Intussusception reduction



Definition

Intussusception is a condition in which one portion of the intestine "telescopes" into or folds itself inside another portion. The term comes from two Latin words, intus , which means "inside" and suscipere , which means "to receive." The outer "receiving" portion of an intussusception is called the intussuscipiens; the part that has been received inside the intussuscipiens is called the intussusceptum. The result of an intussusception is that the bowel is obstructed and its blood supply gradually cut off. Surgery is sometimes necessary to relieve the obstruction.


Purpose

The purpose of an intussusception reduction is to prevent gangrene of the bowel, which may lead to perforation of the bowel, severe infection, and death.

The cause of intussusception is idiopathic in most children diagnosed with the condition (88–99%). Idiopathic means that the condition has developed spontaneously or that the cause is unknown. In the remaining 1–12% of child patients, certain conditions called lead points have been associated with intussusception. These lead points include cystic fibrosis; recent upper respiratory or gastrointestinal illness; congenital abnormalities of the digestive tract; benign or malignant tumors; chemotherapy; or the presence of foreign bodies.

In contrast to children, there is a lead point in 90% of adults diagnosed with intussusception.


Demographics

About 95% of all cases of intussusception occur in children. Children under two years of age are most likely to be affected by the condition; the average age at diagnosis is seven to eight months. Among children, the rate of intussusception is one to four per 1000. Conversely,

Intussusception of the bowel results in the bowel telescoping onto itself (A and B). An incision is made in the baby's abdomen to expose the bowel (C). If the surgeon cannot manipulate the bowel into a normal shape manually, the area of intussusception wil be removed and remaining bowel sutured together (D). (Illustration by GGS Inc.)
Intussusception of the bowel results in the bowel telescoping onto itself (A and B). An incision is made in the baby's abdomen to expose the bowel (C). If the surgeon cannot manipulate the bowel into a normal shape manually, the area of intussusception wil be removed and remaining bowel sutured together (D). (
Illustration by GGS Inc.
)
only two to three adults out of every 1,000,000 are diagnosed with intussusception each year. Intussusception is more likely to affect males than females in all age groups. Among children, the male: female ratio is 3:2; in persons over the age of four, the male:female ratio is 8:1.

As of 2003, racial or ethnic differences do not appear to affect the occurrence of intussusception.


Description

Surgical correction of an intussusception is done with the patient under general anesthesia. The surgeon usually enters the abdominal cavity by way of a laparotomy, a large incision made through the abdominal wall. The intestines are examined until the intussusception is identified and brought through the incision for closer examination. The surgeon first attempts to reduce the intussusception by "milking" or applying gentle pressure to ease the intussusceptum out of the intussuscipiens; this technique is called manual reduction. If manual reduction is not successful, the surgeon may perform a resection of the intussusception. Resect means to remove part or all of a tissue or structure; resection of the intussusception, therefore, involves the removal of the area of the intestine that has prolapsed. The two cut ends of the intestine may then be reconnected with sutures or surgical staples; this reconnection is called an end-toend anastomosis.

More rarely, the segment of bowel that is removed is too large to accommodate an end-to-end anastomosis. These patients may require a temporary or permanent enterostomy. In this procedure, the surgeon creates an artificial opening in the abdomen wall called a stoma, and attaches the intestine to it. Waste then exits the body through the stoma and empties into a collection bag.

An alternative to the traditional abdominal incision is laparoscopy , a surgical procedure in which a laparoscope (a thin, lighted tube) and other instruments are inserted into the abdomen through small incisions. The internal operating field is then visualized on a video monitor that is connected to the scope. In some patients, the surgeon may perform a laparoscopy for abdominal exploration in place of a laparotomy. Laparoscopy is associated with speedier recoveries shorter hospital stays, and smaller surgical scars; on the other hand, however, it requires costly equipment and advanced training on the surgeon's part. In addition, it offers a relatively limited view of the operating field.


