The human body is divided into the large intestine and the small intestine. When the intestine is infected by bacteria, it will cause intestinal spasm. Chronic intestinal spasm is relatively common at present, which is mainly caused by multiple factors. The vast majority of people with chronic intestinal spasm are infants and young children. Severe cases can cause gastrointestinal perforation or even intussusception. When the disease occurs, it is necessary to receive treatment and understand the symptoms. If not treated, it will lead to continuous aggravation of the disease and may even cause the risk of some complications. In this regard, the first step we must take is to understand the symptoms of chronic intestinal spasm. It was previously believed that this disease is most common in infancy, but in fact intestinal spasms can occur in children of all age groups. Infants and young children cannot describe their abdominal pain themselves, but only experience sudden onset of paroxysmal crying, sometimes waking up from sleep crying. Each attack lasts from a few minutes to more than ten minutes, and the pain comes and goes. The severity of abdominal pain varies. In severe cases, it may be accompanied by restless limb movement, rolling, pale complexion, and cold hands and feet. Preschool or school-age children can usually express abdominal pain by themselves. The pain is most common in the mid-abdomen or around the navel. Intestinal spasms induced by constipation often manifest as pain in the lower left abdomen, but sometimes the pain is difficult to locate. Abdominal pain usually occurs in paroxysmal episodes, with no discomfort during the intervals. Although the degree of abdominal pain in older children varies, their overall condition is generally good. Simple intestinal spasm can often heal itself within tens of minutes to hours. The attack time of some children has a certain regularity. When I was on duty in the emergency room, I saw the same 2-year-old child with paroxysmal crying every early morning for 5 to 6 consecutive days and diagnosed him with intestinal spasms. Abdominal examination lacks specific signs. Generally, there is no abdominal distension and no intestinal pattern, but sometimes there may be mild to moderate abdominal tenderness. The tenderness is roughly consistent with the location of abdominal pain, usually in the mid-abdomen or left lower abdomen, suggesting spasm of the small intestine or sigmoid colon. Through repeated and careful examinations, it can often be determined that the tenderness point is not fixed like appendicitis, and there is absolutely no muscle tension. Sometimes tender, cord-like, spasmodic intestinal loops can be felt. Those with constipation as the cause can often feel dry and hard stools. Those with indigestion as the cause may hear increased and enhanced bowel sounds on stethoscope, but there is no sound of gas passing through water. Digital rectal examination may induce the passage of dyspeptic stool and gas but without blood or mucus. Abdominal pain can often disappear by using a suppository to assist defecation or after a digital rectal examination. |
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