Patient's question:
My child suddenly fainted during morning exercises at school. Fortunately, it wasn't very serious, and it was estimated to be caused by anemia. However, in recent days, he has been saying that his upper abdomen is very painful. After checking at the hospital, it was diagnosed as pediatric biliary ascariasis. What should be done about pediatric biliary ascariasis?Doctor's answer:
Biliary ascariasis is a disease caused by the migration of Ascaris lumbricoides into the biliary tract. Biliary ascariasis is a common parasitic disease in humans, especially in children. The infection rate is higher in rural areas and regions with poor sanitation. It is more prevalent in males than in females. Intestinal ascariasis, which parasitizes in the small intestine of the human body, consumes the body's nutrients and hinders digestive and absorption functions, leading to symptoms such as malnutrition, anemia, and abdominal pain in children. Severe complications may include acute biliary infection, liver abscess, intrahepatic bleeding, and necrotizing acute pancreatitis. Surgical treatment should be considered, involving the incision of the common bile duct to remove the worms.