Diagnosis/Preparation

The diagnosis of intussusception is usually made after a complete physical examination , medical history, and series of imaging studies. In children, the pediatrician may suspect the diagnosis on the basis of such symptoms as abdominal pain, fever, vomiting, and "currant jelly" stools, which consist of blood-streaked mucus and pieces of the tissue that lines the intestine. When the doctor palpates (feels) the child's abdomen, he or she will typically find a sausage-shaped mass in the right lower quadrant of the abdomen. Diagnosis of intussusception in adults, however, is much more difficult, partly because the disorder is relatively rare in the adult population.

X rays may be taken of the abdomen with the patient lying down or sitting upright. Ultrasonography (an imaging technique that uses high-frequency sounds waves to visualize structures inside the body) and computed tomography (an imaging technique that uses x rays to produce two-dimensional cross-sections on a viewing screen) are also used to diagnose intussusception. A contrast enema is a diagnostic tool that has the potential to reduce the intussusception; during this procedure, x-ray photographs are taken of the intestines after a contrast material such as barium or air is introduced through the anus.

Children diagnosed with intussusception are started on intravenous (IV) fluids and nasogastric decompression (in which a flexible tube is inserted through the nose down to the stomach) in an effort to avoid surgery. An enema may also be given to the patient, as 40–90% of cases are successfully treated by this method. If these noninvasive treatments fail, surgery becomes necessary to relieve the obstruction.

There is some controversy among doctors about the usefulness of barium enemas in reducing intussusceptions in adults. In general, enemas are less successful in adults than in children, and surgical treatment should not be delayed.


Aftercare

After surgical treatment of an intussusception, the patient is given fluids intravenously until bowel function returns; he or she may then be allowed to resume a normal diet. Follow-up care may be indicated if the intussusception occurred as a result of a specific condition (e.g., cancerous tumors).


Risks

Complications associated with intussusception reduction include reactions to general anesthesia; perforation of the bowel; wound infection; urinary tract infection; excessive bleeding; and formation of adhesions (bands of scar tissue that form after surgery or injury to the abdomen).


Normal results

If intussusception is treated in a timely manner, most patients are expected to recover fully, retain normal bowel function, and have only a small chance of recurrence. The mortality rate is lowest among patients who are treated within the first 24 hours.


Morbidity and mortality rates

Intussusception recurs in approximately 1–4% of patients after surgery, compared to 5–10% after nonsurgical reduction. Adhesions form in up to 7% of patients who undergo surgical reduction. The rate of intussusception-related deaths in Western countries is less than 1%.

Alternatives

Such nonsurgical techniques as the administration of IV fluids, bowel decompression with a nasogastric tube, or a therapeutic enema are often successful in reducing intussusception. Patients whose symptoms point to bowel perforation or strangulation, however, require immediate surgery. If left untreated, gangrene of the bowel is almost always fatal.


Resources

books

"Congenital Anomalies: Gastrointestinal Defects." In The Merck Manual of Diagnosis and Therapy , edited by Mark H. Beers, MD, and Robert Berkow, MD. Whitehouse Station, NJ: Merck Research Laboratories, 1999.

Engum, Scott A. and Jay L. Grosfeld. "Pediatric Surgery: Intussusception." In Sabiston Textbook of Surgery . Philadelphia: W. B. Saunders Company, 2001.

Wyllie, Robert. "Ileus, Adhesions, Intussusception, and Closed-Loop Obstructions." In Nelson Textbook of Pediatrics , 16th ed. Philadelphia, PA: W. B. Saunders Company, 2000.


periodicals

Chahine, A. Alfred, MD. "Intussusception." eMedicine ,April 4, 2002 [cited May 4, 2003]. http://www.emedicine.com/PED/topic1208.htm .

Irish, Michael, MD. "Intussusception: Surgical Perspective." eMedicine , April 29, 2003 [cited May 4, 2003]. http://www.emedicine.com/PED/topic2972.htm .

Waseem, Muhammad and Orlando Perales. "Diagnosis: Intussusception." Pediatrics in Review 22, no. 4 (April 1, 2001): 135-140.


organizations

American Academy of Family Physicians. PO Box 11210, Shawnee Mission, KS 66207. (800) 274-2237. http://www.aafp.org .

