Bowel obstruction: the symptoms in children

Content


Bowel obstruction: the symptoms in children
In its origin
bowel obstruction is congenital and acquired, and may develop
under the following circumstances:

  • defects of the intestine in the form of atresia or
    stenosis;
  • intussusception;
  • compression of the bowel due to soldering or infringement
    hernia;
  • obstruction of the intestinal worm or a ball
    foreign body;
  • closing the lumen of the gut feces.

clinical
picture of the disease depends on the level of occurrence of obstruction. In high congenital intestinal obstruction
Symptoms in children occur or shortly after birth: this
persistent vomiting, vomit found in admixture of bile, there is
lack of or delay in the chair. It has been observed that after vomiting bloating disappears
and there comes some relief. At low congenital obstruction on
fore features such as delay stool, bloating and
increased peristalsis, then joins vomiting bile.

Among
acquired various forms the main feature of intestinal obstruction in a child with delayed diagnosis is considered
bowel perforation with peritonitis.


Intestinal obstruction: manual and dynamic

AT
practice pediatric surgeons are faced with different kinds of acquired
intestinal obstruction:

  • Adhesive obstruction has bright clinical
    picture resembling shock and toxemia at an early age. There is cramping
    abdominal pain, persistent uncontrollable vomiting, increased peristalsis. Soon added
    expressed intoxication with profuse vomiting, so-called "fecal vomiting," E.
    peristalsis weakens. The later stages of the disease are characterized by
    repeated vomiting, mild swelling and asymmetry of the abdomen, lack of
    intestine. Diagnosis is carried out in this case by means of
    Traditional X-ray method, and the most informative diagnostic criterion
    considered to be the laparoscopic examination of the entire abdomen.
  • Intussusception - is a combined form of obstruction
    in children with elements of infringement of the mesentery and intestine intussusceptum closing in
    which were part of the intestine. Depending on the location
    location distinguish small bowel and colonic intussusception. Typical
    Symptoms of this form are presented paroxysmal abdominal pain, which
    begin suddenly on public health background. This attack can also
    a sudden end as it began, but again after some time has
    with increased vomiting, due to the infringement of the mesentery of the colon or full
    bowel obstruction. the child's temperature and chair are normally later
    time from the rectum appear mucus with blood.
  • One of the most frequent forms of obstruction
    bowel, occurring in childhood - a dynamic, may look like
    spastic or paralytic. It develops most often in children in the postoperative
    period characterized by recurrent vomiting, progressive abdominal distension,
    Delay of the chair and gases, intoxication. Abdomen soft, peristalsis is weak,
    high standing diaphragm provoking breathing difficulties. Treatment of such
    form of obstruction aimed at combating intestinal adynamia.
  • Obstructive obstruction in most
    cases due coprostasia, or - closure of fecal intestinal lumen
    mass, in children at different ages. The main reason is considered to be a violation of
    regime and diet, contributing to the formation of fecal stones. differential
    diagnosis is carried out with a bowel tumor.
  • Rare form of intestinal
    obstruction - a disease that occurs as a result of helminthic invasion,
    when bred parasites closed intestinal lumen.


Prevention of bowel obstruction

Bowel obstruction: the symptoms in children

prevention
intestinal obstruction - is, above all, child care and healthy
food. Preventive measures involve:

  • active and healthy way of life of children and their
    parents;
  • balanced mode and diet
    rich in fiber, fruits, vegetables, vitamins;
  • timely medical treatment;
  • the prevention of infection and destruction
    parasitic invasions;

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