What Is Intestinal Knotting and Why Does It Happen?
Although the exact cause of intestinal knotting is not known, it is generally stated to be a disease caused by viral infections. An upper respiratory tract infection prior to intestinal knotting is one of the conditions encountered in patients. In some cases; lymph nodes, masses or polyps penetrate the intestines and cause knotting in the intestine.
Swelling of the lymph nodes in the body can be considered among the causes of this condition. The intertwining and knotting of the intestines slows down the blood flow in that area, causing edema and severe pain. These pains can develop as severe cramp attacks.
What are the Symptoms of Intestinal Knotting?
Symptoms of intestinal knotting are situations that occur suddenly and severely. These symptoms are:
Blood in stool
● abdominal swelling
● Can be sorted as shock.
How Does Intestinal Knotting Work?
Intestinal knotting is a disease that creates very dangerous situations for human health and can cause permanent damage if left untreated. Therefore, if the symptoms of intestinal knotting are noticed, it is necessary to see a specialist and be treated immediately. In the later stage, intestinal knotting situations that are not treated; It can cause intestinal ruptures, blood poisoning, abscess formation in the abdomen and even death of the patient.
How Is Bowel Knot Treated?
In the treatment phase of intestinal knotting, firstly, the patient’s abdominal radiograph is taken and an idea of the general situation is obtained. This radiograph is used to visualize perforation, tears and obstructions in the abdomen and intestines. Although it is possible to correct some of the intestines by using ultrasonography and barium colon radiography methods, a more comprehensive treatment is required in more severe knots.
In order for the treatment to take place in intestinal knotting, first of all, the patient’s condition should be controlled. If vomiting is observed continuously in the patient, the substances in the stomach and intestines are discharged with the help of a probe sent through the nose. Fluid and antibiotic supplements are given to the patient whose vascular access is opened to replace the nutrients and fluid lost by the body.
Barium colon radiography method is a method applied for detailed diagnosis and treatment. In this method, both the details of the intestine are displayed and some of these confusion can be corrected during the diagnosis. In this method, it can be provided to inflate the abdomen by giving air instead of barium. This method is not used as a treatment in cases where there is any tear or perforation in the intestines.
Conditions where tearing and perforation of the intestine are observed are more serious conditions that require surgical intervention. With the surgical method, the dead parts in the intestines are removed and the bowel movements are regulated. In the surgical method, the patient is given nutritional supplement by intravenous fluid until it returns to normal. This reinforcement continues until bowel movements are normalized. In the later stages, it is observed that the patient is fed gradually with liquid and soft foods, then solid foods. The patient is kept under observation until the situations in which feeding occurs smoothly.
Diagnosis of Bowel Knot
Early diagnosis is extremely important in order to prevent more serious complications in cases of intestinal knotting. The sooner the treatment is started, the easier it is to intervene in the damage caused by the knotting to the patient. For this reason, it is possible to treat intestinal knotting in a shorter time without causing complications such as tearing and perforation in the intestines with early diagnosis.