Children also have stomach ulcers

Gastric ulcer - duodenum in children with symptoms is not the same as adults, so it is easy to be diagnosed and mistakenly treated. As a result, up to 50% of children who come to the hospital have complications.

Clinical symptoms of gastric ulcer - duodenum in children include:

(Photo: SK & ĐS, VNE) Abdominal pain in the umbilical cord : Unstable pain, not seasonal and daily cycles (ie the season is much pain in the cold season, the day is when hunger hurts more than full). At night pain, after sleeping for a while, about 12pm to 1am, the pain appears to cause insomnia, pain before eating or after eating. Children are pale, anemic, and lose weight.

In children, signs are not as clear as adults. Children rarely experience dull pain, endure, but often have severe pain, rolling like worms on bile ducts. Many patients are diagnosed and treated as bile ductworms or worm worms. Heartburn, heartburn are symptoms seen in adults but less common in children and difficult to exploit this sign.

Few people think that children may have stomach ulcers, clinical signs are vague so children are taken to the hospital late, when complications such as bleeding, narrowing and perforation.

How to know for sure if your child has stomach ulcers?

Children need to have a medical examination for early treatment, proper and persistent treatment. Doctor based on gastric film and gastro-duodenal endoscopy for diagnosis. Although shooting movies is of great value, but also difficult to read, atypical images like in adults, only see that the duodenum does not have onion as usual. 1/3 of cases have ulcer images on X-ray film, when there is no injury.

Therefore, after the film is taken, stomachoscopy is necessary and required to no longer doubt in the diagnosis.

If detected early, treat immediately, 80% of ulcers will go away. But if it is late, this rate drops to about 50%. When you need surgery, you have to cut 2/3 of your stomach volume. After surgery, only 1/3 of the stomach is left, meaning that the stomach will be very small. After that, it will stretch and eventually close to the stomach when not cut.

Diet in children with stomach illness is very important, must be divided into many meals (4-5 meals per day), paying attention to nutrient-rich diet. However, the height and weight of a child with gastro-duodenal disease is rarely achieved as a normal child.

After surgery, a few patients have recurrences and complications. If abdominal pain is like and more before surgery, you need to go to the place where the child has been treated to check if the ulcer is new.

Gastro-duodenal ulcer is a benign disease. The cause of pathogenesis is not yet confirmed but favorable conditions are genetic factors, mental injury (parents beat, abandon, worry in school). When ulcers occur, the amount of acid in the stomach increases. Recently, people also find bacterial ulcers. Treatment with drugs or surgery also aims to lower acidity, anti-bacteria to clear ulcers.

Complications

Bleeding : Ulcers penetrate into the muscular layer of the intestine or the entire lining of the intestinal wall, puncturing the blood vessels, causing bleeding. Children vomit blood and food, or flow into the intestine: defecation of black stools.

Pyloric stenosis : That is the narrow end of the stomach. Fibrosis causes the first part of the small intestine (duodenum) to narrow or completely close to the intestine. Children eat, stagnant food in the stomach, ferment . then vomit food that has a sour, piggy, bubbling texture. Before vomiting, a stomach ache rolls on the navel, after vomiting is over, the child is comfortable, sometimes vomiting, stimulating the mouth and throat to vomit. Next is the condition of wrinkled skin, sunken eyes, and small urination due to dehydration and not being considered to eat or drink anything.

Gastric perforation : If the ulcer punctured the intestinal wall will cause a slight spill, fluid in the stomach into the abdomen. Sudden pain, struggle and pain do not dare to breathe. Stifle belly like touching wood, or cardboard.

Whether any kind of complication must be brought to a general or outpatient clinic for timely treatment, it will be life-threatening late. Pyloric stenosis and gastric perforation require surgical treatment.

Doctor Nguyen Van Que