Swallowing

Introduction

Introduction to gassing

Aerophagia is caused by excessive bloating in children and abdominal discomfort, which causes the child to limit eating. In severe cases, it can cause severe abdominal pain. Some children suddenly interrupted licking milk while eating milk, showing irritability, fists in both hands, crying, red face or pale face. Many parents are puzzled and helpless. This is medically known as infant swallowing. The baby inhales a lot of air when sucking milk, the swallowed air gathers in the lower part of the stomach, the milk stays in the upper part of the stomach, the air can not escape in time, and enters the small intestine and the large intestine, causing paroxysmal spasm in the intestinal wall muscle. Cause abdominal discomfort or severe abdominal pain.

basic knowledge

The proportion of sickness: 0.2%

Susceptible people: infants

Mode of infection: non-infectious

Complications: abdominal distension, vomiting in children

Pathogen

Cause of gassing

Teat sphincter tension (30%):

The mother's teat sphincter is over-stressed, the milk is too slow, or the teat is too short or even invaginated. When the child is eating milk, it is not easy to eat milk, so she sucks hard and swallows a lot of air in the process.

Improper feeding posture (30%):

Some parents don't have a proper feeding posture, the bottle is slanted, the nipple is not filled with milk, and the child sucks a lot of air while sucking.

Prevention

Swallowing prevention

Pay attention to feeding your child regularly, and have a regular diet. Don't let your child be hungry for too long.

Pay attention to the method and posture of feeding. When feeding artificially, let the nipple be filled with milk. When breastfeeding, the mother should not take the lying position, but take the standing position or sitting position.

Each feeding time should not exceed 20 minutes. After breastfeeding, the baby should be lifted upright, leaning on the mother's shoulder, gently pat the back, so that the swallowed air is quickly discharged, then put the baby on the bed and take the right side. Lying position.

Eat less gas and acidic foods, usually baby babies with gastroenteritis, are weak and sensitive in the stomach, so in addition to paying attention to the care of feeding, the choice of non-staple foods should also avoid gas-producing foods and acidic foods. It will not stimulate the already sensitive stomach. Gas-producing foods include onions, egg yolks, tofu, liver, etc. Acidic foods include citrus, pineapple, and high-fiber vegetables.

Complication

Swallowing complications Complications, abdominal distension, vomiting in children

Due to the increase of gas ingested into the gastrointestinal tract, clinical manifestations of bloating and vomiting in young children, an increase in anal exhaust, can induce vomiting reflexes due to snoring. At the same time, due to obvious abdominal distension, it can cause the child's diet to decline. In the long run, it may cause malnutrition due to insufficient protein intake, so it should be paid attention to by clinicians, actively strengthen diet and avoid malnutrition.

Symptom

Symptoms of swallowing symptoms common symptoms irritability, fart, frequent appetite loss, suffocation, swallowing, bowel, pale bloating, can not tolerate paralysis on a fatty diet

In breastfeeding, sudden interruption of breast milk, performance irritability, fists in both hands, crying, red face or pale, or some suddenly awakened in sleep, screaming loudly, head tilted back, restless, pale, Full of sweat, cold hands and feet, spit milk not only, the child's bowel sounds broke into the disease when the onset, fart frequent, far after the fart mostly returned to normal.

Mild children may not be noticed by parents, but clinicians can observe repeated automatic swallowing. Parents can observe decreased appetite, bloating, excessive anal exhaust and burping. Disappeared during sleep, gassing is sometimes confused with gastroesophageal reflux, chronic paralytic ileus, and can be identified by careful examination.

Examine

Swallowing check

Swallowing check items:

Gastrointestinal and peristaltic waves, gastrointestinal dysfunction, ultrasound examination of gastrointestinal diseases, CT examination of gastrointestinal tract.

Gastrointestinal dysfunction includes gastric motility test, intestinal transit time measurement and pressure measurement, rectal-anal motor function measurement, electrogastrogram (EGG), biliary motor function test, gastric filling and emptying function test, small intestine Filling and emptying function check, eight tests of acid reflux test, mainly to check gastrointestinal function.

The mother should check her nipples and find that there are abnormalities. They should be corrected in time to prepare for breastfeeding.

Diagnosis

Diagnosis of gastroenterology

1 swallowing (air swallowing);

2 bloating due to increased gas in the digestive tract;

3 repeated beating (belching) and anal exhaust increased.

Identification with other gastrointestinal diseases.

The gastrointestinal tract is the largest immune organ in the human body and the largest detoxification organ in the human body. The gastrointestinal tract refers to the digestive tract from the pylorus of the stomach to the anus. The intestine is the longest part of the digestive tract and the most important part of the function. Acute gastritis is an acute inflammation of the gastric mucosa caused by different causes. Severe lesions may involve the submucosal and muscular layers, and even deep into the serosa layer. Clinically, according to the etiology and pathological changes, it is divided into acute simple gastritis, acute erosive gastritis, acute corrosive gastritis, acute suppurative gastritis, among which acute simple gastritis is the most common in clinical practice, and due to the widespread use of antibiotics, acute Suppurative gastritis is rare.

There are many factors that cause the disease, chemical or physical stimulation, but also bacteria or their toxins. Chemical stimulation mainly comes from spirits, tea, coffee, spices and drugs (such as salicylate preparation, indomethacin, phenylbutazone, glucocorticoids, etc.), among which acute corrosive gastritis is caused by swallowing strong acid and alkali. Caused by other corrosive agents. Physical stimuli such as overheating, too cold, too rough food and X-ray exposure can damage the gastric mucosa and cause inflammatory changes. Foods contaminated with bacteria or their toxins are the most common cause of acute gastritis.

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