Paroxysmal right upper quadrant colic in children

Introduction This symptom occurs in children and should be suspected as biliary ascariasis. Because the mites have the characteristics of oxalic acid and drilling, they are affected by the surrounding environment (inappropriate insects, indigestion, etc.) and turbulence occurs. They move upwards and break into the biliary tract, causing sudden upper right abdominal cramps in children and to the right. Lumbar radiation. Children often have vomiting and spit out bile and aphids. The locust itself has the habit of drilling holes. The locusts are disturbed everywhere in the intestines. The mites are moved upwards by the surrounding environment and break into the biliary tract, causing symptoms of abdominal pain. Because the mites have the characteristics of swimming, drilling, and kinking, they also cause A variety of complications affect the prognosis.

Cause

The mites are moved upwards by the influence of the surrounding environment and break into the biliary tract.

an examination

Related inspection

Abdominal MRI

The right upper abdomen of the child with a sudden onset of episodes of paroxysmal drill-like severe cramps, resulting in crying called rolling, bending over the body, pale, cold sweating and so on.

Differential diagnosis

Intestinal ascariasis. This is a common cause of abdominal pain in children. In daily life, poor food hygiene, no washing hands before and after meals, raw fruits and vegetables are not washed, cold water, unclean clothes, eating fingers, etc. are the main ways for locust eggs to enter the human body. Children with good appetite, poor nutrition, anemia, often accompanied by nausea, vomiting, constipation, etc., can also have headache, irritability, poor sleep, night molars, easy to start, leading to stagnant growth and development, mental development difference. Individual children have partial eclipse and pica, and like to eat slag, clods and so on. In the past, there was a history of mites. You should go to the hospital to check the feces routine, find the mites eggs, you can give the anthelmintic drugs (drugs or intestinal worms) thoroughly. This disease can not be careless, because the mites have the habit of swimming and drilling, can be twisted into a group to cause intestinal obstruction, or penetrate into the biliary tract, liver, appendix, causing biliary aphids, aphid liver abscess, aphid appendicitis, and even can cause aphids Sexual peritonitis is very harmful and cannot be prevented.

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