Now it is summer, the weather is hot, many "little god beasts" at home pestering parents to incarnate "snack goods", enjoying the unique summer food: ice cream, cold drinks, shaved ice, iced watermelon...
However, after the happiness, the stomach will suffer, diarrhea, abdominal pain and bloating, which in turn will cause spleen and stomach disharmony and gastrointestinal dysfunction. Therefore, summer is the high incidence of chronic gastritis and digestive system diseases in children, not only children suffer, parents are worried about it.
As a common disease in pediatrics, the most common symptoms of pediatric chronic gastritis are: repeated pain in the epigastric abdomen or perumbilical area, often accompanied by vomiting, fullness, nausea, loss of appetite, and affecting activity and sleep when severe; Mostly feel uncomfortable after meals, eat not much but feel oversatisfied, often caused by cold, hard, spicy or other irritating foods cause symptoms or aggravate symptoms; The above symptoms are not easily relieved by giving antacids and antispasmodic agents; When accompanied by erosion of the gastric mucosa, a small amount of bleeding may be repeated; Small babies can also present with chronic diarrhea and malnutrition.
There are many causes of chronic gastritis in children, but more than 80% are caused by Helicobacter pylori infection, and are closely related to the incidence of peptic ulcer, and are also closely related to gastric cancer and gastric tumors. In addition, pediatric chronic gastritis is also closely related to gastrointestinal dysfunction and nutritional factors, and the increase in vitaminS A and C in food is related to the reduction of chronic gastritis, while the insufficient intake of vitamin C, E, iron, calcium and other elements in children is another factor causing disease.
Pediatric chronic gastritis and peptic ulcer are often ignored by parents due to atypical symptoms, but their harm cannot be underestimated, not only affecting the healthy development of children, inducing systemic symptoms, but also affecting the health of the digestive tract, signs, etc., so it is necessary to detect and treat early.
In recent years, with the development of endoscopic technology, children's gastrointestinal endoscopy can help doctors carefully examine the stomach and intestines, and make more accurate and rapid diagnosis and treatment of children's gastrointestinal diseases. Since 2020, the Department of Pediatrics of the Third Hospital of Shandong Province has taken the lead in carrying out painless gastrointestinal endoscopic diagnosis and treatment in children, which has the advantages of no pain, less trauma, shorter time and more accurate, and can be applied to gastrointestinal symptoms such as repeated epigastric pain, acid reflux, nausea, belching, acute or unexplained chronic upper gastrointestinal bleeding, and can also identify gastrointestinal lesions or foreign bodies.
For example, a 6-month-old baby once went to a number of tertiary hospitals for treatment due to persistent blood in the stool and crying every time he defecated, but he could not find the cause. In the pediatric department of our hospital, combined with clinical manifestations and examination results, after pediatric and gastroenterology consultation, the expert team highly suspected that intestinal bleeding was caused. Ma Yan, director of pediatrics, said that long-term blood in the stool will cause children to lose blood shock, the situation is critical and even life-threatening, timely determination of the cause, symptomatic treatment is the key! Only colonoscopy can accurately find out the cause of intestinal bleeding. In the end, the medical team successfully performed a painless colonoscopy for the 6-month-old baby with rich experience and exquisite technology, and found that there were multiple erosions and ulcers in the intestines of the children, which was the culprit that caused the child to continue to have blood in the stool. The surgical team immediately performed a colonoscopic hemostasis treatment. After the operation, the child did not develop blood in the stool again.
There is also a 10-year-old child, who also has repeated symptoms such as vomiting and abdominal pain, and has tried a variety of treatment methods for injections and medicines, but has not seen any improvement. In the pediatric department of our hospital, Director Ma Yan led the team after many discussions and reached an agreement: only gastroscopy can find the cause most quickly and effectively. Eventually, a painless gastroscopy revealed that the child had multiple ulcers in his stomach and had chronic non-atrophic gastritis. The medical team immediately carried out symptomatic treatment for Yangyang to protect the gastric mucosa, inhibit the formation of gastric acid, and relieve pain. Later, the child's various discomfort symptoms gradually subsided, and the inflammatory indicators returned to normal. After being discharged from the hospital, I took my medication on time, and vomiting and abdominal pain never happened again.
Under general anesthesia, the doctor can visualize the location, scope and number of lesions of the gastrointestinal mucosal lesions through gastrointestinal endoscopy, and make effective estimates, and at the same time can carry out endoscopic mucosal biopsy, treatment, and endoscopic foreign body removal, hemostasis, polyp removal and other treatments. Before the painless gastrointestinal endoscopy, the child is not nervous, there is no discomfort during the examination, the recovery is fast after the examination, and at the same time, it can try to avoid the damage to the digestive tract of young children when entering the microscope, and become a "divine weapon" to protect the gastrointestinal health of the child.
