What kind of disease are many 'midnight' for infants and toddlers? We also comment on symptoms and causes!

 

There are several types of what is called a boat bottle. However, there may be many who are unfamiliar with Jangjungjeok. Unlike simple abdominal pain, intestinal ailments are accompanied by a risk of aggravation, such as intestinal necrosis and intestinal rupture or peritonitis, because blood flow in the intestinal tract is lowered. However, it is also true that it is not widely known. Although it is a disease that occurs often in infants and young children, even in adults, intestinal obstruction may occur due to colorectal cancer, etc. I'll explain in detail what kind of disease it is, its causes, treatment, and risks.

What is midday?

What kind of disease is the mid-morning?

Mid-morning refers to a state in which a part of the minister enters the back and overlaps. Since it becomes a state of intestinal obstruction, if left unattended, the overlapping intestinal tract rots and necrosis, leading to risks such as bacterial infection and peritonitis. Be careful as it can be life threatening in some cases. In order to prevent the development of a serious condition, it is important to detect and treat it as early as possible. It is one of the most common pediatric emergencies as it often occurs in children aged 0-2.

What is the probability of getting it?

The midday incidence is approximately 2 to 4 in 1,000 people. It is known that about 80% of all cases develop in children under 2 years of age. The incidence rate until 6 months of age is extremely low, and around 6 months to 2 years old is the age most likely to develop the disease. The incidence gradually decreases after 3 years of age, but the probability does not become zero after 5 years of age. Because early treatment is important, it can be said that adults around you need to pay attention, especially to changes in children's conditions. The incidence also tends to be somewhat higher in boys, about twice that of girls. However, it is not medically known why boys are more prone to the disease.

What are the specific symptoms?

The main symptoms of the intestinal tract include abdominal pain, vomiting, and bloody stools. However, it is not possible to say that all three symptoms are present, and there are cases where it is only abdominal pain. As this is a characteristic symptom of viscous tonsils, such as strawberry jelly, if bloody stool is confirmed, seek medical attention as soon as possible. Intermittent pain is often present as mid-day symptoms. Severe abdominal pain is complained about every 10 to 15 minutes, and there are not a few cases where people are doing well between pain intervals. In the case of infants and toddlers who cannot express their symptoms well in words, they can see appearances such as screaming, crying, unexplained discomfort, pale face, and dampness.

Is it okay to think that it is basically a child's disease?

It can be said that it is basically a disease that children are prone to, in that about 80% of all cases of early childhood disease are under the age of 2 years. However, the possibility that an adult will develop mid-morning is not zero. Even in adults, symptoms such as abdominal pain and bloody stools appear. If left unattended, it can lead to serious problems such as intestinal obstruction and necrosis of the intestinal tract. As a result, if bacterial infection or peritonitis occurs, there is a risk of life threatening, so caution is required.

Causes and treatment of long-term

What are the causes of midday?

Most of the infants and toddlers are sudden outbreaks caused by viral infections such as colds. Possible causes such as enlarged lymphatic tissue of the intestinal wall or abnormal intestinal peristalsis. It is necessary to be careful as there is a possibility that an intestinal disease may develop even after rotavirus vaccination. Even when the onset of the disease occurs in adults, sudden cases have been confirmed as well, but they are quite rare. In adults, intestinal malignancy can be caused by diseases such as small intestine polyps, malignant lymphoma, Mettel's common room, and double intestinal tract. In addition, if open surgery is performed for some reason, an abnormality in intestinal peristalsis may occur, which may cause intestinal obstruction.

Please tell me how to check.

In the mid-day inspection, first, a questionnaire and facilitation are carried out. It is important to check for intermittent abdominal pain every 10 to 15 minutes and for vomiting and bloody stools. Palpation can sometimes identify the type of sausage in the intestine. Diagnosis can also be made by imaging tests such as ultrasound examination, insistent X-ray examination, and CT examination. In some cases, a high-pressure enema, also called nasal thrombus reduction, may be used as a treatment.

Is surgery necessary for long-term treatment?

