The clinical picture of proctitis in children
Usually, proctitis, initiated by the intolerance of protein foods (PINBP), manifested in children, who are breast-fed or prepared mixtures based on soybean and cow's milk.
In general, children look completely healthy. Detect the disease may in their feces, where there are streaks of mucus and blood. In rare cases, children are restless or quickens their intestinal peristalsis. The above symptoms are common in children 2-8 Time life.
In older children PINBP rare. true, it is worth noting, that the disease unexplored.
Proctitis diagnosis in children
Often, proctitis diagnosis in children is based on the clinical picture, as well as the disappearance of all symptoms after eliminating protein foods, which provoked them. This approach is widely practiced by gastroenterologists.
In rare cases, conducted immunological studies RAST and skin prick tests. With their help determine the presence of food IgE, that, usually, when negative PINBP. In that case, when the positive test, it indicates the presence of a child (mother) concomitant IgE-mediated food allergy.
If we exclude protein food, bleeding does not stop, the colonoscopy is recommended. She is, usually, and shows signs of colitis, eritmiyu having nonuniform and decreased vascularization. Usually, mucosa varies only in rectum. true, in rare cases, may result in higher and large intestine.
Treatment of proctitis in a child being breastfed
If the child, who diagnosed PINBP, only be breastfed, its extension is possible under the condition, Mom would exclude from their food menu, who are suspicious.
First of all excluded cow's milk, provided, that there is no suspicion of any other product. Eliminates the need to completely contain all dairy products and butter including. It will not be superfluous to note, that on the labels of other products of cow's milk may be referred to as "whey" or "casein". Often, food, which contains lactose, safe, provided, that there are no other components of cow's milk.
Proctitis children are allowed two weeks, assuming full dieting. However, in many cases, streaks of blood and mucus disappear after only 72 hours after full elimination of protein. If the symptoms do not disappear during this time, the diet of the mother also eliminated soy and eggs. It is also recommended in this case, contact a dietitian, that it was the menu for a nursing mother, because food still must be complete.
Proctitis treatment of the child on artificial feeding
If a child is bottle-fed or mixed-feeding (partially breastfeeding mother's milk, and the mixture was partially), it is necessary to replace a mixture of, based on cow's milk and soy, on hydrolysers. It is important not to replace a mixture of, which are based on cow's milk, on soya mixture. The reason for this fact stands, that children have an increased sensitivity to both types of protein.
It must be emphasized, often by changing the mixture in the hydrolyzate in infants observed a green chair, However, this fact does not appear on the outcome of the disease.
but 5-10% children, who exhibit intolerance to soy protein and cow's milk, will take place, and intolerance to the hydrolysis mixture. In this case designate amino acid mixture. It is important not to self-medicate and selection of compounds to provide a doctor.
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