This is an automatically translated article.
Gastric ulcers in infants and children are usually caused by infection with Helicobacter Pylori bacteria with the most common routes of transmission being oral or fecal-oral, through humans and flies. Peptic ulcer disease is also a consequence of an imbalance between offensive and protective factors in the gastric mucosa of children.
1. Causes of stomach ulcers in infants and children
Gastritis in children and peptic ulcer disease in young children can be divided into 2 groups: primary and secondary:
Most cases of gastritis in children are caused by Helicobacter pylori infection (accounting for the majority of cases of gastritis in children). up to 80% of pediatric patients). Helicobacter pylori belongs to the group of flagellated spirochetes, a gram-negative bacterium, found in and in the submucosa of the stomach. Gastric ulcers in infants and young children are secondary to causes such as: stress factors, drug use (such as aspirin, non-steroidal anti-inflammatory drugs, corticosteroids...), shock diseases, kidney failure and infections Stomach ulcers in young children are concentrated in developing countries, related to economic viability, poor socio-cultural development, water pollution, chewing habits, etc. feeding and feeding children or early feeding habits (before 2 years of age)... The above factors increase the risk of HP transmission among members to young children.
Some other risk factors that can cause peptic ulcers in young children but at a mild level include a lack of scientific nutrition (using a lot of fast food, eating less meals, not on time, etc.) while eating while watching TV...), study pressure, living situation...
2. Signs to recognize stomach ulcers in children
Gastric ulcers in infants and young children have different manifestations depending on the age and cause of the disease.
Symptoms of the digestive system:
The child has abdominal pain mainly in the epigastrium or around the navel, related to meals or pain at night. Older children often have epigastric pain similar to adults, sometimes with a burning sensation in the epigastrium and sometimes very vague, not clear. Nausea, vomiting. Poor appetite, loss of appetite, sometimes the baby cries violently. Signs of anemia due to malnutrition. Complications of peptic ulcer in young children:
Upper gastrointestinal bleeding with vomiting blood and black stools Pyloric stenosis: Children with recurrent vomiting, sometimes vomiting blood or perforated organs Anemia, Malnutrition .
Trẻ nôn ói do loét dạ dày ở trẻ nhỏ gây ra
3. Treatment of stomach ulcers in infants and children
Measures to treat peptic ulcers in infants and young children should be prescribed by doctors at medical facilities. The baby needs to be thoroughly examined before giving an appropriate treatment regimen. Usually, specialist doctors often diagnose and intervene to treat gastritis in children by endoscopic method. Based on the images and endoscopy results, the doctor will prescribe appropriate drugs, and plan to follow up, periodically re-examine until the symptoms are relieved and the disease is completely cured.
In addition to using drugs, children with peptic ulcers need to control their diet, lifestyle and appropriate mental activities. Limit the factors in your child's life that cause stress, anxiety, agitation or hurt.
4. Diet in peptic ulcer disease in infants and young children
4.1. The role of nutrition in treating and restoring children's health Proper nutrition has the following benefits:
Protecting the gastric mucosa Limits excessive secretion leading to excess gastric acid Maintain function Basics of the stomach and intestines Prevention of malnutrition in young children 4.2. Dietary principles parents should keep in mind when children have stomach ulcers The portion that parents prepare for children needs to provide enough energy and nutrients to ensure the growth of the child. Use foods that help protect the stomach lining, prevent gastric acid secretion in the diet of children with stomach ulcers such as:
Food group to reduce gastric acid secretion such as honey, sugar, biscuits, Vegetable oil... Dishes that can neutralize gastric acid such as milk and eggs Fibers such as young vegetables and fruits Suitable drinks such as cooked water, diluted tea The process of preparing dishes, parents should give priority to steaming, boiling, stewing, crushing or puree. This contributes to a reduced stimulation of gastric juice secretion and faster passage of food through the stomach.
Limit or don't use foods that can irritate the stomach lining:
Ready-made sauces, ham, sausages, sausages Food with tough, fibrous texture like meat has tendons, cartilage, raw vegetables, high-fiber vegetables Sour foods such as cucumbers, pickled onions, sour fruits Strong seasonings such as vinegar, chili, garlic, pepper Wine, tea, solid coffee. A reasonable diet for children with peptic ulcer disease must meet nutritional needs according to age, divide the number of meals into 5-6 times a day.
4.3. Avoid lifestyle habits that irritate the stomach lining Parents should divide meals into many meals a day to ease the digestive function of the stomach Practice eating habits in moderation, not too hungry or too full. Food should be maintained at a suitable temperature, not too hot or too cold, as this will cause the stomach to contract strongly. The appropriate temperature of food and drink is about 40-50 degrees Celsius.
Hạn chế ăn thức ăn chiên rán sẽ giúp hạn chế tình trạng viêm dạ dày ở trẻ em
5. Prevention of stomach ulcers in infants and children
Some measures to help prevent stomach ulcers in young children include:
Maintain personal hygiene, bathe every day, especially parents need to wash their hands before and after feeding and after going to the toilet. Prevent children from sharing personal items with others because this is a factor that increases the likelihood of spreading many diseases, including peptic ulcers caused by HP. Do not let children play or play in dirty places. This is the place where pathogens live, when exposed to help bacteria easily attack the body and cause gastrointestinal diseases. Ensure children's dishes are thoroughly cooked, clean and well preserved. Allow children to drink cooled boiled water. Limit the addition of fried, greasy, and fast foods. , fat, carbonated drinks, hot spicy foods, sour foods... Pay attention to a diet full of essential nutrients. This helps the body to develop comprehensively, improve resistance and reduce the risk of peptic ulcers of many different diseases. It is best when children show signs of stomach ulcers, parents should take their children to medical facilities to be examined by a doctor soon to have timely treatment.
Pediatrics - Vinmec International General Hospital consists of leading experts, highly qualified (professors, associate professors, doctoral, masters), experienced, worked in hospitals big hospitals like Bach Mai, 108.. The doctors are all well-trained, professional, have a heart - reach, understand young psychology. Besides domestic pediatricians, the Department of Pediatrics also has the participation of foreign experts (Japan, Singapore, Australia, USA) who are always pioneers in applying the latest and most effective treatment regimens. . Here, the hospital provides a series of continuous medical examination and treatment services from newborn to pediatric according to international standards to help parents take care of their baby's health from birth to adulthood. Therefore, parents can rest assured that their children will be examined here.
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