From the article you will learn how the treatment of peptic disease is carried out in children after confirming the diagnosis of the gastric ulcer or duodenal ulcer. In children, therapy is appointed phased taking into account the stage of the disease. In the treatment of stomach ulcers in children, it is difficult to overestimate the role of parents - you need to know.
Content
- The first stage or treatment of ulcerative disease in hospital children
- The second stage of treatment of ulcers in children
- The third stage of treatment of ulcerative disease in children
- Prevention of ulcerative disease
After the parents noticed the child in the child signs of disadvantaged in the digestive system and turned to the pediatrician, the child will have a comprehensive examination. Diagnostics of the ulcer of the stomach and ulcers of the duodenum in children are based on the clinical picture of the disease and data obtained during endoscopic examination. In addition, a stomach fractional sounding is used with the determination of the level of acidity of gastric juice and pepsin, testing a dough with various substances provoking hydrochloric acid production. Sometimes a contrasting x-ray study is used, it is mandatory for the infection with a helicobacter, laboratory methods determine the presence of blood in feces to eliminate hidden bleeding. Therapy begin after confirming the diagnosis of the gastric ulcer or duodenal ulcer. In children, the treatment of the disease is carried out in stages, taking into account the stage of the disease.
The first stage or treatment of ulcerative disease in hospital children
Immediately note that with the timely beginning of the treatment and adequate conservative therapy in most children, healing of ulcers occurs in terms of 12-15 weeks.
- The child is prescribed a bed or semi-noarization for a period of 2-3 weeks.
- Shattering diet, you can say this is the main point in the treatment of stomach ulcers in children. All the food of the child should be well mechanically and chemically processed, rubbed, boiled, stew, baked, fry is categorically prohibited. Useful mucous soups and cereals, meat in crushed form, with the exception of non-bubble varieties and fish. Digeses are removed sour, sharp, salted, smoked, spicy, canned foods, snobs, fresh and rye bread, meat, fish, mushroom broths, soup, borschy, fatty and fatty meat, fervor food, cheeses, welded screwed eggs, legumes , coarse vegetables, acid berries and fruits. Food is recommended to take 5-6 times a day in small portions.
- To reduce the damaging effect of hydrochloric acid and pepsin on the wall of the stomach, inhibitors of proton pumps, antacids, histamine antagonists H2 receptors are used.
- In the normalization of the stomach motorcycles used antispasmodics.
- If the infection is revealed by Helicobacter, antibiotics are prescribed.
- Polyferment drugs are used to compensate for enzymatic failure and improvement of digestion, for example, Pancreatin.
The second stage of treatment of ulcers in children
In the phase of the ameration of the manifestation of ulcerative disease, the child is discharged from the hospital under the supervision of district doctors. It shows scheduled surveys to control the health of the health and preventive treatment of the stomach ulcers. In children, like adults, ulcers most often exacerbated in the autumn-winter and winter-spring periods, so therapy is usually attached to these seasons.
Treatment conducts a precinct pediatrician together with a gastroenterologist. The child is examined 1 time in 2 months, general clinical studies are carried out, anti-relaxed antacid therapy is prescribed to reduce the acidity of gastric juice, vitamins within 1-2 weeks.
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The third stage of treatment of ulcerative disease in children
At the third stage of therapy of peptic ulcer, in the presence of a picture of complete clinical and endoscopic recovery, the child is shown treatment in the sanatorium. Usually staying in the local specialty sanatorium recommended 3-4 months after discharge from the hospital. For the health of the child, a trip to Zheleznovodsk or Essentuki and Balneotherapy, held on these drinking resorts will be beneficial.
Prevention of ulcerative disease
To prevent the aggravation of ulcerative disease in a child, parents are obliged to remember the need to dispensary observation and regular visits to the district pediatrician and the gastroenterologist. Purpose of preventive antacid therapy, diet, restriction of school load, up to home learning, are of great importance in the prevention of the disease. In addition, a calm psycho-emotional environment in school and at home has a beneficial effect.
Remember, from the position of parents, understanding the whole severity of the situation, the health of the child depends on the health of the doctors.