American Academy of Pediatrics. 141 Northwest Point Blvd., Elk Grove Village, IL 60007-1098. (847) 434-4000. http://www.aap.org .

American College of Radiology. 1891 Preston White Dr., Reston, VA 20191-4397. (800) 227-5463. http://www.acr.org .


Stephanie Dionne Sherk

WHO PERFORMS THE PROCEDURE AND WHERE IS IT PERFORMED?


Intussusception reduction is usually performed in a hospital operating room under general anesthesia. The operation may be performed by a general surgeon, a pediatric surgeon (in the case of pediatric intussusception), or a colorectal surgeon (a medical doctor who focuses on the surgical treatment of diseases of the colon, rectum, and anus).

QUESTIONS TO ASK THE DOCTOR




User Contributions:

1
Alvie
What would the next step be in the following case:

A 3-yr-old boy with intussuscetion undergoes a resection, but develops post-op adhesions. Since another surgery may produce more adhesions, what are other alternatives to help with recovery??
2
Walfer
Same thing happend with my baby, the thing is that the intussuscetion occurs when he was 4.5 months old and now that he es 8.5 months old adhesions appear and surgery was necessary to relieve the obstruction, now me and my wife are really scared and have doubts if adhesions would apear again, does someone knows and alternative procedure?
3
dr.ahmad al ani
please any CT finding about the intussusceptio, in this country i see about two cases of childreen 5y age without leading couse
4
tammarie rios
In Nov.2004 my husband of 16yrs went in for emergency surgery because of a blockage that was cutting of the blood supply to part of his small intestine. Before this he was a healthy 46 year old man, 6'4", 280lbs, who went to work everyday, fished and rode his motorcycle. The doctors did the surgery where they had to remove part of his intestine. Over the 4 months he was in the hosptial he had complcations associated with, perforation of the bowel, wound infection, urinary tract infection, excessive bleeding etc... He was able to come home 3 times, once for 2 days, then 2 days, and finally towards the end when he was doing very well the doctors released him home where he was for 5 days, doing better & better each day. Walking with a walker, was able to hold soft foods in without eating & going right through him. On his 5th day home he had his first doctors appt. since being released. His doctor was very pleased with how his was doing! The doctor gave him his next appt in two weeks. That night around 11pm I was woke up to my husband in pain and throwing up blood. I took him to the hosptial and his doctor finally came out & told me that he was doing better and not to worry he would do some test & go from there. The next morning after all the test findings where back the doctor told me that my husband had another urinary tract infection and after 2-3 days in the hosptial to clear it up he could go home. I left my husband that afternoon to go home to eat & shower and sleep, I was woke up at midnight to a nurse calling to ask me to please return to the hosptial and I should bring any family members with me. When I got there my husband was on a table with his head towards the floor and couldn't stop throwing up blood, his blood pressure was so low they told me is why they had him like that. The doctor came in and he wasn't sure what happened & was taking him back to surgery. After hours the doctor came out & said there wasn't anything he could do for my husband & he was only alive due to the breathing machine. Later that morning he was taken off the machine & at 1am Feb 1st 2004 he passed away. The doctor really could not say what happened. What I would like to have is any other input as to what could have happened. Thank-You so much for any help with this and your time in this matter.
5
Dr.Rakesh
info about the intussusception was good.. i wanted to know the commonest type of I' in adults...
hi my name is suzie and i am 24years old. at the age of 14weeks i had an intussusception and had part of my intestines removed. as an adult i still experience a bloated stomach and pains from that area. i am just wandering if there are any side effects of the operation that have caused this or any advice on how to get rid of the pain and the constant feeling of being tired?
How soon can a patient with intestinal resction and anastomosis resume breast feeding after surgery.
Just wondering how many adults this has happened to...I am 46 yrs old and in 1 day was in the emergency room with severe pains and went from diarreha to just blood within 6 hrs...and in surgery within 6 hrs of admitting to the ER...colon and intestine telescoped and had to remove some of both. No explanation of why or any causes...thank the Lord, no complications, home after 5 days in Hospital...and it has been a little over 2 weeks and all seems to be ok.