Health tips
Of course, to avoid gastrointestinal diseases in children, we must focus on prevention. Prevent children's gastrointestinal diseases in the hot summer, these points parents should keep in mind!
Summer hot weather, children are active, very easy to sweat, at this time should ensure that children drink enough water, boiled water is the best drink, should drink less or do not drink all kinds of cold drinks, sugary drinks, etc., summer summer can choose homemade mung bean soup, white fungus soup.
Pay attention to personal hygiene and ensure that food is fresh and clean. Hands should be thoroughly cleaned before and after meals. Summer temperature is high, humidity is high, food is particularly easy to spoil, try to buy and burn as much as possible. Do not use the refrigerator as a "safe", should be taken out in time according to the refrigeration / freezing preservation time of different foods, and should not be mixed raw and cooked.
In the summer, you should maintain a regular schedule, do not stay up late, do not overeat, eat regularly and quantitatively, eat a balanced and nutritious diet, and pay attention to the eating environment and dietary hygiene. Parents should help their children develop scientific and healthy living habits, so that the diet is balanced and the life is regular and healthy.
Expert Introduction:
Ma Yan
Director of Pediatrics, Chief Physician, Director of Pediatrics Department
He is good at the diagnosis and treatment of various diseases of pediatric respiratory, neurological, digestive, endocrine and neonatal diseases, especially for recurrent respiratory infections, pediatric asthma, chronic cough, children with low immune function, short stature, precocious puberty, children's ADHD, neonatal asphyxia, neonatal jaundice and other diseases, and has rich clinical experience in the treatment and management of difficult and critically ill children and premature infants.
He is also a member of the Endocrine Genetic Metabolism Professional Committee of the Neonatal Branch of the Chinese Medical Doctor Association, a director of the Neonatal Medical Branch of the China Medical Device Industry Association, a member of the Pediatric Respiratory Committee of the Shandong Medical Association, a standing committee member of the Pediatric Respiratory Disease Of the Shandong Health Management Association, a vice chairman of the Pediatric Respiratory Disease Committee of the Shandong Research Hospital Association, a member of the Pediatric Respiratory Disease Committee of the Shandong Association of Integrative Traditional chinese and Western Medicine, and a member of the Allergic Disease Prevention and Control Branch of the Shandong Preventive Medicine Association. Member of the Neonatal Committee of the Pediatrician Branch of Shandong Medical Doctor Association, expert of the Expert Group for the Investigation and Diagnosis of Abnormal Reactions to Vaccination.
Visits: Tuesday morning, Wednesday all day
Guo Weiping
Well-known expert, chief physician
He specializes in the diagnosis and treatment of critical diseases such as neonatal critical illness, pediatric severe pneumonia, asthma, myocarditis, and diarrhea.
Visits: All day on Mondays
Luan Jie
Chief physician
He is good at the diagnosis and treatment of severe respiratory diseases, allergic diseases, infectious diseases and pediatric infectious diseases and various difficult and critical diseases, especially in children such as bronchial asthma and other allergic diseases.
Visits: All day on Tuesdays
Yu Zongjun
Chief physician
He is good at the diagnosis and treatment of common and intractable diseases in pediatrics, and has rich clinical experience in respiratory, digestive and cardiovascular diseases.
Visits are available all day on Thursdays and all day on Fridays
Wang Lizhen
Deputy Director of Pediatrics, Deputy Chief Physician
He is good at the diagnosis and treatment of common diseases and incurable diseases in pediatric internal medicine and neonatology, and has rich clinical experience in the diagnosis and treatment of pediatric respiratory, digestive and nervous system diseases, especially neonatal diseases, such as preterm infants, neonatal hypoxic-ischemic encephalopathy, neonatal pneumonia, and neonatal hyperbilirubinemia.
Du Yanhui
Deputy Director of Pediatrics, Deputy Chief Physician
He is good at the diagnosis and treatment of common diseases and critically ill children in pediatric internal medicine, and has rich clinical experience in the diagnosis and treatment of children's pneumonia, bronchitis, diarrheal disease, encephalitis, neonatal hypoxic-ischemic encephalopathy, neonatal jaundice, premature infants and other diseases.
Yin Liyan
Deputy Chief Physician
He is good at the diagnosis and treatment of common and multi-morbid diseases in pediatrics, and has rich experience in pediatric respiratory, digestive and nervous system diseases, and has accumulated rich experience in the rescue of severe cases.
Source: Shandong Provincial Third Hospital