A common cause of bilateral lower extremity curling in pediatric patients–intestinal spasm

Curling of both lower extremities in children is the main symptom of infantile intestinal spasms. The main manifestation of intestinal spasms episodes is continuous, unsettling crying. The main manifestation is crying and restlessness, which may be accompanied by vomiting, flushed cheeks, tumbling, and curling of both lower limbs.

Intestinal cramps are paroxysmal abdominal pain caused by bouts of intense contraction of the smooth muscles of the intestinal wall and are the most common condition in acute abdominal pain in pediatric patients. In small infants, the presence of intestinal spasms can be understood by the degree and intensity of crying and clamoring.

Intestinal spasm, also known as spastic colic, is the most common functional abdominal pain in pediatric acute abdominal pain. The clinical manifestation of the disease is the sudden onset of paroxysmal, intermittent abdominal pain in normally healthy children, during which no abnormal signs can be found. The abdominal pain in the child may last for several minutes or tens of minutes and may stop at times. After repeated episodes of tens of minutes or hours, the abdominal pain may cease to appear. In individual children, recurrent episodes of abdominal pain can last for several days, and the severity of abdominal pain varies, with severe cases tumbling to the ground.

In young infants, the main manifestation of an episode of intestinal spasm is persistent, unsettling crying. The cry is accompanied by facial flushing, a distended and tense abdomen, and upward curling of the legs, and the attack may be terminated by exhaustion or defecation. In young infants, the episodes can be recurrent and self-limiting.

Clinical manifestations of intestinal cramps I: Infants and children cannot describe abdominal pain by themselves, but only show sudden episodes of paroxysmal crying, sometimes waking up from sleep. Each episode lasts from a few minutes to ten minutes, and the pain stops at times. The degree of abdominal pain varies, and in severe cases, it may be accompanied by tossing and turning of the limbs, pallor, and chills in the hands and feet.

Clinical manifestations of intestinal cramps II: Preschool or school-age children can usually complain of abdominal pain on their own, with the most frequent abdominal pain in the middle abdomen or around the umbilicus. The abdominal pain is also usually paroxysmal, and the interval may be without any discomfort.

Clinical manifestations of intestinal spasms III: The degree of abdominal pain in older children is mild or severe, but the general condition is good. Simple intestinal spasms often resolve spontaneously within a few minutes to a few hours of onset.