What the Baby vomiting disease? In the literature, also called vomit vomit, vomiting, and emesis. Vomiting is spending a fast and stomach contents through the mouth.
Multifactorial causes of vomiting in children, including the contents of the stomach flow or reverse back into the mouth, food poisoning, food or milk allergy, severe cough, and so forth.
Genesis Clinical Vomiting Disease In Infants
1. If the vomit spraying, usually caused by hypertrophic pyloric stenosis. Symptoms: babies are always hungry, wanted to continue drinking, but vomiting immediately after drinking.
2. Vomiting at night, this is typical in cases of protrusion of the upper stomach into the chest cavity. Another typical symptom is when the baby's position changes, the frequency and severity of vomiting also change.
3. If accompanied by pain and crying constantly, then suspected of suffering from inflammation of the esophagus.
4. If no symptoms, then think about the possibility of birth defects that cause stomach upset or proximal small intestine.
Investigations Vomiting Disease In Infants
1. Laboratory
Which need to be examined: blood perlier (edge) complete, Urinalysis (protein, blood, bilirubin, leukocytes, urine culture), Electrolytes blood (Na, K, Ca, Mg, Cl, P), levels of blood urea and creatinine, blood gases and acid-base, liver function tests, blood sugar levels.
2. Abdominal ultrasound (abdominal ultrasound), to see abnormalities in the stomach and intestines, to assess the liver, biliary tract, kidney, and bladder.
3. Abdominal X-ray, to assess the distribution of air in the intestines.
4. Endoscopic when suspected esophagitis (inflammation of the esophagus).
Handling Baby Vomiting
1. Maintain fluid and electrolyte balance.
2. Given antivomiting drugs (domperidone, metokiopramid, cisapride, Promet hazine) according to doctor's instructions. Should not treat themselves, given the side effects.
3. Ondansetron is an efficient and effective therapy that reduces the incidence (the incidence; incidence) vomiting.
4. When esophagitis (inflammation of the esophagus), give H2 antagonist (eg ranitidine) in accordance with the doctor's instructions.
When will all the Specialist? Prior to a specialist, let consult a GP. Besides saving costs, many cases of vomiting in children is enough to be handled by general practitioners.
Infant or child should immediately consult a doctor if the child's surgeon:
1. Vomiting preceded by abdominal pain.
2. Vomiting green.
3. Vomiting accompanied defecation or slimy and bloody.
4. Flatulence.
Infant or child needs to be consulted to experts Gastrohepatologi child if:
1. Vomiting accompanied fussy and refused to eat or drink.
2. Vomiting with growth disorders.
3. Vomiting did not recover after treatment for 2 weeks.
Prevention
1. Given drinking and eating, little but often.
2. Sometimes the baby needs to be fasted for a maximum of 2 hours.
Noteworthy vomiting disease in infants
1. Vomiting in infants can be normal; occur after drinking and eating.
With the increasing age, this gag automatically be reduced.
2. Vomiting should be differentiated from regurgitation (flipped stomach contents into the esophagus). In regurgitation, stomach Evisceration occurs spontaneously, without effort expenditure.
3. Oral antiemetics (Antiemetic drugs are given by mouth) are rarely useful in the treatment of vomiting, the most important thing is to find the cause of vomiting.
4. Be careful in children with gastroenteritis (stomach flu, inflammation of the digestive tract): vomiting usually lasts 1-2 days and most often stops within 3 days, diarrhea (diarrhea) usually lasts for 5-7 days and most often stops within 2 days.
5. The risk of lack of fluids (dehydration) will be increased in children who vomit more than 2 times in 24 hours.
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