Kid vomit abdominal distension required check against acid stomach

Portal hypertensive gastropathy is not adult patents, child gastroscopy found all kinds of Portal hypertensive gastropathy ratios as high as 80%~90%

Recently, the 12 year old boy Ranger bathroom collapsed when at school, children\'s Hospital, Guangzhou, was rushed to the emergency. Look, Ranger is tall, physically strong, with the mother as saying \"one could eat a chicken, usually nothing\". However, after a gastroscopy, diagnosis was the result of the Ranger\'s mother give consent – duodenal ulcer with hemorrhage. \"A child never said before his stomach pain, or stomach pain! How can stomach trouble be? ”

In fact, the Ranger cases in children\'s Hospital is not the case, in the hospital each year out of the more than more than 2,700 gastroscopy of single, 90% you\'ll find the problem. Experts pointed out that superficial gastritis and duodenal inflammation, the highest incidence of peptic ulcer in children, visible stomach trouble is not adult patent, parents should arouse attention.

　

Preschool children\'s need for gastroscopy under any of the following clinical symptoms:

1. repeated vomiting, belching, and diet-related anti-acid, abdominal distention;

2. recurrent abdominal pain, positioning is not precise and can be confined to the pit, can also be found around the belly button, gap, abdominal pain and irregular, can occur at night and early morning, but there is no history of intestinal parasite infections;

3. the unexplained hematemesis or Melena, fecal occult blood check positive results more than once;

4. have a family history of stomach trouble, children courses in more than 3 months, with yellow, weight loss, anemia and abdominal pain and other symptoms.

Tips

Endoscopy of Portal hypertensive gastropathy in children exposed \"black hole\"

\"Children\'s Hospital for patients about a year to do more than 2,700 times gastroscopy, almost 90% you\'ll find the problem. \" Introduction of Guangzhou

children\'s hospital physician digestive section quwenji, because the gastroscope in children a late start, Barium meal examination in the past, x-ray does not Pediatric digestive system diseases, such as\" clean sweep \". Endoscopy in gastrointestinal examination of efficiency can be achieved 99%, currently with the growing popularity of gastroscope in check in children, child portal hypertensive gastropathy this \"black hole\" gradual exposure to the Sun, including the chronic gastritis, gastric and duodenal ulcer , duodenal bulb inflammation, has become the common diseases of children, parents should pay close attention to.

In General, children\'s abdominal pain of awareness is not obvious, does not accurately describe the feeling, many children stomach couldn\'t be found. In addition, the diversity of the symptoms of the disease is one of the parents prone to factors of illusion. Quwenji introduction, time of pain in children with Portal hypertensive gastropathy is not fixed, most performance for pain after a meal, there are some performance for pain before meals, after eating something, and gastric acid in the food, pain will reduce. Relative to the history of adult patients for more than a dozen years, child\'s stomach pain are often characterized by intermittent attacks, perhaps only a few minutes or a dozen minutes each time, feeling of pain will soon be disappearing.

Children stomach pain is often mistaken as \"stomach pain\"

In addition to portal hypertensive gastropathy in patients with acid reflux, belching and other symptoms in addition to children of all ages, stomach feel and performance is also very different.

School age (7~14sui) child if suffering from stomach trouble and sometimes abdominal pain are not laws, duration varies, and some ulcers are not necessarily accompanied by abdominal pain, which makes early detection diagnosis more difficult. Children may feel uncomfortable under the sternum, some parents even worry about is the

heart of the tension out of the question.

Preschool (3~6sui) on abdominal pain have a fuzzy understanding of the child, but is still unable to accurately distinguish between pain location. \"Treatment of preschool children, more than 80% are saying that he was a stomachache, but a check, pressure pain point clear in the upper abdomen. \" So many parents in the child \'s\" misleading \"suspected intestinal worms in the haunted by, makes the real cause of the delay has not been found.

As for infants (full moon ~3 years old), they cannot express their feelings, once are abdominal pain, often crying more than, poor appetite, anorexia, vomiting, gastrointestinal bleeding, there will be black, blood will be symptoms. Quwenji pointed out, and because infants cannot Readme history, parents if carelessness, and dispose of the above symptoms on its own or misinterpretation, and lead was sent to hospital in this age of children, often relatively serious condition.

Portal hypertensive gastropathy in children common five reasons

Parents are infected with Hp children easier gastritis

\"Has been identified, pathogens in children with gastritis, ulcers are mainly caused by Helicobacter pylori (Hp). \" Introduction to quwenji, ulcers in children, which caused about one-fourth is the Hp infection.

