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Intestinal colic

  Intestinal colic is caused by the intense and intermittent contraction of the smooth muscle of the intestinal wall, which is the most common condition of acute abdominal pain in children. For infants, intestinal colic can be understood from the degree and intensity of crying. In typical cases, the site of abdominal pain is often around the umbilicus, that is, the site of spasm is in the small intestine. When the proximal large intestine is spasmodic, the pain is located in the lower right abdomen; when the distal large intestine is spasmodic, pain occurs in the lower left abdomen; if the child has abdominal pain before defecation, it may be due to spasm of the descending colon or sigmoid colon.

  A few older children may experience colic in the rib area, which is more common on one side, due to spasm of the hepatic flexure or splenic flexure of the colon. Younger children may also have colic in the abdominal area below the sternum, which is due to spasms of the stomach. Strictly speaking, this is not intestinal colic, but stomach colic, but because the mechanism of occurrence is similar, massage therapy is also effective.

  The possible causes of intestinal spasm may be improper diet (such as consuming a large amount of cold and raw food, overeating, overfeeding, or food with a high sugar content causing intestinal gas accumulation, etc.), leading to intestinal spasm; it may also be due to climatic changes (such as catching a cold and feeling cold) causing children to have intestinal spasm; or it may be due to the stimulation of intestinal parasite toxins. The above-mentioned triggering factors may cause transient ischemia of the intestinal wall or lead to sympathetic nerve excitation, causing the smooth muscle of the gastrointestinal tract to spasm, thus causing abdominal pain. When the smooth muscle of the gastrointestinal tract spasm, it can prevent the contents of the gastrointestinal tract from passing through, which may cause vomiting. After the smooth muscle of the gastrointestinal tract spasm for a period of time, it will gradually relax naturally, at this time, the child's abdominal pain will disappear, forming what is called 'attack interval'. If the pathogenic factors are not eliminated, the child may have abdominal pain again.

Table of contents

1. What are the causes of the onset of intestinal spasm
2. What complications can intestinal spasm easily lead to
3. What are the typical symptoms of intestinal spasm
4. How to prevent intestinal spasm
5. What laboratory tests are needed for intestinal spasm
6. Dietary taboos for patients with intestinal spasm
7. Conventional methods of Western medicine for the treatment of intestinal spasm

1. What are the causes of the onset of intestinal spasm?

  The causes of intestinal spasm are:

  One, gastrointestinal factors. Excessive production of intestinal gas. The four sources of intestinal gas are: inhaled gas; neutralization of gastric acid; diffusion from the blood; and fermentation by bacteria. Gastrointestinal hormones: changes in weather, catching a cold. Increased gastrointestinal hormones stimulate the gastric wall, leading to intestinal spasm. Increased intestinal motility: intense intestinal movement makes the intestines unable to withstand strong external shocks, thereby causing intestinal spasm;

  Two, dietary factors: Some studies show that the occurrence of intestinal spasm in breastfed infants is related to the mother drinking milk, and food allergy may be a cause of the occurrence of intestinal spasm.

  Three, other factors.

2. What complications can intestinal spasm easily lead to?

  In young infants, the main manifestation of intestinal spasm is persistent and difficult-to-soothe crying. Intestinal spasm is a clinical symptom caused by other diseases, and it rarely leads to other diseases. Some patients may experience abdominal pain, which is cramping and may be accompanied by diarrhea.

3. What are the typical symptoms of intestinal spasm?

  In young infants, the main manifestation of intestinal spasm is persistent and difficult-to-soothe crying. The main symptoms include restless crying, vomiting, flushed cheeks, rolling, and the limbs curled up. The face becomes flushed during crying, the abdomen swells and becomes tense, the legs curl up, and the attack can be terminated by the child passing gas or defecating. In young infants, the attacks can be recurrent and self-limiting.

  Clinical manifestations of intestinal spasm: one:Infants and young children cannot express abdominal pain themselves, but they only show sudden attacks of intermittent crying and screaming, sometimes waking up from sleep crying. Each attack lasts for several to ten minutes, with intermittent pain. The degree of abdominal pain varies, with severe cases accompanied by restless movements of the limbs, rolling, pale complexion, and cold hands and feet.

  The second clinical manifestation of intestinal spasm:Preschool or school-age children can generally express abdominal pain themselves, and the location of abdominal pain is most often in the middle abdomen or around the umbilicus. Intestinal spasm induced by constipation often manifests as left lower abdominal pain, but sometimes the pain is difficult to locate. Abdominal pain is generally paroxysmal, and there may be no discomfort during the intermission.

  The third clinical manifestation of intestinal spasm:The degree of abdominal pain in older children may vary from mild to severe, but their overall condition is good. Simple intestinal spasm can often be self-healed within several hours to several hours.

