Of the stomach in children - Care and treatment of esophageal reflux.docVIP

 PAGE \* MERGEFORMAT 6 Of the stomach in children - Care and treatment of esophageal reflux A pediatric gastric reflux in the pediatric clinic of the disease is quite common, especially in this period from birth to age 6 months up to, but the specific care and treatment in children is not within the textbooks described in detail, the author their years of clinical experience to do a general summary for grassroots health workers. are presented as follows: 1 etiology Main anatomical and physiological characteristics of children on the stomach: the stomach early infant horizontal position, when starting to walk, the position becomes perpendicular. Newborn stomach capacity is about 30 ~ 35ml, 3 months for 120ml, 1 years old to 250ml, as stomach capacity is limited, so the number of times a day to be fed more than older children. gastric muscle development is imperfect, full of liquid food in the stomach before they are easy to expand, sucking air inhaled frequently. cardia tension is low, easy to make the baby vomited or galactorrhea in more common in physiological neonatal period, generally do not have treatment, as long as the intensive care will be gradually improved, as in early childhood is pathological is required to accurately diagnose and timely treatment. 2 Clinical manifestations Because defects in children with lower esophageal sphincter, causing reflux of gastric juice or bile, causing clinical manifestations of vomit. Vomiting can cause severe malnutrition, growth retardation, and even inhalation of reflux material, resulting in recurrent pneumonia or asthma, chronic esophagitis, esophageal stenosis, more than two years old may have chest pain, burning, heating, upper abdominal discomfort, dysphagia, fecal occult blood positive. sometimes admissions of elderly patients with recurrent abdominal often burning sensation, or even vomit patients with chief complaint of acidic water, some children with no known cause vomiting, pharyngeal disco