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1993-06-14
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$Unique_ID{PAR00174}
$Pretitle{}
$Title{Medical Advice: Ulcers}
$Subtitle{}
$Author{
Editors of Consumer Guide
Chasnoff, Ira J}
$Subject{Duodenal Ulcers ulcer Abdominal pain Vomiting blood bloody stool
antacid antacids stomachache stomachaches stress Black tarry stools stomach
duodenum small intestine steroids steroid medication medications burn burns
disease brain diseases blood poisoning infection infections meningitis upper
abdominal pain eating navel vomit gastrointestinal series endoscopy esophagus
anemia antispasmodics antispasmodic drugs drug diet caffeine}
$Log{
Common Ulcers*0017401.tif}
Your Child: A Medical Guide
Ulcers
Quick Reference
SYMPTOMS
- Abdominal pain
- Vomiting of blood
- Blood in stools
HOME CARE
- The only home care recommended in the case of a suspected ulcer is to
give the child an antacid by mouth. The child should be under a
doctor's care.
PRECAUTIONS
- Ulcers do not usually cause ordinary stomachaches in children.
- Intense, highly motivated children, particularly those with family
problems, may be susceptible to ulcers.
- If a child is under stress, his or her abdominal pain is more likely to
be caused by the stress than by an ulcer.
- When more than one member of a family has ulcers, the cause is more
likely to be shared stress than a hereditary factor.
- Black, tarry stools can be caused not only by the presence of blood but
also by the ingestion of iron supplements and some foods.
Ulcers (open sores on an internal surface of the body) are less common in
children than in adults, but they are by no means rare and may even occur in
newborns. Like adults, children get ulcers in the stomach or in the duodenum
(the first part of the small intestine). Duodenal ulcers, in fact, are five
times more common than stomach ulcers.
Ulcers are more common in intense, highly motivated children,
particularly those who have family conflicts. Ulcers also can be caused by
prolonged treatment with steroid medications, extensive burns, diseases of the
brain, blood poisoning, or severe infections, such as meningitis.
SIGNS AND SYMPTOMS
An older child with ulcers generally has upper abdominal pain before
meals or at night; the pain is often relieved by eating. Preschoolers with
ulcers usually have pain near the navel; the pain comes and goes and is
aggravated by eating. Children of any age may vomit bright red or dark brown
blood or have blood in the stools (as evidenced by black, tarry stools).
Ulcers are seldom the cause of ordinary stomachaches in children.
The definite diagnosis of an ulcer can be made only with an x-ray study
called an upper gastrointestinal series or, less commonly, with endoscopy,
which is a procedure that allows direct viewing of the stomach by means of an
instrument passed down the esophagus (the passageway from the mouth to the
stomach).
HOME CARE
Temporary relief for pain can be provided by giving the child antacids by
mouth. Other home treatment is not recommended. The child should be under a
doctor's care.
PRECAUTIONS
- Not all black, tarry stools contain blood. Taking iron supplements and
eating some foods can cause black stools. The stools should be tested.
- Abdominal pain in a child who is under emotional stress is more likely to
be caused by the stress than by an ulcer.
- Several members of a family may have ulcers because they share the
family's life-style and tensions, not because ulcers are hereditary.
MEDICAL TREATMENT
Your doctor will take a careful health history of your child and perform
a physical examination. X-ray studies may be ordered. The child's stools
will be tested for blood, and a blood cell count will be performed to seek
evidence of secondary anemia. The doctor will probably prescribe antacids
between meals and at bedtime or antispasmodic drugs before meals. The doctor
will also advise you on changes in the diet and ways to relieve the child's
emotional stress.
Changes in the diet usually involve avoiding caffeine (found in cola
drinks, cocoa, tea, and coffee) and aspirin (including that found in some cold
remedies). Treatment usually can be discontinued in a few weeks or months.
RELATED TOPICS: Anemia; Blood poisoning; Burns; Meningitis; Stomachache,
chronic