Intestinal cramps-What is intestinal cramps?
Intestinal cramps paroxysmal abdominal pain is caused due to the strong contraction of the intestinal wall smooth muscle bursts, it is most common in children with acute abdominal pain. In small infants, to understand the extent and intensity of crying noisy existence of intestinal cramps.
The intestinal spasm - etiology
, Gastrointestinal factors.
(A) excessive intestinal gas.
There are four main sources: swallowed gas intestinal gas; neutralize gastric acid production; diffusion from the blood from bacterial fermentation.
(B) intestinal motility increased.
(C) gastrointestinal hormones.
(D) dietary factors. Some studies have shown that breastfed children mother drinking milk, food allergies, intestinal spasm intestinal spasm.
(E) other factors.
Second, non-gastrointestinal factors.
The intestinal spasms - Symptoms
Mainly in small infants, the attack of intestinal cramps continued difficult to comfort the crying noisy. Main performance for crying disturbed, and may be accompanied by vomiting, flushing cheeks, tumbling, lower limbs curled symptoms. Crying facial flushing, abdominal swelling and tense and The legs up Quanqi attack children with exhaust or defecation terminate. Attack, and was a self-limiting process can be repeated in small infants.
The intestinal spasms - check
Routine examination:
1. Blood count.
2 will be routine.
3 Biochemical full.
4. Peritoneal dialysis.
The intestinal spasm - treatment
Treatment can be decided according to the results of intestinal spasm score. The rated reference crying noise intensity and duration of crying noise associated symptoms, the parents of the child cried noisy views. If you cry noisy and intestinal cramps, not cry but noisy drama with first and second-class treatment program; severe intestinal cramps and tertiary treatment.
A first-class treatment to the children, to soothe, shake children, to reduce the ambient noise, hot water bottle cover baby abdomen; support for parents and care; taking medicine or dimethyl silicone oil. Some traditional Chinese medicine has antispasmodic effect 7 days after taking Chinese medicines (chamomile, verbena, licorice, fennel, incense peak grass and mint powder), improved intestinal cramps, but no reduction in the number of night waking. Dimethyl silicone oil is a non-absorptive drug, by changing the bubble surface tension, so that bubbles fusion or diffusion, to promote gas discharge, no side effects on the human body. Trying to use it to reduce intestinal gas. But the results are not consistent about it. Dimethyl silicone oil with placebo crossover controlled study, the 1/4-2/3 children with symptoms improve, but no significant difference compared with placebo. Other drugs that reduce intestinal gas, such as activated carbon, α-galactosidase enzyme can be adsorbed gas or high-fiber foods to help digestion, reduce gas production, but the the intestinal cramps efficacy is uncertain.
Second, the second level therapeutic drug treatment. Available antispasmodic drugs (such as Esposito bromide) can block the smooth muscle muscarinic receptor, can also act directly on the smooth muscle, relieve muscle spasm. Ineffective available dicyclomine hydrochloride, as an anti-cholinergic drugs with atropine-like spasm, and certain central stability role, have a certain effect in the treatment of infant intestinal cramps. However, recent study found that infants less than 6 months apnea can occur with this medicine, the application of this drug is limited. Yet no effective drug to treat intestinal cramps.
Three tertiary treatment changes in diet and / or medication. Breastfeeding mothers do not eat milk, dairy products, fish and eggs; artificial feeding children give soy milk or milk casein hydrolyzate square, can significantly improve the infant intestinal cramps. For CMPI intestinal cramps caused by the removal of milk protein, switched to soy milk or hydrolyzed protein, 71% -88% of children with symptoms improve. Certain medications (such as dicyclomine hydrochloride) side effects, and sometimes the effect is not ideal, dietary changes may be more appropriate than medication.
