However the main function of the small intestine is the absorption of the small food particles resulting from digestion. It contains many villi which increase the surface area for absorption. The large intestine moves the material that has not been digested from the small intestine and absorbs water.
Respiratory failure caused by botulism can result in death. About 50 years ago half of all patients with botulism died, compared to just 8% today. Patients with severe symptoms may need a breathing machine, intensive medical and nursing care for several months. Fatigue and shortness of breath may linger for many years.
Presenting symptoms include constipation, lethargy, a weak cry, poor feeding and dehydration. A high index of suspicion is important for the diagnosis and prompt treatment of infant botulism, because this disease can quickly progress to respiratory failure. Diagnosis is confirmed by isolating the organism or toxin in the stool and finding a classic electromyogram pattern.