Newborn bowel obstruction

Newborn bowel obstruction's disease overview

intestinal obstruction (English is Bowel Obstriation or Intestinal Obstriation) is a medical term that indicates the stagnation of the gastrointestinal tract, causing food to be blocked in the intestinal tract. This leads to foods, vapor or other liquids that cannot be passed through the small intestine or the large intestine.

Newborn bowel obstruction is the most common surgical emergency syndrome in infants caused by bowel obstruction. Children's digestive tract may have a few malformations due to not fully developed in the first days after birth. If not treated promptly, newborn bowel syndrome will lead to very serious consequences, children can die.

Causes of Newborn bowel obstruction's disease

Causes of newborn intestinal obstruction include:

  • congenital colon (Hirschsprung disease)
  • Meconium Ileus (Meconium Ileus)

    • Intussusceptions

  • Inflammation
  • Excess pocket inflammation (the condition of small pockets in the gastrointestinal tract infected)

    • Twisted colon

    Among the causes mentioned above, the main cause of the majority of newborn intestinal obstruction is the intestinal cage. The intestinal cage is a pathological state when an intestinal section of the intestine into the next intestine causes the intestinal tract to be covered and congested. Spontaneous intestinal cage is a common cause of bowel obstruction in children under two years of age, most of them are anise - colon.

    The cause of the intestine cage has not been well known so far. However, there are some theories that the intestinal cage occurs due to the intestinal size with imbalance, due to the overcurrent of lymphocytes, the colon polip, or the upper respiratory tract infection or the intestinal inflammation due to Virus (Adenovirus, Enerovirus, Cytomegalovirus, Rotavirus).

    Transmission route of Newborn bowel obstruction's diseaseNewborn bowel obstruction

    Due to the main cause of newborn bowel obstruction is due to the intestinal cage, the common symptoms common in the newborn bowel is often closely related to this disease, including:

    Mechanical symptoms:

  • Abdominal pain: Sudden onset, severe and cramping in each attack. Signs of recognition may be through the sudden screaming of the patient, pulling the knee into the chest when crying, puffing out, twisting. Abdominal pain can take 4-5 minutes lasting and 10-20 minutes apart. The time between the pain will make the child weak and weak, lying away, sweating. This symptom is common in 75% of the cases.
  • Vomiting: This symptom is found in 60% of newborn bowel cases. The initial manifestation is vomiting food due to reflexes. Later, when the intestinal obstruction progresses, the vomiting is accompanied by bile fluid.
  • Fertilizer mixed with mucus and blood: This is a very common symptom. About two -thirds of the patients go to the bridge of bloody stool to look like "grape jelly". When the child shows signs of bleeding, the intestinal cage has occurred for a while, maybe one to two days. However, bloody diarrhea can also appear early in about 12 hours, due to the intestinal cage too tight.

    • It should be noted that bleeding bowel movements also occur in many other cases and often mistakenly think that patients with dysentery, so if arbitrarily giving dysentery will make the disease or not. But it could not help but be heavier. Therefore, you should go to medical facilities for advice from the doctor, avoiding unfortunate cases that may occur.

    Physical symptoms:

  • Touch the cage: The cage is usually in the form of a segment, changing according to the position and progress of the intestine cage, which can be touched in 70-85% of cases. When the pain is painful, the cage can increase the size and density more firmly. Most cases are located along the upper right corner of the abdomen or in the upper. The remaining abdomen will often be expanded, soft and painless. If you touch 1/4 of the lower abdomen, you will feel empty, do not see the intestines.
  • Rectal visits with fingers: often have mucus and blood with gloves. If the cage blocks fall into the rectum, the rectal visit can be touched.

    • Not all of the above symptoms appear in newborn bowel patients. If detected late after 24-48 hours, children are often very weak and the disease is easy to confuse with meningitis. Therefore, experts recommend taking children to medical facilities to check when there are signs of suspicion of newborn bowel obstruction.

    People at risk for Newborn bowel obstruction's disease

  • Neonatal intestinal obstruction usually occurs in newborns from 3-12 months old.
  • Incidence in male children is 2-4 times higher than women.
  • Most people see in good fat, plump, less in malnourished children.
  • Premature babies are also at high risk of intestinal obstruction because the digestive system has not developed comprehensively.

    • Prevention of Newborn bowel obstruction's disease

    Neonatal intestinal obstruction may be limited in the following ways:

    Before birth:

  • The mother needs to be fully vaccinated before she intends to become pregnant.
  • During pregnancy, it is necessary to rest and exercise properly, eat enough nutrients, avoid contact with toxic environment.

    • After birth:

  • In case of premature babies, parents need to pay attention to the child's digestive system.
  • Adjust the diet for children to prevent bowel obstruction, avoid fat and indigestible foods.

    • Diagnostic measures for Newborn bowel obstruction's disease

    The diagnosis of newborn intestinal obstruction is based on clinical factors sometimes difficult because not all children have all the above symptoms. Therefore, doctors often use the following methods to support the diagnosis of newborn bowel obstruction:

    X-ray
  • Abdominal X-ray: This method can evaluate the level of intestinal obstruction above the cage.
  • colon with Baryt indent: In children who suspect intestinal cages, colon scan with barium can help determine the diagnosis. Especially helps diagnose the cage of the cage, the colon, the colon. However, this method may not help diagnosing cage in the small intestine.
  • In most cases, colon shooting with barium indent is both a diagnosis and a process of treatment to help remove cages without surgery. This therapy is highly effective in children but rarely used in adults.
  • Colon taken by gas pump: This method has been popular in many centers, giving the results equivalent to the use of Barium. Used to diagnose and remove cages.
    • ultrasound

    this method is considered to be reliable and very accurate in diagnosing intestinal cage (sensitivity 98-100%). Ultrasound is more dominant than X-rays because of less abuse.

    Computerized tabers (CT)

    is an image diagnostic method commonly used for adults, but it can still be applied to children. Cut the computer layer can help determine the cause and morphology of the intestine cage. On it, the image of the small intestine can be seen with the straps above the stretched cage with water-level ink, the gut under the cage is collapsed.

    Newborn bowel obstruction's disease treatments

    Treatment of newborn intestinal obstruction is often considered a medical emergency condition. To avoid serious dehydration as well as preventable infection when a part of the intestine has been necrotic due to anemia, emergency medical care is necessary.

    When a child is taken to a medical facility, the doctor will newborn intestinal treatment by:

  • Translate for children through an intravenous line.
  • Put the tube through the child's nose in the stomach to help extract.

    • After that, depending on the condition, doctors can use one of the following methods to treat newborn bowel obstruction:

    Remove non -surgical cages:

    Cage removal will be indicated on cases without complications. The contraindications are severe intestinal obstruction in X-ray film, peritonitis, children are too weak or in shock. This is a safe and effective method with a success rate of about 50-90%. The cage removal methods that can be used are:

  • Remove the cage with barium.
  • Remove the cage with gas.
  • Remove cages with solutions such as water, physiological saline, ringer solution or Hartmann solution.

    • Remove cages by surgery:

    This method is used to intervene if the cage is unsuccessful or contraindicated to remove the cage. In case the intestine has necrotic or unable to remove the cage by hand, the intestine must be removed and may be life -threatening.

    Disclaimer

    Every effort has been made to ensure that the information provided by Drugslib.com is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Drugslib.com information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Drugslib.com does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Drugslib.com's drug information does not endorse drugs, diagnose patients or recommend therapy. Drugslib.com's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.

    The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Drugslib.com does not assume any responsibility for any aspect of healthcare administered with the aid of information Drugslib.com provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

    Popular Keywords