4gastrointestinal Disorder
4gastrointestinal Disorder
4gastrointestinal Disorder
• Gastroesophageal Reflux
– In infants, history of effortless vomiting; pH of gastric secretions;
endoscopy or esophagography; esophageal manometry
– In adolescents, history of heartburn; if severe, endoscopy is needed.
• Pyloric stenosis
– Vomit immediately after feedings; sour-smelling vomitus without bile;
dehydration; alkalosis; hypopnea; round, firm sphincter.
• Fluid is unable to
pass easily
through the
stenosed and
hypertrophied
pyloric valve.
• INTUSSUSCEPTION
– gluten
– wheat
– rye
– barley
– oats
• CONSTIPATION
– Functional constipation, or constipation without
an underlying medical disease, is a very common
problem in childhood, often starting in the first
year of life.
• Because there is no
peristalsis in this
narrowed segment,
the bowel proximal
to it distends
markedly.
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Assessment
– Aganglionic megacolon generally do not become
apparent until 6 to 12 months of age.
• Antidepressants - Stress
A. Projectile vomiting
B. Right lower quadrant pain
C. Bloody mucus stool
D. Rebound tenderness
A. Abdominal pain
B. A feeling of “tugging” at the incision line
C. Thirst
D. A rigid abdomen