- The first stage or fresh gastric ulcer in children
- The second stage of gastric ulcer in children
- The third stage or ulcer healing
- The fourth stage - remission or remission of the disease
- Complications of peptic ulcer disease in children
"Your child has stomach ulcers," such diagnosismore and more often I hear parents of schoolchildren. Fast food, prepared food, soft drinks, food in haste, lack of proper rest, constant overload play a role. Violation of the autonomic nervous system, Helicobacter infection, reducing the production of gastric mucus, neutralized with hydrochloric acid, slow regenerative processes with the increasing influence of factors external aggression and increase in acidity leads to that formed the ulcer child. In children, the symptoms of this disease are not different from the disease in the adult clinic.
Gastric ulcer in children - chronicdisease characterized by phasic flow and exacerbation alternating with periods of decay periods. The doctors decided to talk about the clinical picture of ulcer disease, linking the external manifestations of the disease that can be detected at endoscopy.
On what grounds can be seen thatHe formed an ulcer? In children, the number one symptom is abdominal pain. The pain appears on an empty stomach or after 2-3 hours after a meal, sometimes there are night pain. In general, it is possible to identify a clear dependence of the pain of the meal hunger - the appearance of pain - eating - pain reduction.
In addition to the pain syndrome child bothers heartburn, nausea, regurgitation of stomach contents, against peptic ulcer disease often occur constipation.
Already at this stage of the disease can be detected soreness and muscle tension anterior abdominal wall.
Endoscopic examination revealedinflammation of the gastric mucosa in gastroduodenal zone, i.e. at the junction of the stomach into the duodenum mucosa defects seen round or oval (ulcer) surrounded by inflammatory roller covered with fibrin and gray-yellow or white.
This stage of the disease is characterized by the beginning of epithelialization, ie the healing of ulcerative mucosal defect.
Pains arise mainly during the day and stopedmeal, night pain is not typical. The character of the pain, the pain becomes dull, muted, dull. A child can already feel stomach pain and tension of the abdominal wall muscles is detected only on deep palpation. Less concerned about heartburn and belching.
At endoscopy the doctor finds remissioninflammation of the stomach mucous membrane becomes less red and edematous. Inflammatory shaft around the ulcer is flattened, its bottom is cleared, the plague is contracted, which reflects the beginning of the healing process.
Pain is only stored on an empty stomach, at nightmissing or their equivalent becomes a "knot in the stomach ', similar to the feeling of hunger. Abdomen soft, no muscle tension, but with a deep probing saved some soreness in the epigastrium. Heartburn, nausea, regurgitation, no.
In endoscopy traces ulcers with a red scar, which may have very different shapes. Retains some signs of inflammation of the gastric mucosa.
The child feels good, no complaintsmakes, does not show concern when the stomach feeling. If endoscopy is no pathology is not detected, the picture of a stomach ulcer at children in remission does not differ from the norm. Only in the study of gastric acidity found its stable increase, which means that the threat of a new ulcer formation is preserved.
It must be said that the complications of peptic ulcer disease inchildren are rare, in 8-9% of cases, in 2 times more often in boys. More often arise ulcer bleeding, and they develop more frequently than gastric ulcer duodenal ulcer. Ulcer perforation, ie breakthrough body wall, accompanied by a "dagger" pain and shock, ranked second. In third place ulcer penetration, that is, its sprouting in the neighboring organs, occurs mainly in advanced cases in the absence of adequate therapy. In general, the prognosis of peptic ulcer disease in children-friendly with sufficient attention to the problem.