Anorexia

Introduction Anorexia is a longer-term loss of appetite or disappearance. There are two main pathophysiological factors: one is due to local or systemic diseases affecting digestive function, resulting in low gastrointestinal smooth muscle tension, decreased secretion of digestive juice, and decreased enzyme activity; the other is that the central nervous system is stimulated by human body and external environment. The effect is to make the adjustment of the digestive function unbalanced. Anorexia is a mental illness that occurs mainly in young women between the ages of 30 and 30, but about one in 10 are boys and young men. Anorexia in children refers to symptoms in which children (mainly 3-6 years old) have a longer period of loss of appetite or loss of appetite. It is a symptom, not an independent disease. Anorexia nervosa, also known as the disorders of digestive function, is common in childhood. The main symptoms are vomiting, loss of appetite, diarrhea, constipation, bloating, abdominal pain and blood in the stool. These symptoms not only reflect functional or organic diseases of the digestive tract, but also occur in other systemic diseases, especially when it is found in central nervous system diseases or mental disorders and various infectious diseases.

Cause

The cause of anorexia:

1 Gastrointestinal diseases: such as peptic ulcer, acute and chronic hepatitis, chronic enteritis, various causes of diarrhea and chronic constipation are common causes.

2 Gastrointestinal allergies and taking drugs that cause nausea and vomiting such as erythromycin, chloramphenicol, sulfonamides, and aminophylline can also cause anorexia.

3 Systemic diseases such as tuberculosis, collagen disease, anemia, and some chronic infections.

4 zinc deficiency and lack of certain endocrine, such as hypothyroidism.

5 other such as liver dysfunction, hypertension, acidosis, uremia, and heart failure gastrointestinal congestion.

an examination

Related inspection

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Anorexia check diagnosis:

Laboratory examination: blood routine examination can find anemia, blood biochemical examination plasma protein decreased, refractory anorexia nervosa children with 17-hydroxysteroids decreased, plasma cortisol levels are normal or high.

Other auxiliary examinations: The chest radiograph should be taken regularly, and B-ultrasound, electrocardiogram, etc. should be checked to find the cause or eliminate the disease.

Diagnosis: In the case of anorexia children, first of all, carefully ask the medical history, do a physical examination and necessary tests. Whether it is caused by systemic or digestive diseases, whether it is affected by drugs, or whether trace elements or endocrine factors are lacking. Also investigate the children's family, nursery school and school environment, whether there are adverse mental stimulation and poor food hygiene habits, and then determine the cause.

Differential diagnosis

Anorexia confusing symptoms:

Partial eclipse is a common dietary behavior problem in children's health clinics, and it is also the main reason for infants and young children feeding difficulties and nutrient deficiencies. Generally expressed as refusing to eat certain foods, picking up their favorite meals, not wanting to try new foods and lack of interest in food. According to the survey, the phenomenon of partial eclipse occurs in children of all ages from 6 months to 6 years old, with a proportion of up to 30%.

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