Rectal prolapse and Intussusception risk lesson learned

[my little penguin]

Ds had abdominal pain starting on Tuesday last week
He would not eat dinner Wednesday night due to abdominal pain ( Christmas eve) by bedtime he was rating his pain an 8 . He had 8 BM during the day/evening .
He was panting due to the pain in the late evening .
It managed to calm down some by midnight to where Ds could sleep
Woke up four hours later in pain with D


He also has rectal prolapse which is not new for him.

Abdominal pain has significantly lessened to only minor now so he is fine .
Hoping for a single blip.
Ds saw Gi today
Learned a few things.
I was only worried about Ibd obstruction so figured he was ok since it stopped and no fever/vomiting .
I missed possible Intussusception ( telescoping of bowel over itself )
Basically since his rectum/sigmoid prolapse ( telescopes regularly ) odds are good his internal ( small bowel) was probably telescoping /prolapsing.
Apparently it causes intense pain but may only last 15-20 minutes

http://emedicine.medscape.com/article/930708-overview
Signs of intense abdominal pain
With or with vomiting or fever , or currant jelly ( blood red mucus )
Equals instant ER trip for DS from now on.

Just learned something new and I thought I would share in case it helps anyone else

 

[Mehita]

Oh goodness, poor guy. What a way to spend Christmas Eve. I'm glad it settled down, but sorry it's another thing on the radar.

 

[Jmrogers4]

Yikes, poor guy. Glad it's settled down.

 

[my little penguin]

Other things I forgot to add

Panting is a sign of intestinal inflammation since the individual try to decrease the pressure /pain the diaphragm is placing on the intestine .
Ds got relief when he grabbed his ankles but pain increased rapidly once he tried to sit up or stand .
Ds was just getting over a cold/crud like virus which can cause lymphatic tissue in/near intestine to swell .

Perfect storm so to speak


So if you see any of these things please call your Gi asap /head to Er