The symptoms of vomiting in children are very common. Sometimes when a child vomits, take care of it at home. Pay attention to the child’s diet and stop vomiting on its own. However, there are some frequent vomiting, which must be treated in the hospital. Some vomiting diseases are not very common. However, most pediatricians misdiagnose “acute gastritis” because it has an acute onset and the main symptoms are vomiting without fever. It is true that the symptomatic treatment of acute gastritis can be improved by giving fluid supplements, but after a period of time, you can encounter the same Children whose symptoms come to the hospital. In fact, it belongs to a disease called cyclic vomiting syndrome. What kind of disease is this? Dr. Ke will share with you today. health truth museumQingfeng plan
What kind of disease is periodic vomiting syndrome?
1. Periodic vomiting is a kind of functional gastrointestinal disease, without substantial gastrointestinal disease. But severely can affect the child's physical and mental health, vomiting in mild cases, and severely accompanied by neurological symptoms. Not only did the child suffer, but the parents also went to the doctor because the child often vomited.
2. The clinical characteristics of this disease: mainly school-age children or preschool-age children, but there are also infants. The main symptom is recurrent vomiting, which has periodic characteristics, such as once a month or two months, and vomiting lasts for about 3 days. During the intermittent period between the two onsets, the child is healthy, without any vomiting or other symptoms.
3. Diseases with genetic relevance often show maternal inheritance.
A case of vomiting in a 2-year-old baby
A few days ago, a 3-year-old child in the children’s hospital was diagnosed with esophageal hiatal hernia because of vomiting shortly after birth, and was treated surgically, but surgery After the treatment, the child still had vomiting symptoms and did not improve. A second operation was performed, but the child’s vomiting symptoms did not disappear, but the vomiting was not manifested by vomiting after eating. In fact, the symptoms are very periodic, once every 2 months, every time The vomiting was severe and unable to eat during the first time, and he was treated with fluid rehydration and stomach protection in the hospital, and it got better. The doctor still considers gastroesophageal reflux caused by hiatal hernia, but I asked if anyone at home had a history of migraine. At first, the parents said no. It is best if the mother of the child said that she would have a headache and rest for a day when she was tired. Grandma has obvious migraines.
So judging from the above medical history information, this child's vomiting is not only vomiting caused by gastroesophageal reflux, but a very regular functional gastrointestinal disease-periodic vomiting syndrome.
At the same time, recent studies have suggested that the family history of the disease may be an important factor in the onset of the disease. In some cases, multiple family members have been reported to have similar medical history. In these familial cases, the maternal inheritance is the main way. The child’s mother and child’s grandmother had a history of migraines, frequent attacks and periodic episodes of vomiting.
Details that cannot be ignored in this case
1. Vomiting symptoms, frequent attacks, accompanied by severe nausea, intermittent asymptomatic, lasting for several weeks to several months, There is always no fever when vomiting.
2. The onset and stop of vomiting symptoms often start suddenly and stop suddenly.
3. In addition to the characteristics of vomiting, there are neuropsychiatric symptoms such as headache and dizziness, often accompanied by vomiting symptoms.
4. When vomiting occurs, it is often accompanied by pale complexion, anorexia, tiredness, salivation, vomiting, weakness and exhaustion after eating less.
5. Children's illnesses are often caused by incentives: such as fatigue, mental stress, study pressure, harsh sounds, and strong glare. 宝贝健康主题
How to prevent and treat this disease.
In fact, the incidence of periodic vomiting syndrome is quite high, and it is no longer considered a rare disease, with an incidence rate of 3.2 per 100,000 population. But many pediatricians are rightThere is a lack of understanding of this disease, and at the same time, the child’s onset is basically seen in the pediatric emergency department. When I meet each different doctor, most of them are diagnosed and treated according to acute gastritis.
If an experienced pediatrician has a better understanding of the disease at the same time, and if he encounters a child with vomiting clinically, he will often ask whether the child has similar symptoms and repeated attacks at the same time, whether any family members have similar symptoms, and if so If it is cyclical vomiting syndrome, it is necessary to be vigilant. Although the treatment is similar in the acute phase, let parents know what kind of disease it is, which will help parents know how to prevent and teach.
1. Avoid inducements: Acute upper respiratory tract infection or other infectious diseases may cause induction, emotional agitation, excessive exercise and fatigue, and lack of sleep due to staying up late studying.
2. The usual diet requires easy digestion of nutritious food, regularity, avoid overeating, avoid milk, cheese, chocolate, drink snacks, etc.
3. Once you have symptoms, it is best to let your child rest. In a quiet and dark room, it is conducive to recovery.
4. Vomiting seriously affects eating and causes water and electrolyte deficiencies. Symptomatic treatment of fluid replacement is needed. In order to avoid severe vomiting and esophagitis, proton pump inhibitors such as omeprazole can be considered.
5. As the first-line therapy of choice for preventive therapy, children under 5 years old should use cyproheptadine; children ≥ 5 years old should consider using amitriptyline under the guidance of a professional doctor.
In fact, any kind of disease, if you understand the pattern of disease and the characteristics of the disease, it can be easily identified, which is very simple.
To make complex pediatric clinical issues easy to understand through popular science, please follow @柯大夫儿科科普教育 to join the big family of pediatric popular science. Parents can leave messages to discuss related topics and questions. Ke The doctor will answer typical questions in his spare time.