For enteral treatment, if detected early, nasal thrombus reduction, also called high-pressure enema, is used. A treatment in which pressure from the anus is applied with air and a contrast agent to push back the overlapping part of the intestinal tract. Using ultrasound, X-rays, and endoscopes, we check the part that is causing the intestinal mucosa, and apply appropriate pressure to reduce it. However, nasopharyngeal thrombus reduction can be performed within 24 hours of onset. Surgery is performed when the systemic condition is poor, such as suspected of having peritonitis 24 hours or more after the onset of the onset, when treatment cannot be achieved with the nasopharyngeal thrombus reduction method, or when it is necessary to remove the causative disease. It is called open reduction and is a treatment using open surgery or laparoscopic surgery. In addition, if the damage to the intestinal tract is large due to prolonged passage, surgical resection of the intestinal tract is sometimes performed.

Is there any chance of recurrence?

It is known that approximately 10 to 15% of recurrences occur even with long-term nasopharyngeal thrombus reduction. It often recurs within a few hours to a few days. It is also known that there is a possibility of recurrence in about 5% even when surgery is performed using the open reduction method. In the case of repeated intermittent events, there is a 10% chance that diseases such as polyps are hidden, so you need to be careful.

Risks and countermeasures of neglect

What are the dangers of being left unattended?

When performing a heavy hit, the overlapping intestinal tract causes an obstruction. This reduces blood flow to the intestinal tract and increases the likelihood of necrosis if left unattended for a long time. If the intestinal tract becomes necrotic or rotten, it is at increased risk of becoming severe, causing peritonitis or bacterial infections. It's life-threatening, so it's important to see a doctor and get treatment as soon as possible. In addition, when an adult causes an intestinal disease, chronic progression can be considered due to diseases such as small intestine polyps, malignant lymphoma, Metel's common room, double intestinal tract, and colorectal cancer. In addition to long-term treatment, it is important to treat the underlying disease at an early stage.

Early detection and treatment are important.

If it becomes severe, life may be affected, so it is necessary to detect and treat it as early as possible. It is also necessary to note that if more than 12 hours have passed since the onset of the disease, it will be impossible to cope with the nasopharyngeal thrombus reduction method. If symptoms such as severe abdominal pain, vomiting, or bloody stool appear, do not leave it unattended, even if it does not worsen, and first seek medical attention.

If you are between 0 and 2 years old, you may not be able to speak well, so it may be difficult to judge.

Infants aged 0-2 years are particularly at risk. In many cases, it is still difficult to convey symptoms in words, so an adult should be closely monitored. In the case of intermittent cases, such as infants and toddlers who should have been in a good mood, suddenly burst out crying violently and repeated every 10 to 15 minutes, it is likely that the cause was midday. Crying violently, unexplained feeling continues, facial paleness, dampness, etc. may be seen as a sign of a mourning. However, there are not a few cases where it is difficult to judge whether or not a person is in a state of affairs based on their appearance alone. Even considering the high risk of neglect, it is safe to first consult a medical institution. In addition, mucinous bloody stools such as strawberry jelly are also characteristic of the intestinal tract. If mucous bloody stool is confirmed, seek medical attention immediately.

In many cases, the cause is unknown, but early detection and treatment are very important. It is a terrifying disease that can lead to severe death, but there are also many parents who are anxious due to the high rate of infants and children.

Parents' sense of 'somehow different from usual', such as feeling bad or crying, is also very important. If you feel you are in doubt, seek medical attention. In addition, when it occurs in adults, serious diseases are often hidden. If you feel any abnormalities, do not leave it unattended and seek medical attention and treatment as early as possible.

organize

Jangjung-Jeong explained what kind of disease it is, its causes, treatments, and risks. Abdominal pain is something we experience on a daily basis, but it is also a symptom that can be easily tolerated or overlooked. Since it may have occurred without vomiting or bloody stool, placing it on one side of the head increases the probability of coping with it. Of course, there are changes in the condition of adults, but especially in infants and young children with a high incidence, adults watch over them because they cannot express them well in words. In order to prevent aggravation, it is important to see an examination without neglecting if you feel any abnormalities so that early detection and treatment can be achieved.