Patient's question:
Eating, often refluxes acid, deep sleep is good, normal urination and defecation. Past treatment history and effectiveness: Not treated. What kind of assistance is needed: How to treat? What is the effect of treatment without medication, through diet?...Doctor's answer:
Acid reflux gastritis, duodenitis, and peptic ulcers have the highest incidence rate among children, demonstrating that stomach diseases are not exclusive to adults and should be a concern for parents. If a child experiences recurrent acid reflux, abdominal pain, and dry heaving, parents should be vigilant as it may indicate a stomach disease. Preschool children with the following clinical symptoms should undergo an endoscopy examination:1. Recurrent dry heaving, belching, acid reflux, and abdominal pain related to diet;
2. Recurrent abdominal pain with unclear localization, which may be limited to the epigastric area or around the navel, occurring intermittently with irregular patterns. It may occur at night or in the morning but without a history of intestinal parasitic infection;
3. Unexplained vomiting of blood or black stools, with multiple positive results from fecal occult blood tests;
4. A family history of stomach disease, with the child's illness lasting more than 3 months, accompanied by symptoms such as jaundice, weight loss, anemia, and epigastric pain.
The five common causes of stomach diseases in children: Parents transmitting Hp makes children more susceptible to gastritis. "It has now been confirmed that the main pathogen causing pediatric gastritis and ulcers is Helicobacter pylori (Hp)," explained Zhou Wenji. "Among pediatric ulcers, about 1/4 are caused by Hp transmission." Zhou reiterated that Hp transmission primarily occurs through "person-to-person" and "mouth-to-mouth" routes, with a clear clustering phenomenon in families. If parents transmit Hp, their children have a much higher risk of infection compared to other families. Some parents or older relatives test the temperature of milk for infants by their own mouths before feeding. Additionally, in many Chinese households, all family members share a toothbrush, and the use of public chopsticks is not common, with all chopsticks placed in a shared dish for serving food. These habits carry varying degrees of potential for Hp transmission.