9
Tony
For 7 months in 2008, my GP diagnosed IBS and prescribed many different remedies - none worked. I was 59 and weighed almost 14 stone (6'-1'' height). Although I requested a consultation with a stomach specialist, all my GP would offer was a colonoscopy, some 3 months after the first stomach pains arrived. Some polyps were found and the pain disappeared for two weeks (air passed into the intestine pushed the intestine/colon interssusception appart). However, the pain restarted even worse. My GP continued to prescribe for IBS and I lost 3 stone in weight. At the new year 2009 the pain was so great that the 'on-call' doctor was called and he gave me morphine, which had no effect. The doctor told me to go to A&E and warned the hospital that I was on my way. The x-rays indicated a blockage at the intestine/colon section and I had emergency surgery the next day. I was in ICU for 6 days and then released home (the nurses and doctors in the hospital were excellent - no complaint there - but many thanks to them and the surgeon). My GP, although not apologising for the long delay and mis-diagnosis, is now more attentive when I visit him. He advised that my system would get back to normal after one and a half years; it is now almost three years since my emergency operation and whilst I've had no problems with the operation itself or my stomach, I still need 'to go' three times a day with the final 'go' being diarrhoea (probably because of the reduction in the length of the colon). Other than that, I now lead a healthy lifestyle although I think that I should have been given advice on diet as I feel this would help get my system back under control. Has anyone else found eating certain foods help in post-interssusception?
I am a 39 year old femail. I have not been able to pass stool for over a year it seems to just be getting stuck. I use stool softeners and fibre to keep my stool soft, and it is, however i can not pass it, have a hard time passing gas, and diarrhea. Every A.M. I get really bad cramps just below my sigmoid colon. The only way to get the cramps and nausea to stop is to have a movement, but in order to do that i have to use glycerin suppositories or enemas. I went to my doctor who sent me GI who had me get a colonoscopy. They found 2 polyps and removed them and they were normal. The next A.M. i was able to have a normal movement with little effort. only it did not last. I then was told I had IBS only I am doing or have tried everything the doctors have asked and things are now just getting worce. My rectum is prolapseing some with normal efforts. I leak mucus for hours after every movement. When I am able to pass a litttle gas i can feel it pop like a valve or a ballon in the area under my sigmoid colon. The first GI doctor had me try every over the counter laxative and none worked. So she sent me to another GI doctor who said i should eat a high protien/low to no fibre diet. I disagreed with him first of all because I am on SSDI and I do not have the money to bye that much meet, but did try it for 2 ddays at which point my stool felt like rocks and maded my butt bleed (5 days now and every day i go BM it bleeds agian. I do not know what is wrong but both GI doctors have said they CAN NOT help me. I am starting to wonder if intussusception is what I have, and even if it is not I would like it ruled out. I think in the doctors minds my colonoscopy was normal so there is no problem. MY life sucks as 90% of my time i am cramped and feeling sick with the only thing reliving my nausea being maryjane. I just don't know what to do now. Do i not do what ever i need to to pass stool then go to the ER? Do i go to another GI clinic in hopes I do not get miss treated agian? Do I wate tell it becomes life threating? Or do i just give up and give in to a live of pain and sickness? I WANT MY LIFE BACK!!! I called the hospatal coustomer relations and they are going to send my info to the manager of the GI clinic to see if they can justfie more tests. If they can't then I eather do no use suppostories for a week and go to the ER or go to another clinic and pray for help. is there another kind of doctor I should be seeing? Tony your story sounds alot like mine only it has not become life threating yet for me. the only time I feel good is when I do not eat or after i do an enema, sometimes I even feel good for a few days after the enema. If anyone has any suggestions on what I can do or another kind of doctor I can go to PLEASE let me know!! I just feel so hopeless right now expecially after going to see that GI doctor and him telling me over and over agian that he could not help me, that apointment I waited 3 months for with high hopes, and it ened with me saying that I was wasting his and my time if he could not help me with me in tears walking out the door.
