Water-soluble contrast enema was performed to the patient.

It is an x-ray study that uses a water-

soluble contrast agent containing iodine or barium to show the structure of the rectum, colon and large
intestine. Contrast enemas are commonly referred to as barium enemas. Water soluble contrast is a
clear liquid containing iodine, and barium is a milky-white contrast liquid. Both show up on x-ray and
allow the radiologist to see parts of the body clearly. Most pediatric radiologists use water soluble
contrast during contrast enemas. Both water soluble contrast and barium are effective and safe contrast
agents for enemas in infants and children. During a contrast enema study, a small tube is inserted into
your child's rectum and the colon her large intestine are filled with contrast material. Once the contrast
fills the colon and large intestine, a special type of x-ray technology, called fluoroscopy, is used to take
pictures of these organs.

Water soluble contrast is a clear liquid containing iodine, and barium is a milky-white contrast liquid.
Both show up on x-ray and allow the radiologist to see parts of the body clearly. Most pediatric
radiologists use water soluble contrast during contrast enemas. Both water soluble contrast and barium
are effective and safe contrast agents for enemas in infants and children. During a contrast enema
study, a small tube is inserted into your child's rectum and the colon her large intestine are filled with
contrast material. the contrast fills the colon and large intestine, a special type of x-ray technology,
called fluoroscopy, is used to take pictures of these organs. No preparation is required. The child can
drink or eat before the procedure. The whole preparation would usually take about 20 minutes.

In the case scenario given, an intussusception was identified at the hepatic flexure. The ileocolic
intussusception was successfully reduced. There was reflux of the contrast into the ileum.

Home care

 Let your child get back to normal activity as soon as he or she feels up to it.

 This health problem can sometimes come back. Watch your child for signs. Look for belly
(abdominal) pain that gets worse or vomiting. Also look for crying spells without a cause and
drawing the legs up toward the belly.

Recurrence rates after successful reduction:

 Overall: 5-15%.
 In the first 24 hours: 2-5%.
  In the first 48 hours: 2-5%.

 Feed your child a normal diet.

Follow-up care

 Follow up with your child’s healthcare provider, or as told.

When to call your child’s healthcare provider

Call your child's healthcare provider right away if your child has:

 Fever (see below)

 Belly pain that comes and goes

 Constant belly pain that doesn't get better or seems to be getting worse

 Vomiting

 Extreme sluggishness, tiredness, or fatigue

 Dark, mucus-like, bloody stools

 Pale skin color

 Call the doctor if there are questions or concerns about the condition or care for the patient.

 Take medicine as directed. Contact health care provider if medicine is not helping or side effects
emerged. Keep a list of medicine, vitamins, and herbs the patient takes. Include the amounts,
and when and why the patient takes them. Bring the list or the pill bottles to follow-up visits.
Carry the medicine list always in case of an emergency.

 Drink plenty of fluids to prevent dehydration. The patient needs to drink an Oral Rehydration
Solution. This is a drink that contains the right amount of salt, sugar, and minerals in water. It is
the best oral liquid for replacing your body fluids. Ask your healthcare provider where you can
get an ORS. An ORS can be given in small amounts.

 Avoid strenuous activities.

 In dengue-endemic regions suspected, probable, and confirmed cases of dengue fever should be
reported to relevant authorities as soon as possible so measures are instituted to prevent
transmission.

 A vaccine to protect against Dengue virus is not generally available currently. Do not travel to
areas where Dengue virus is common. Prevent mosquito bites to decrease the risk of spreading
or get Dengue virus:

 Apply insect repellent. Follow directions on the insect repellent container. The following is a list
of tips for insect repellent use:
 Do not apply insect repellent to skin under clothing.
 Apply sunscreen before you apply insect repellent.
 Wear insect repellent any time you plan to be outside. Wear insect repellent at all times if you
travel or live in a high risk area. Reapply insect repellent as directed.
 Do not apply insect repellent to a child's hands, eyes, mouth, or open skin.
 To apply insect repellent to a child's face, first apply it to your hands. Then apply it to the child's
face. Do not touch the child's eyes or mouth with your hands.
 Dress your child in clothing that covers his or her arms and legs. This will protect the child`s skin
from mosquito bites.
 Sleep in a screened-in room. Keep doors closed. Use a mosquito net around the bed. Cover
children's cribs, strollers, and baby carriers with mosquito nets. When you travel, choose a place
to stay with screens on all windows and doors.
 Apply insect repellent to clothing and gear. This includes boots, pants, socks, and tents. Do this
when you camp, hike, or work outside. You can also buy clothing and gear that comes with
insect repellent already on it.
 Remove containers of water. Examples are animal bowls, buckets of water, and bird baths.
Water can attract mosquitos. If possible, remove water from blocked gutters. Keep drinking
water covered or in bottles.