Asymptomatic hematochezia in children?
summary
Because of irregular diet or physical diseases, children sometimes have symptoms of fecal bleeding. Parents want their children to be healthy and their body is not fully developed. There are many factors causing fecal bleeding. Parents need to understand the reasons for their children to be able to "prescribe the right medicine" for the cause. So children asymptomatic hematochezia? Let's take a look at it.
Asymptomatic hematochezia in children?
First: there are many reasons for hematochezia in children, the whole gastrointestinal bleeding can cause hematochezia. Anal discharge of stool with blood, whether the color is bright red, dark red or tar like, are called bloody stool. Most hematochezia is caused by digestive tract diseases, but it can also be a part of systemic diseases. Sometimes it can be caused by swallowing blood from outside the digestive tract. Children's hematochezia is often a dangerous sign of a variety of diseases, including medical diseases and surgical diseases, which should be highly valued by parents.
Second: colon and small intestine diseases, bacillary dysentery, amebic dysentery, localized enteritis, intussusception, intestinal tuberculosis, enteric typhoid fever, distal ileal diverticulitis, melanoma gastrointestinal polyposis, intestinal duplication, small intestinal hemangioma, small intestinal tumor, mesenteric artery embolism, etc.
Third: acute infectious and parasitic diseases, epidemic hemorrhagic fever, typhoid, paratyphoid and typhus, leptospirosis, hookworm disease, schistosomiasis, septicemia, etc.
matters needing attention
1. General treatment of active bleeding should be absolute bed rest, the use of sedatives. The consciousness, pulse, blood pressure and urine volume were observed and recorded. Keep respiratory tract unobstructed to prevent hematemesis causing asphyxia. 2. Blood volume should be replenished for patients with large amount of blood loss. Dextran, 5% glucose normal saline or compound sodium chloride solution can be infused for patients without immediate blood transfusion. 3. Hemostatic agents such as anluoxue, etamsylate, 6-aminohexanoic acid and p-carboxybenzylamine are selected according to the nature of bleeding. For upper gastrointestinal bleeding, norepinephrine 4-8 Mg can be added to 150-250 ml of normal saline by oral administration or intragastric instillation, which has contractile effect on local mucosal vessels. Cimetidine and omeprazole have good hemostatic effect on acute gastric and duodenal mucosal lesions and ulcer bleeding.