11
Upasana
hi,
my daughter was operated for intussception at age of 15 months. she was operated twice for the same after pneumatically redution. Now she is 3.1 year old. till date she get obstruction and she is prone to loose stools. i want to know the reason behind this post surgical complications.
12
Karen
After reading other people's problems, I know I am not the only one leading a miserable life. I, too, have been dealing with severe pain and what I call constipation, for years. Mayo Clinic told me my intestines telescope, and to just take Mirilax and Nortriptilyn. I can't take drugs, nor fiber. The Gastro doc says colonoscopy looks good. Really!! It's the motility and the issue at hand, but, no one has any answers nor will they do anything about it. Fiber is NOT the answer for everyone. These doctors should have to live with the problem and I bet they would find a way to fix it real quick!!
13
Nick
I know every case is different. I started having pain in my lower left pelvic/abdomen region in March 2012. I have had bouts of constipation throughout my adult life and it seemed to get worse. No concerns showed up in the colonoscopy. The Dr. Wanted to put me on medicine for cramping , but I insisted it was more than that. She ordered a CT w/ contrast of the ab/pelvic area. Results showed intussusception of small intestines. I'm having surgery soon to correct as surgeon said it will not correct self. Not that I wanted there to be something wrong, but I am grateful something was found. I felt like I was going crazy.
14
Matei
So excited I found this artlice as it made things much quicker!
I've also been a victim of this condition. I was 7months when. I diagnosed. After the surgery my mom said she that I returned back to my normal behavior. I'm 27 years now and haven't had any drawbacks since.
16
Debra Gordon
My husband was diagnosed with intussuception about 8 years ago following a colonoscopy and over 30 years of constipation problems. He had the procedure, resection w/anastomosis and barely escaped having a bowel bag becuz we had a good surgeon. He has had a prostatectomy, radiation and hormone treatment and is not in remission but his blood test has not shown a rise in his score ( post surgery 5 years). Over the past three years he has had numerous admissions for bowel obstruction. It's like a cycle, throw up bile, can't eat food, severe constipation, low potassium, just miserable. He goes in, IV inserted, multiple tests but they cannot cath the bowel twisting or telescoping. He stays for a week until he can eat and have a bowel movement and then he comes home. He is so miserable and always anxious about his intake. Now, the Doctors are considering surgery to remove adhesions and I am not convinced that this will be good or bad for him in the end since they will be opening his abdomen...I am fearful that his cancer will "awaken" and then spread.
17
pjfeller
I had an abdominal hysterectomy May 23rd 2014. I am 47 years old. The 1st week I was OK. The 2nd week the pain got worse and worse. I couldn't sit up for longer than an hour or so and I still cannot lay flat. The OB/GYN Dr. kept saying that it was a hematoma causing the pain, but I didn't think that would be the cause of the pain I was having. They insisted it was. At 5 weeks they did a CT scan that said I had intussusception. The Dr. consulted a GI surgeon who said that this was nothing and not causing my pain. After the hematoma healed and I was still having pain and constipation, I got a 2nd opinion with a GI dr. and they also said that the intussusception was not the cause of the pain. I had xrays and capsule endoscopy that did not show the intussusception, but 2 CT scans that did. I now have a laparoscopic surgery scheduled for 8/21/2014 as now they are saying that the intussusception IS causing the pain. So frustrating.
If anyone has any input it would be greatly appreciated.
18
amy
I'm 32 year old female I only recently got out of hospital I was diagnosed with ischaemic colitis and my colon has folded inside of itself my pain is on my right side. Last night I fainted my stomach gets really swollen when I walk around or do any activities I have a follow up with my doc in a week but if I'm still having pains and have not been able to have bowl movement at all since I came home and its been 4 days total of 8 days since I had my first symptoms . If anyone is able to tell me what is inline for me and the dangers please reply. I'm a mother of 3 small children and I read a ladies post about her husband passing away has really shaken me up
19
Melissa
+Amy

