Infant intestinal spasms
Introduction
Baby Intestines Introduction Intestinal fistula is a paroxysmal abdominal pain caused by a strong contraction of the smooth muscles of the intestinal wall, which is the most common condition in children with acute abdominal pain. In small babies, you can know if there is intestinal cramps from the degree and intensity of crying. basic knowledge The proportion of illness: 0.001% Susceptible people: children Mode of infection: non-infectious Complications: dehydration shock pediatric biliary ascariasis hypovolemic shock septic shock
Cause
Intestinal causes of infantile bowel
First, the gastrointestinal factors:
(1) Excessive intestinal gas production
There are four sources of intestinal gas: swallowed gas, neutralized gastric acid production, diffused from the blood and bacterial fermentation.
(2) Increased intestinal motility.
(three) gastrointestinal hormones.
(D) dietary factors, some studies have shown that breast-feeding infants are associated with mother drinking milk, food allergies may be a cause of intestinal fistula.
(5) Other factors.
Prevention
Infant intestinal fistula prevention
To prevent intestinal cramps, parents must pay attention to reasonable arrangements for their children's diet during the holidays, to avoid excessive consumption of cold drinks and non-digestible foods. In the event of abdominal pain, you should contact your health care provider immediately for early treatment.
Complication
Infant intestinal fistula complications Complications dehydration shock pediatric biliary ascariasis hypovolemic shock septic shock
Although it can be dehydrated, even signs of shock and peritonitis, children can be complicated by tumors, polyps, Meckel's diverticulum, ascariasis. Dehydration and bacteremia may occur in children with excessive obstructive time, leading to tachycardia and fever, occasionally hypovolemic or septic shock. Some patients may have pelvic abscess, intestinal abscess, and underarm abscess, axillary abscess, and adhesive intestinal obstruction.
Symptom
Intestinal symptoms of infants Common symptoms Intestinal fistula acute abdominal pain facial flushing
In small babies, the main manifestations of intestinal fistula are persistent, difficult to appease crying, mainly manifested as crying and uneasiness, may be accompanied by vomiting, cheeks flushing, tumbling, bilateral lower extremity distortion, etc., facial flushing when crying, abdominal swelling Tension, legs up, the attack can be terminated by the child's exhaust or defecation, in small infants can be repeated and self-limiting process.
Examine
Intestinal examination of infants
1. Blood routine: Blood routine is the most common and basic blood test. Blood consists of two major parts, fluid and tangible cells, which are routinely tested for blood. It is one of the commonly used auxiliary examination methods for doctors to diagnose the disease. You can see if the child has an infection of the digestive tract. When there is an infection, the proportion of white blood cells and neutrophils will increase.
2. Regular routine: Know if there is any convulsion that causes bleeding in the digestive system. If necessary, the stool OB test should be added.
3. Biochemicals: To understand whether liver function, kidney function, myocardial enzymes, electrolytes and other indicators are abnormal, and to actively treat the disease, it is necessary to check whether the internal environment indicators are stable.
4. Abdominal peritoneal, abdominal B-ultrasound: understand the severity of sputum, and whether combined with intestinal obstruction.
Diagnosis
Diagnosis of infantile intestinal fistula
diagnosis
Diagnosis can be performed based on clinical manifestations and examinations.
Differential diagnosis
Atypical cases must be differentiated from bacterial dysentery, allergic purpura (allergic purpura can also induce intussusception due to intestinal fistula and hematoma), intestinal cysts, and intestinal or extra-tumor tumors.