4. How to prevent intestinal spasm

  Prevention of infantile intestinal spasm, as parents, you may also be very concerned about whether there are any methods to reduce the occurrence of intestinal spasm? Parents can pay attention to the following points. If the following items are done seriously, the occurrence of intestinal spasm in children will definitely be significantly reduced:

  1. Since the abdominal pain of some children may be related to milk allergy, children who have recurrent intestinal spasm can try to temporarily stop drinking milk and switch to soy milk or other milk substitutes for observation.

  2. Strictly prevent children from overeating and from eating a large amount of cold food.

  3. Pay attention to not overfeeding the baby, and the amount of sugar added to the milk should not be too much.

  4. Must pay attention to the local warmth of the abdomen to prevent the abdomen from being cooled.

5. What laboratory tests are needed for intestinal spasm

  Laboratory examinations must be based on the objective materials obtained from the medical history and physical examination for summarization and analysis, from which several possible diagnoses are proposed, and then further consideration is given to those laboratory tests to confirm the diagnosis. The routine examination for intestinal spasm:

  1. Blood routine.

  2. Stool routine.

  3. Comprehensive biochemical tests.

  4. Peritoneal dialysis, etc.

6. Dietary taboos for patients with intestinal spasm

  Intestinal spasm is a common gastrointestinal disease, its occurrence is inseparable from diet. Therefore, patients with intestinal spasm should pay more attention to their diet in daily life to reduce the occurrence of spasm and alleviate the pain during spasm.

  1. Limit the intake of fibrous foods and avoid eating fried or oil-fried foods, as well as foods rich in rough fibers such as celery, chives, sprouts, ham, preserved meat, dried fish, and various coarse grains. These foods are not only rough and difficult to digest but also can cause a large amount of gastric juice secretion, increasing the burden on the stomach.

  2. Strengthen nutrition by choosing easily digestible foods rich in calories, proteins, and vitamins. Such as congee, thin noodles, milk, soft rice, soy milk, eggs, lean meat, tofu, and soy products; foods rich in vitamins A, B, C, such as fresh vegetables and fruits. These foods can enhance the body's resistance, help repair damaged tissues, and promote the healing of ulcers.

  3. Avoid foods that stimulate stomach acid secretion, increase beneficial bacteria in the body, the fundamental way to prevent gastrointestinal diseases is to increase beneficial bacteria and enhance the body's immunity. Fructooligosaccharides is a natural bifidus factor that can directly reach the intestines, act on intestinal probiotics, promote the proliferation of intestinal probiotics, and inhibit the growth of bad bacteria. This improves the intestinal microecology, maintains intestinal balance, ensures intestinal health, and keeps away from the trouble of intestinal spasm.

  4. Proper cooking methods such as steaming, roasting, frying, and stewing are preferred. Foods cooked by frying, frying, and smoking are not easy to digest, stay longer in the stomach, and affect the healing of the ulcer surface.

  People with poor gastric digestion function have symptoms such as feeling full after eating a little, feeling bloated after eating a little more, especially if they eat more at night, they may also be affected by the stomach bloating and affect their sleep. Hard and fibrous foods are not easy to digest. Therefore, it is recommended to eat less and more often. If it's not time for the main meal, you can supplement some food, but not too much, and remember that this is not a main meal, the main meal should still be eaten normally. Foods should be soft and loose, and it is not advisable to eat too much of things that are tough and crispy, as these are the most difficult to digest. Soup is best drunk before meals, and drinking it after meals will also increase the difficulty of digestion. It is best not to eat anything two or three hours before going to bed, otherwise, it may affect sleep.

7. The conventional method of Western medicine for treating intestinal spasm

  The Western medical treatment of intestinal spasm is mostly achieved through medication.

  1. The neutralizing gastric acid drugs mainly include Lete Wei, Lizhu Dile, and Dilu, which are used for patients with gastric and duodenal ulcers, gastritis, and excessive gastric acid.

  2. The anti-ulcer drugs are mainly H2 receptor blockers, currently commonly used ones include ranitidine, famotidine, cimetidine, and others. These drugs are mainly used to treat duodenal ulcers, postoperative ulcers, benign gastric ulcers, reflux esophagitis, upper gastrointestinal bleeding, and other conditions. It is best not to use these drugs in patients with severe kidney disease and pregnant women. When used with antacid drugs, the interval between doses should be no less than 1 hour. Generally, take the medicine immediately before or after meals, and an additional dose should be taken before bedtime.

  3. The main drugs for protecting the mucosa are Gastric Remedy. They are mainly used to treat peptic ulcers, excessive gastric acid, gastritis, nervous dyspepsia, gastrointestinal spasms, and other conditions. In addition, they can also regulate gastrointestinal bloating, improve constipation, increase appetite, and improve digestive function.

  4. There are domperidone, gastric anesthetic, and mosapride among the gastric motility drugs. They can increase the tone of the lower esophageal sphincter, enhance gastric peristalsis, promote gastric emptying, coordinate the movement of the stomach and duodenum, prevent bile reflux, regulate and restore gastrointestinal motility.

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