I just got a diagnosis of intussusception yesterday. That was my after 3rd trip to the GI doc and after having a colonoscopy, endoscopy of stomach and duodenum, and a CT scan. I see my regular doctor every 3 months for another chronic illness and I have told him about my symptoms at every visit! Since the start of my more acute symptoms, 20 months ago, I've lost 60 pounds. Now that I've got the dumb DX, the GI guy tells me no surgeon will operate yet b/c my pain is intermittent and they think by the time they get me to an operating room the intussusception will have resolved itself (temporarily). I've got to wait till the pain gets worse and I start vomiting before they'll do surgery to fix it. At this point I'm so tired of dealing with the pain and tiredness of this added to my intractable pain from my other health issues that I'd kinda be okay with dying from complications of the surgery. I know that seems extreme, but it wears you down. And I've had to deal for a long time. You are extremely lucky to have gotten your DX so early in the process. Assuming you are otherwise very healthy, you will probably have a great outcome. All surgeries are risky and you've got to weigh the pro and cons based on your situation and what will benefit you the most… until, of course, you have that choice made for you by an emergency situation, or if you became unconscious and a loved one has to make the decision for you. Write up an advanced directive for yourself, so your wishes are followed once you decide on what you want. If you get the surgery, have lots of people help you with dealing with the kids, meals, housework, etc. Sometimes, if you are so inclined, church folk, or friends will help you with meals for the first few weeks of your recovery. I found lots of stuff on the Internet on this, so take advantage of it and your doctor, to get information. Good luck to you and your family. I know it's hard when kids are young. I've got 2 daughters who've had to live thru the journey and they're in their early twenties. They do survive. They're mad at me sometimes (ya know—they really struggle with understanding unless they experience it too), but they're doing okay.
20
Yolanda
My daughter was diagnosed with intusseption on three months. She had surgery and did not have problems after that. She is seven now and is overweight. I have 3 other children and none of them have weight problems. Can her weight be caused by the illnes that she had?
21
Michelle
I'm a 45 year old female that is recovering (week 4) from having emergency surgery for Intussusception. I came home from work on a Friday evening feeling fine, enjoying the evening with relatives that had flown in the night before. We had made plans for that Saturday and I woke up with a pain in my stomach. It felt like I ate something bad or maybe a quick onset of a stomach flu. A couple hours after waking up I was getting ready to spend the day with relatives and feeling pain that wasn't subsiding, only getting worse with every half hour. Then the vomiting of what resembled small flakes in black tar started. Once it started, it wouldn't stop--at first every 10 minutes and then 15 minutes and than subsided to every 30 minutes. I was doubled over in so much pain and the only energy I had was to make it back to the bed only a few feet from the bathroom. I didn't go to the er until the next day because I didn't have the energy to get myself to the car and honestly I thought I was fighting the flu. The constant pain stopped after 12 hours and came back only when the nausea hit but, was relieved when I threw up. I woke up to vomit. It wouldn't stop. Sunday came and I wasn't any better. But I wasn't in pain. I just couldn't hold a sip of water down. My family got me to the er and I sat or rather layed on chairs in the er waiting area. I didn't care, at that point I was so out of it. I couldn't answer my cell, I couldn't hold a conversation or anything. Anyway, I ended up having surgery that night--open surgery. They had originally said the intussusception was either from a gastric bypass Surgery I had 17 years ago or tumors/cancer. One or the other caused it. Well, after having 2 feet of small intestine removed the doctors said they couldn't figure out what the heck caused it! No prior surgical trauma or tumors of any kind. They said it was fluke. There is no reason why I had this rare obstruction. Recovery has been okay. I developed fluid under my incision (Seroma) that my doctor hoped my body would absorb. It was large and painful. It finally drained itself by opening my incision area completely. since my incision originally healed and this just happened a week ago, they can't restitch. I have a large open wound under my naval that I've been assured will close on its own. Im also now taking 2 different antibiotics for the infection from my incision opening. Other than that, I feel good. I'm recovering. My energy is getting stronger day by day. I do get tired easier but that's normal. I'm a pastry chef with an active job of handling heavy machinery. I can't go back to work for a total of 8 weeks (half way there).
