Popular science video, children always say that they have a stomachache, which may be related to these conditions.
Digestive tract diseases in children have entered a high incidence period. However, because some parents know little about children's digestive tract diseases, children's abdominal pain is mainly divided into organic abdominal pain and functional abdominal pain, in which functional abdominal pain is the most common cause of chronic abdominal pain in children and adolescents. including irritable bowel syndrome, functional dyspepsia, abdominal migraine and non-specific functional abdominal pain. The first step in the treatment of functional abdominal pain is to assess symptoms. "parents need to be careful to avoid foods that may aggravate the symptoms," and parents are not advised to pay too much attention to the symptoms of abdominal pain. In order to find the psychological factors that may aggravate the symptoms and conduct emotional counseling. It can also be used under the guidance of doctors to promote digestion, acid inhibition drugs such as omeprazole, antihistamine drugs such as cyproheptadine and probiotics. Digestive tract foreign body is also one of the common emergencies in the department of gastroenterology, children will have repeated crying, refusing to eat, increased saliva secretion, vomiting during or after eating, and so on.
Xinhua News Agency, Beijing, October 1 (reporters Li Yilun and Li Fang) since the beginning of autumn, with the weather turning cooler, digestive tract diseases in children have entered a high incidence period. However, because some parents do not know much about children's digestive tract diseases, they sometimes miss the best time for treatment. Why do children always say they have a stomachache? What should I do? On these issues, the reporter interviewed relevant experts from the Department of Gastroenterology of the Beijing Children's Hospital affiliated to the Capital Medical University.
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Mei Tianlu, an attending physician in the Department of Gastroenterology at Beijing Children's Hospital, told reporters that children's abdominal pain is mainly divided into organic abdominal pain and functional abdominal pain, of which functional abdominal pain is the most common cause of chronic abdominal pain in children and adolescents, including irritable bowel syndrome, functional dyspepsia, abdominal migraine and non-specific functional abdominal pain.
"the first step in the treatment of functional abdominal pain is to evaluate the symptoms, and the second step is to discuss the possible pathogenesis and some related factors such as stress." Parents need to be careful to avoid foods that may aggravate symptoms, such as spicy, high-fat, caffeinated foods and non-steroidal anti-inflammatory drugs, Mei said. Should also reduce the intake of fermented oligosaccharides, disaccharides, monosaccharides and polyols.
At the same time, parents are not advised to pay too much attention to the symptoms of abdominal pain, psychological intervention and behavioral cognitive therapy is an important part of the treatment. "parents need to have a heart-to-heart talk with their children to identify psychological factors that may aggravate symptoms and provide emotional counseling." Mei Tianlu said that if the abdominal pain is still not relieved, it is also possible to use dynamic digestive drugs, acid suppressants such as omeprazole, antihistamines such as cyproheptadine and probiotics under the guidance of doctors.
Mei Tianlu also introduced that foreign bodies in the digestive tract are also one of the common emergencies in the department of gastroenterology. Children are curious and like to explore. Coins, metal, plastic toys and so on are common foreign bodies.
Most children's foreign body ingestion is asymptomatic. However, when the foreign body is stuck in the esophagus, the child will cry repeatedly, refuse to eat, increase saliva secretion, vomiting during or after eating, and so on.
"for curious babies, the focus of foreign bodies in the digestive tract is prevention." Mei Tianlu said that parents should first put dangerous materials out of reach of their children, secondly warn and educate their children about the harm of swallowing foreign bodies, and finally pay attention to foreign bodies in food. For example, jujube kernel, fish bone, bone slices, nut shell, etc., can cause serious digestive tract perforation, must be strictly prevented.
What if the child has swallowed the foreign body? "if the child swallows round, smooth and small objects and does not feel uncomfortable, he can temporarily stay at home and observe whether there is any foreign body discharged from the stool. If the foreign body has not been discharged for more than 3 weeks, it is recommended to go to the hospital for examination." Mei Tianlu said that if a child swallows toxic, corrosive, sharp foreign bodies, magnets, batteries, diameter greater than 2cm, length greater than 5cm foreign body, and so on, although there are no symptoms of discomfort, they should go to the hospital as soon as possible to remove the foreign body.
In addition, constipation is also one of the most common gastrointestinal symptoms in children. Children with constipation account for about 1/5 of the general outpatients in the department of gastroenterology.
Li Di, an attending physician in the Department of Gastroenterology of Beijing Children's Hospital, said that children's constipation refers to a significant reduction in the number of defecation, while the stool is dry and hard, generally defecating less than twice a week.
Li Di said that long-term constipation will bring a lot of harm. For example, it will cause defecation pain, many babies deliberately hold because of the pain, the vicious circle aggravates the symptoms of constipation. In addition, gastrointestinal peristalsis slows down, and children cannot eat normally even if they are hungry, affecting their growth and development. At the same time, it is worth noting that mental health may also be affected, prone to tension and anxiety.
"the child is constipated. In life, parents can try to adjust their diet to relieve constipation. Children can be allowed to eat more dietary fiber, vegetables and fruits, "Li Di said. At ordinary times, attention should be paid to properly strengthening physical activities. Besides, defecation training is also very important. As colonic activity is the most active in the morning and after meals, defecation training should be carried out in the morning or shortly after meals to develop the good habit of regular fixed-point defecation. If constipation is serious, it is necessary to go to the hospital for necessary evaluation and treatment with laxatives and other drugs under the guidance of a professional doctor. (end)