What are the symptoms of intestinal folding?

Many people may not pay much attention to intestinal duplication, but in fact the occurrence of this problem has a relatively large impact. The common symptoms are paroxysmal abdominal pain. Patients will show severe abdominal pain, pale complexion, sweating, flexion and straightness of lower limbs, or nausea and vomiting, bloody stools, abdominal lumps, etc., especially children are more prone to these symptoms.

1. Paroxysmal abdominal pain: Abdominal pain occurs suddenly. When in pain, the child becomes pale, sweats, and has flexed lower limbs. Some children do not cry, but are irritable and restless. The pain lasts for several minutes and then suddenly becomes quiet and playful as usual, but the above situation repeats itself soon after.

2. Vomiting: It occurs immediately after the onset of abdominal pain. It is more frequent at first and then relieved. The vomitus is mostly gastric contents. Children often refuse to breastfeed or eat. In the later stage, if it develops into complete intestinal obstruction, the vomitus is often fecal-like and has a foul odor.

3. Blood in the stool: It is one of the most important symptoms of intussusception. Purple or liver-colored stool with mucus may appear 4 to 12 hours after the onset of the disease.

4. Abdominal mass: When the child is quiet or asleep and the abdominal wall is relaxed, a "sausage-like" mass can be felt in the abdomen. If it is an ileocecal type, the mass is mostly in the right upper abdomen or mid-abdomen, with a smooth surface and slightly movable. When abdominal pain occurs, the mass is obvious, bowel sounds are hyperactive, and there is a "feeling of emptiness" in the right lower abdomen.

5. In addition to the acute intussusception mentioned above, there is also chronic recurrent intussusception clinically, which is more common in adults.

The cause of its occurrence is often related to the lesions of the intestine itself, such as tumors of the small intestine or ileocecal region. Chronic recurrent intussusception is mostly partial intestinal obstruction. The clinical symptoms are atypical, mainly paroxysmal abdominal pain and abdominal mass. Vomiting and bloody stools are rare. X-ray barium examination is often performed to confirm the diagnosis. For early-stage children who are difficult to diagnose, if their general condition is good and there are no signs of intestinal necrosis, low-pressure barium enema can be performed as appropriate. During enema, the pressure should not exceed 130 cm of water column (about three feet in height). If a "cup-shaped" X-ray sign is found, it can be further proved to be intussusception.