I just wanted to put my story here, as many have before me. My intussusception blockage came fast and hit hard. I didn't feel any discomfort or pain days before this happened. When I heard I needed emergency surgery I was shocked. I honestly thought they had the wrong patient. The only thing looking back on that Saturday that should have alarmed me was the vomiting. Any vomit that resembles black tar with flakes; get to the er immediately.
22
Rose
Michelle, I just had surgery on October 13th. I am on week 5 of recovery. Your story sound like mine, except I didn't have the vomitting, only pain. I too was shocked when I got the diagnosis and told that this condition happens in only 1% of the adult population. My Intussusception was a fluke as well, no tumour, thank God. Hope you're doing well.
23
Rose
Michelle, I just had surgery on October 13th. I am on week 5 of recovery. Your story sound like mine, except I didn't have the vomitting, only pain. I too was shocked when I got the diagnosis and told that this condition happens in only 1% of the adult population. My Intussusception was a fluke as well, no tumour, thank God. Hope you're doing well.
24
mr.stone
my son had surgery intussusception on 2 year old.my son are 4 year old now.But he often intestinal adhesion again(about 7 times/year ),symptom: Not to shit, to pee and no fart. i am very sad.
please help me. i need help for medicien and food every day.
25
Ms Star
Hi x my son is five before Christmas he had a vastalatic rash which covered he's body and was inside he's intestines he was diagnosed with intermittent intussusception and has had diarrhoea for 15 weeks and high temperature of 40 every two weeks been to two hospital both diagnosed wrong as constipation and saying its in he's head feeling disgusted how we have been treated my child has never cried once ans looks like a normal child until he jas the pains which come every 20 min which can last seconds to 20 minutes feeling so upset as I've proved every doctor wrong and being sent home with a child in pain and having constant runs no lead points as have a Meckel's. Test done and a barium meal and one else has experience this as I am becoming desperate now x
26
Intususneption
My 26 yo son had been feeling the intense sharp pain that comes and goes in 20-30 minutes then stops and sometimes not much pain. 3 doctors checked him and just took a blood test and gave my son ulcer tablets.
3 months later he went to ER but a small hospital. They diagnosed him with intususneption, with polyps and bowel obstruction. He was in the hospital for 6 days. He died within a month. He was a very healthy man. His reason of death was heart attack due to previous heart attack which is the upper right ventricle; and that it was hereditary. I did a lot of research. If the pain is like how my son discribes it then go to ER. Something triggered my sons heart attack. Hereditary or not- the problem was late diagnosis and i wished he asked for a blood test during his last visit to the doctor. He died 3 days after his last doctor visit. Google intususneption and show it to your doctor so they will consider. Ask to have the patient be hooked to a heart monitor no matter what age because according to autopsy he had a previous heart attack. Maybe the doctor could have seen that. He was a Police Officer. The training didnt give him a heart attack. It was after surgery. I think because his intestine telescoped and had stuck bowel, his blood was not as healthy to pump for his organs. His creatanine was high and Egfr is low so his kidney got affected. Im not a doctor, im the mom.
I am a 39 year old female whom have been dealing with bad stomach pains for almost 15 years. I was told it was my gall bladder and then appendix. They both were removed in 2008. I had exploratory surgery of my abdomen in 2011. Seen a GI doctor for many years and all they kept saying it's ibs. I have always known something was wrong. I have been to the ER so many times I lost track. Well, a few weeks ago I went to the ER and the doctors all treated me like I was crazy.. Even gave me a schizophrenia medicine. They did a ct scan and said I'm so sorry we see the problem. I have intussusception. They described what it was and said they wanted me to see a surgeon right away. Surgeon comes in and says yes they see it, but she does not think it's a problem and it may correct on its on. She said if they pain continues to come back. I am home in the same pain. I rather give birth than to feel this pain. No one seems to want to help me.

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