Under normal circumstances, the intestines are in constant motion. When a part of the intestine becomes immobilized due to an obstruction, or when intestinal movement increases excessively, the intestine may telescope into itself, leading to a condition known in medical terminology as intussusception — commonly referred to as “bowel obstruction” or “intestinal knotting” among the public.

This condition is most commonly seen in children under the age of two. In this age group, the most frequent cause of intussusception is enlarged lymph nodes. For children over two years old, it is important to investigate and identify an underlying cause, often referred to as the “trigger point.”

The primary symptom is severe, intermittent, cramping abdominal pain that does not subside. In infants, this may present as periodic intense crying episodes during which the child pulls their legs up toward the abdomen. Nausea, vomiting, and fever may accompany the pain. In advanced stages, bloody stool resembling “strawberry jelly,” extreme fatigue, and pallor may develop.

In approximately 85–90% of cases, this emergency condition can be treated through rectal interventions performed under ultrasound guidance using various materials. This treatment method is applied to children under two years of age, in whom the disease has not progressed significantly. In more advanced cases, where intestinal integrity is compromised or the patient is older, surgical intervention may be required.

The aim of surgery is to release the section of the intestine that has folded into itself, restore circulation, and determine the underlying cause. In some advanced cases, the trapped section of the intestine may become gangrenous, resulting in partial loss of the bowel.

In approximately 10% of patients, recurrence of the condition has been observed within the first 24–48 hours after treatment; therefore, close monitoring during this period is essential.

After your doctor approves the resumption of feeding, a light, easily digestible diet should be followed for three weeks. This diet should include foods that support intestinal health (fiber-rich foods, kefir, red meat and fish, whole grains, leafy green vegetables, and red fruits) while avoiding fast food, chocolate, and carbonated beverages. Nutritional supplements and vitamins that support the immune system are also recommended.

It is important to ensure that the child does not experience constipation or diarrhea.