Which description best characterizes the pain pattern in intussusception?

• A. Intermittent abdominal pain with knees drawn to the chest
• B. Constant dull abdominal ache
• C. Severe flank pain with nausea
• D. Painful urination

Answer: (A)

Intussusception produces episodic, colicky abdominal pain from intermittent obstruction as the telescoped bowel segments move and then briefly relieve. During each painful surge, the child often cries out and draws the knees up to the chest, which helps lessen the abdominal stretch and provides brief relief between episodes. This pattern—sharp, intermittent cramps with alternating quiet periods—fits intussusception best.

In contrast, a constant dull ache would suggest a more steady irritation or obstruction, while pain described as severe flank pain or painful urination points toward urinary tract or kidney issues. The knee-to-chest positioning during paroxysms is a classic clue that aligns with the intermittent, crampy nature of this condition.