Intussusception history and symptoms: Difference between revisions
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* Pain:- A toddler or infant presenting with crampy abdominal pain with or without rectal bleeding | * Pain:- A toddler or infant presenting with crampy abdominal pain with or without rectal bleeding | ||
* Inconsolable crying | * Inconsolable crying | ||
* Drawing up of the legs toward the abdomen{{cite journal |vauthors=Mandeville K, Chien M, Willyerd FA, Mandell G, Hostetler MA, Bulloch B |title=Intussusception: clinical presentations and imaging characteristics |journal=Pediatr Emerg Care |volume=28 |issue=9 |pages=842–4 |year=2012 |pmid=22929138 |doi=10.1097/PEC.0b013e318267a75e |url=}} | * Drawing up of the legs toward the abdomen<ref name="pmid22929138">{{cite journal |vauthors=Mandeville K, Chien M, Willyerd FA, Mandell G, Hostetler MA, Bulloch B |title=Intussusception: clinical presentations and imaging characteristics |journal=Pediatr Emerg Care |volume=28 |issue=9 |pages=842–4 |year=2012 |pmid=22929138 |doi=10.1097/PEC.0b013e318267a75e |url=}}</ref>. | ||
* Episode occur with 15-20 min intervals | * Episode occur with 15-20 min intervals | ||
* Vomiting usually occurs after the first episode. Initially the vomiting is non-bilious but may convert to bilious as the obstruction progresses. | * Vomiting usually occurs after the first episode. Initially the vomiting is non-bilious but may convert to bilious as the obstruction progresses. | ||
* An abdominal mass (sausage shaped), may be palpated in the right side of abdomen. | * An abdominal mass (sausage shaped), may be palpated in the right side of abdomen. | ||
* Bloody stool or even occult blood{{cite journal |vauthors=Losek JD, Fiete RL |title=Intussusception and the diagnostic value of testing stool for occult blood |journal=Am J Emerg Med |volume=9 |issue=1 |pages=1–3 |year=1991 |pmid=1985640 |doi= |url=}}. | * Bloody stool or even occult blood<ref name="pmid1985640">{{cite journal |vauthors=Losek JD, Fiete RL |title=Intussusception and the diagnostic value of testing stool for occult blood |journal=Am J Emerg Med |volume=9 |issue=1 |pages=1–3 |year=1991 |pmid=1985640 |doi= |url=}}</ref>. | ||
* Current jelly stools which are a mixture of mucous and blood. (This is seen in minority of patients and is a late finding). | * Current jelly stools which are a mixture of mucous and blood. (This is seen in minority of patients and is a late finding). | ||
The stool is grossly bloody in up to 50 percent of cases, and an additional 25 percent have occult blood [44]. In some cases, the stool may be a mixture of blood and mucous, giving it the appearance of currant jelly, but this is a late finding and seen in a minority of patients. (See "Causes of acute abdominal pain in children and adolescents".) | The stool is grossly bloody in up to 50 percent of cases, and an additional 25 percent have occult blood [44]. In some cases, the stool may be a mixture of blood and mucous, giving it the appearance of currant jelly, but this is a late finding and seen in a minority of patients. (See "Causes of acute abdominal pain in children and adolescents".) | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
History
Patients with intussusception may have a positive history of:
- Abdominal pain which can either be intermittent, severe, crampy, or progressive
- Vomiting
- Gross or occult - rectal bleeding
- Lethargy which is often episodic
Typical Symptoms
Common symptoms of Intussusception include:
- Pain:- A toddler or infant presenting with crampy abdominal pain with or without rectal bleeding
- Inconsolable crying
- Drawing up of the legs toward the abdomen[1].
- Episode occur with 15-20 min intervals
- Vomiting usually occurs after the first episode. Initially the vomiting is non-bilious but may convert to bilious as the obstruction progresses.
- An abdominal mass (sausage shaped), may be palpated in the right side of abdomen.
- Bloody stool or even occult blood[2].
- Current jelly stools which are a mixture of mucous and blood. (This is seen in minority of patients and is a late finding).
The stool is grossly bloody in up to 50 percent of cases, and an additional 25 percent have occult blood [44]. In some cases, the stool may be a mixture of blood and mucous, giving it the appearance of currant jelly, but this is a late finding and seen in a minority of patients. (See "Causes of acute abdominal pain in children and adolescents".)
Less Common Symptoms[edit | edit source]
Less common symptoms of [disease name] include
- [Symptom 1]
- [Symptom 2]
- [Symptom 3]
Symptoms
The first sign of intussusception is usually sudden, loud crying caused by abdominal pain. The pain is colicky and not continuous (intermittent), but it comes back often, increasing in both intensity and duration.
An infant with severe abdominal pain may draw the knees to the chest while crying.
Other symptoms include:
- Bloody, mucus-like bowel movement, sometimes called a "currant jelly" stool
- Fever
- Shock (pale color, lethargy, sweating)
- Stool mixed with blood and mucus
- Vomiting
References
- ↑ Mandeville K, Chien M, Willyerd FA, Mandell G, Hostetler MA, Bulloch B (2012). "Intussusception: clinical presentations and imaging characteristics". Pediatr Emerg Care. 28 (9): 842–4. doi:10.1097/PEC.0b013e318267a75e. PMID 22929138.
- ↑ Losek JD, Fiete RL (1991). "Intussusception and the diagnostic value of testing stool for occult blood". Am J Emerg Med. 9 (1): 1–3. PMID 1985640.