Symptom 7: Fever
Fever is a universal response of the body indicating that it’s at war. This increase in body temperature is not just a symptom but a defense mechanism, making the internal environment unfavorable for foreign invaders like bacteria or viruses. When a child presents with a fever in the context of a bowel obstruction, it signifies a potential complication – perhaps an infection or inflammation at the blockage site. A fever can be the body’s loud cry for help, emphasizing that there’s more to the situation than meets the eye.
The body possesses an intricate thermostat within the brain called the hypothalamus. When the body senses an intruder or an anomaly, like an obstruction, it can reset this thermostat to a higher temperature. As a result, muscles contract rapidly (shivers), aiming to produce and conserve heat. This rise in temperature, while serving as a protective mechanism, also becomes a significant symptom of an underlying issue, especially if it’s persistent or high.
While fever is a common occurrence in children, often attributed to various infections, its persistence and association with other symptoms make it concerning in the backdrop of bowel obstruction. When fever accompanies symptoms like abdominal pain, vomiting, or noticeable bowel movements in the abdomen, it’s crucial to consider it in the bigger picture rather than an isolated occurrence.
A fever resulting from bowel obstruction might not just indicate the obstruction’s mere presence but can also hint at complications. Perforation or the creation of a hole in the bowel wall, leading to leakage of bowel contents, can cause an infection, which in turn can present as fever. Another potential complication is strangulation, where a part of the intestine has its blood supply cut off, leading to tissue death. Both these complications can lead to sepsis, a life-threatening reaction to an infection.
While it’s easy to downplay a fever, especially if it’s low-grade, its presence in the context of bowel obstruction should never be ignored. Parents and caregivers should be vigilant, monitoring the child’s temperature and associated symptoms. If the fever remains persistent, especially if unresponsive to common fever-reducing medications, it’s paramount to consult with a pediatrician or seek emergency care. The key is early intervention – acknowledging the fever as a potential red flag and acting on it promptly. (7)