\"Hp infection in adults, more than half are children infected. \" Quwenji emphasized that the Hp infection to\" man-man \",\" mouth-mouth \"as the main mode of transmission and ways of significant aggregation phenomena within the family, parents are infected with Hp, their children\'s chances of infection is much higher than for other families. When some parents their elders to breastfeeding of infants, his mouth to try milk cool hot, and some family members all share holder, Chinese families also do not use the communal chopsticks, food all chopsticks in a dish, these habits are different degrees of existence of Hp infection possible.

Parents open food sho

ps gastric children suffer

Yangkuaican Coke, coffee, fried foods, sth Compared to the meals of the day, many children prefer this type of food and drink. Quwenji mentioned that parents who take the child to absorb doctor, according to the child\'s symptoms, after she asked parents occupation, will cause of Portal hypertensive gastropathy on children guess was pretty close. It turns out that the parents were open food shop, children in a school shop snack, Dahe cold drinks. Beverages such as coffee, Cola, it will stimulate the secretion of gastric acid and pepsin. High oil and high-fat foods such as fried foods, yangkuaican, is brought to the stomach

Heavy burden.

In addition to diet, eating habits of children also require special attention. Child finicky, a partial eclipse, anorexia, irregular diet, almost the majority of parents have faced problems. Younger children willing to imitate their parents, parents should pay attention to training their children proper eating habits, don\'t do other things while eating. Some young mother they loved snack, with such examples around, kids chance of stomach even more.

Dental transitional period from the stomach or by dental

No attention to oral hygiene causing teeth rotted bad teeth, is one of the many pathogenic factors in children with Portal hypertensive gastropathy. \"Many children say their stomach pain abdominal pain, open your mouth a check found of molar-tooth surface is all black. \" Quwenji said, incisor begins around the age of 7 children grow permanent teeth, molars start grow permanent teeth around the age of 10. At this age children eat, chew had swallowed the stomach is often too late to in detail. Such a child if it feels stomach pain, first of all is the issue of the teeth.

Teeth is the first operation of digesting food, need to stomach \"good point\". If no is chewed in the mouth, food in the stomach, gastric peristalsis and gastric acid secretion is not fully effective, over time

is prone to problems. Therefore, parents of young children should be taught to protect teeth, develop a habit of brushing your teeth twice a day, especially before going to sleep again. While not advocating small children with a toothpick, to the children when you pick your teeth, dental replacement toothpicks should be used.

Abuse of fever medicine injury of gastric mucosa

Children get sick, many parents love medicine without authorization, when this could backfire, though temporarily alleviate the uncomfortable symptoms, but may cause children of gastric mucosal damage. Blood vessel-rich of gastric mucosa in children, but a variety of less secretion of digestive enzymes and low vitality, poor digestive function. Moreover, individual differences in physical and gastric mucosa of children, some of the more common antibiotics and fever medicine, taking little problems in adults, but children may not stand. Quwenji mentioned that more parents to see this kind of antipyretic drugs no effect, a different medicine to use individually, accidentally the child\'s stomach as a \"Lab\".

Medication should pay attention to when the child is ill, little influence as possible choose to stomach medicines to reduce gastric mucosal lesions. Antipyretic analgesics can be placed in to eat after a meal, or with some fresh drug Huwei, avoid medication on an empty stomach of infants. Give a child to hot not medication is not available, you can select physical cooling, but the safest approach is timely treatment, listen to advice.

Stomach ache is pretended to be ill for school?

\"My daughter is 12 years old this year, will rise first. But recently she class feeling stomach pains, came home from school I feel more pleasurable, and a weekend holiday is alive, as with previously when not sick. Doctor, my baby is pretended to be ill? ”

This phenomenon, quwenji explained, bad mood, psychiatric problems of children and learning pressure, may cause some phys

ical symptoms, clinical also found that some children on portal hypertensive gastropathy and in this context. Hp infection causes gastritis in children, through anti-Hp drug treatment, 1-2 weeks usually will have a significant effect, but this child is not optimal.

Some children face examinations, course pressure tight large; some children are good strong, non-first place in the test class is not available; some children have been the family home, began to live not accustomed to sth The resulting pain in the stomach, gastritis, digestive section are not uncommon in children\'s Hospital.

Quwenji reminds, in such cases, after the hospital confirmed, parents learn to correctly Guide. Let the child while adhering to medication, and children communicate to ensure that their rest time. Don\'t give children increased pressure, creating a relaxed family environment and mutual understanding. The only way to ensure drug best effect, let the child rehabilitation as soon as possible.