Adults was suffering from stomach ulcers?
In children with upper gastrointestinal endoscopy and found that even small children three years old is also suffering from a gastric ulcer. Some parents do not understand, ulcers are not adults, a common gastrointestinal diseases do, how do children also suffer from stomach ulcers?
Gastric ulcer mainly refers to certain parts of the gastrointestinal tract mucosa and the deep tissue digestion by gastric mucosal lesions caused by the medical profession as peptic ulcer disease. Previously considered a rare disease in children in recent years, due to a pediatrician attention and advances in diagnostic techniques, pediatric diagnostic rate of gastric ulcer is indeed on the rise, and even newborns can be incidence of 24 to 48 hours. The low incidence of infant, children with age, affected by various factors such as living environment, the impact of the gradual increase in the incidence of gastric ulcers, more common school-age children.
Gastric ulcer in children are divided into two categories: one category is stress-induced ulcers, mainly in infants and young children vulnerable to the age of three children of ulcers are mainly stress-induced ulcers. And those for the primary ulcer, mostly chronic, with duodenal ulcer is more common, and good hair in the school-age children.
Many reasons, HP infection can not be ignored
Children gastric ulcer and gastric acid secretion in the occurrence of local defense mechanisms to reduce excessive and bears a closer relationship, common reasons are mainly in the following areas.
1. “Bacteria from the mouth” After three years of age, Helicobacter pylori (HP) infection rate began to increase when the positive rate of nearly 7-year-old adults. Helicobacter pylori via mouth into the room location in the gastric mucosa, so that the secretion of a variety of enzymes increased gastric acid secretion, gastric mucosal barrier damage and promote gastric ulcer occurrence.
2. “Food Shangwei excess fat foods in the diet can stimulate cholecystokinin secretion, inhibit gastric emptying and bile reflux, caused by excessive gastric acid secretion and gastric mucosa of direct damage. Rough, spicy, hot foods cold , tea, coffee, gas-containing beverages, can stimulate gastric acid secretion, but also can directly damage gastric mucosa. In addition, diet emotional changes will also lead to stomach disorders, weakened gastric mucosal barrier protection.
3. Mental and psychological factors sustained and excessive mental stress, depression and other emotional and psychological factors, can cause gastric acid secretion disorders, precipitate gastric ulcer.
4. Drug abuse, anti-inflammatory drugs (such as aspirin, indomethacin, phenylbutazone, etc.), glucocorticoid (such as prednisone, cortisone, dexamethasone, etc.), antibiotics (erythromycin), etc. inappropriate drugs can directly damage gastric mucosa, leading to ulcers occur.
Different ages, different clinical manifestations
Gastric ulcer occurred in children of different ages, different clinical manifestations. Infants and young children (2 months to 3 years old) is characterized by a sudden hematemesis, melena, perforation peritonitis in order to stress ulcer more; also be manifested as anorexia, repeated vomiting, weight, slow growth, anemia and other symptoms of chronic ulcers. Preschool children (3 to 6 years old) The main symptoms are irregular Cullen pain, increased abdominal pain after eating, accompanied by nausea, vomiting, loss of appetite and other symptoms. School-age children and adults the symptoms gradually close, recurrent abdominal pain as the main performance, the occurrence of pain often associated with the consumption of a certain relationship. Gastric ulcer often occurs after a meal within half an hour, sustained a ~ 2 hours after gastric emptying ease, so children do not want to eat in order to reduce the pain attacks.
Duodenal ulcer are mostly empty stomach pain, 3 ~ 4 hours after the meal took place, many children with pain and wake up at night, because eating can alleviate pain, so some children often prefer to increase consumption in order to reduce attacks. Some children may also appear belch, pantothenic acid, constipation and so on, there are sudden vomiting blood, black excrement, fainting and even shock performance.
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