts remind parents that children's intussusception often occurs in infants under two years old, so it is necessary to hurry for treatment, otherwise it may develop into intestinal necrosis and even life-threatening. Because of its various causes, parents are advised to pay more attention to and observe the various changes that happen to their babies at ordinary times, especially if the babies who are always healthy have symptoms such as paroxysmal crying, vomiting, abdominal mass and jam-like bloody stool, they should be highly vigilant.

case

The baby's temper suddenly changed, and the abdominal lump was like "sausage"

Ten-month-old Doudou is chubby in vain, in good health and rarely cries, but at noon last Sunday, his temper suddenly changed and he kept crying. No matter how her mother coaxed her, she was "ungrateful" and stopped crying for half an hour. Later, she pulled out some jam-like stools with obvious blood. Her parents were shocked, picked him up and rushed to the hospital.

When he arrived at the hospital, Doudou began to vomit again. The sharp crying and the desperate bending of his legs to his abdomen made the doctor very alert. When he touched his stomach, he vaguely had a lump like a sausage or a banana. These indications were very similar to the symptoms of intussusception in children. The doctor did not dare to be careless. He told his parents that it would be very dangerous to deal with the change of his condition if he really suffered from intussusception, and advised them to take the baby to a hospital with pediatric surgery at once, so that he could be diagnosed by X-ray and undergo "air * * *" under fluoroscopy. If he dragged on for a long time or could not get effective treatment, he might have intestinal ischemia or even necrosis and had to undergo intestinal resection.

When my parents were frightened, they picked up Doudou and rushed to Guangdong Maternal and Child Health Hospital. The pediatric surgeon in this hospital didn't give Doudou a bill for X-ray, but did a simpler B-ultrasound examination, and was soon diagnosed as intussusception. Fortunately, early detection, timely treatment, peas have not yet appeared symptoms of intestinal necrosis. Through B-ultrasound and controllable water pressure, the doctor quickly replaced the intussuscepted intestines of Doudou, and Doudou was finally out of danger.

remind

Intussusception is easily misdiagnosed as enteritis.

"In fact, intussusception on the body of peas is one of the most common acute abdomen in children." According to Professor Yu Gang, Director of Pediatric Surgery of Guangdong Maternal and Child Health Hospital, intussusception mostly occurs in infants under two years old, and the incidence rate of male infants is twice as high as that of female infants. Most intussusception is difficult to find a clear cause, so it is called "idiopathic" disease in medicine. It may be that the baby's intestinal peristalsis is uncoordinated due to various unknown reasons such as virus, medication or even improper diet, which is difficult to prevent.

A clinical study found that many children with intussusception had good physique and were overweight. This kind of babies have high gastrin secretion, which is beneficial to digestion and nutrient absorption, but some people think that high serum gastrin value may be one of the predisposing factors of intussusception. Another clinical observation pointed out that about 60% of intussusception children are artificially fed, so it is suspected that eating milk may also be one of the predisposing factors of intussusception.

"Some babies have early symptoms such as upper respiratory tract infection and enterovirus infection and diarrhea before onset, which are easily misdiagnosed as enteritis." Professor Yu pointed out that due to the acute onset of intussusception in children, in theory, treatment can be carried out before the onset of intussusception exceeds 48 hours; However, after more than 48 hours, the baby is likely to have symptoms of peritonitis, and if it develops further, intestinal necrosis may even be life-threatening, so it has to be treated surgically. In order to avoid surgery, parents should pay more attention to and observe all kinds of changes that happen to their babies.

A healthy baby should be more vigilant if there are the following situations:

1。 Abdominal pain and crying: the baby suddenly has intermittent abdominal cramps, obviously restless, and his legs bend involuntarily to the abdomen, accompanied by paroxysmal crying;

2。 Vomiting: at first, it was milk and food, and even bile was vomited seriously;

3。 Jam-like bloody stool: it is usually dark red jam-like stool, or it can be fresh bloody stool or blood water, which generally has no odor; If intussusception is suspected without hematochezia, rectal digital examination can be done, and if blood is detected, it can also be diagnosed. The cause of hematochezia is that the blood circulation in the intestinal wall of the sheathed part is obstructed, so that the mucous membrane oozes blood and is mixed with intestinal mucus and discharged with feces;

4。 Abdominal mass: A small sausage and banana-like mass can be felt in the abdomen, which is the most diagnostic sign.

It is safer to treat B-ultrasound guided water pressure.

"Children's intussusception is more dangerous and needs to be treated quickly, otherwise it may develop into intestinal necrosis and even life-threatening." According to Professor Yu, as long as it is found early, there is generally no need for surgery. In the past, the commonly used treatment method in China was X-ray-guided air reduction. When using this method, both the child and the doctor received a lot of X-ray irradiation, which not only caused the child pain, but also had a low success rate of reduction. With the improvement of diagnostic methods, hospitals with conditions can diagnose and guide hydraulic reset by using cheaper and safer B-ultrasound, and the success rate of reset is as high as 96%.

However, for children with intussusception for more than 48~72 hours or with serious illness and suspected intestinal perforation or necrosis, surgical treatment or even partial resection of the necrotic intestine is inevitable.

Take precautions, pay attention to diet and keep warm

Although it is hard to prevent intussusception in children, parents can still reduce the chance of illness by doing a good job in preventing diseases such as baby's diet and warmth.

1。 Diet: Don't rush to add complementary food.

In addition to paying attention to daily food hygiene, it is necessary to feed the baby regularly and quantitatively. When it is necessary to add complementary food, it should also be gradual, and do not suddenly change the child's diet structure; Now the weather is getting hotter and hotter, but parents should also let their baby eat less cold and cold food to prevent the baby's intestinal peristalsis from abnormal.

2。 Keep warm: increase or decrease clothes in time according to temperature.

When entering and leaving the air-conditioned room in summer, you should increase or decrease your baby's clothes in time, especially when you sleep with the air conditioner on at night, you should pay more attention to keeping your baby's abdomen warm, so as to avoid catching cold or even diarrhea and other symptoms that affect the normal functioning of intestinal function. When the season changes, you should add clothes to keep your baby warm in time according to the weather changes.