11 year old girl suffers from rare Crohn's disease. She is 20 jin thin. The culprit is spicy
4hw.org: Spicy bars are a magic thing, not to mention that children like it even the middle-aged generation after the 1980s. Go to the supermarket and have a look. The best snacks are spicy bars, which are also recognized by crooked nuts.
Lingling (pseudonym), an 11-year-old from Zitong, Mianyang, is particularly fond of spicy sticks with a bag of fifty cents outside the school. In the past year, she has at least two bags a day, more than five or six. A few days ago, Lingling had severe diarrhea and abdominal pain. She had diarrhea more than 10 times a day and lost more than 20 jin of weight. Her parents thought it was just ordinary enteritis at first, but the treatment failed many times. Recently, Lingling was diagnosed with a rare Crohn's disease in a hospital in Mianyang.
At present, Lingling's condition is under control and has been discharged from the hospital. On the 16th, doctors said that Lingling's favorite spicy food was the cause of the disease, which was not easy to cure. Lingling must pay attention to her diet in the future, and should not eat junk food that stimulates her stomach.
Diarrhea more than 10 times a day mistaken for enteritis
Lingling is just 11 years old this year. She is thin and has a dark yellow complexion. Less than 1.4m tall, it looks like an 8-or 9-year-old. Until last July, I had been living with my parents who worked in Guangdong. At that time, Lingling occasionally suffered from abdominal pain and diarrhea. Ms. Li, Lingling's mother, thought that her child just had a bad stomach and bought some medicine for Lingling. In July last year, Lingling transferred to the primary school in Zitong, Mianyang, but the frequency of abdominal pain and diarrhea was increasing. In the more than one year after that, Lingling had diarrhea for many times, accompanied by abdominal pain, with at least four or five stools a day.
'what I thought at that time was that I had a bad stomach and got enteritis. I also think that the child is still chubby, and it is impossible for the child to have any major problems, so I didn't take it seriously. Every time I buy some medicine in the drugstore, I can manage it for a few days. "On the 16th, Ms. Li said in an interview with a reporter from Chengdu Business Daily.
Until September this year, Lingling had diarrhea every day, more than 10 times of stool every day, accompanied by abdominal pain and anorexia. It's more than 20 jin lighter. This time, Ms. Li was frightened. She hurriedly took Xiaofang to Zitong local hospital for examination and treatment.
At that time, the hospital found purulent cells, white blood cells and red blood cells in the stool through inspection, and was diagnosed as infectious diarrhea, but after antibiotic infusion treatment, diarrhea became more and more serious. Ms. Li said that the child was still getting thinner and thinner, so she had no choice but to transfer to the gastroenterology department of Mianyang Eighth People's Hospital for treatment.
Joint consultation was diagnosed as a rare 'Crohn's disease'
On the morning of the 16th, Zuo Xiaomei, director of gastroenterology department of Mianyang Eighth People's Hospital, said: 'at that time, there were no typical symptoms of Crohn's disease (mucopurulent stool). We convened a joint consultation of several departments in the hospital. After repeated discussion, we thought that if Lingling had abdominal pain, diarrhea, weight loss, stunting and other symptoms, inflammatory bowel disease should be considered first, young and young In particular, we should be alert to the possibility of Crohn's disease. "So the hospital decided to carry out enteroscopy for Lingling's diagnosis." through enteroscopy, we found that there were many ulcers of different sizes distributed on the whole large intestine of the child, which were confirmed as Crohn's disease after pathological biopsy. '
At the same time, Zuo Xiaomei also contacted Professor Zhang Sumin, the doctoral supervisor of Nanjing University of traditional Chinese medicine, an external expert of the inflammatory bowel disease platform, so that Professor Zhang Sumin specifically checked the children and thought the diagnosis was clear. After the diagnosis was made clear, the inflammatory bowel disease team led by Zuo Xiaomei developed a regular diagnosis and treatment plan for Lingling. Through enteral nutrition, enema with air medicine enema and oral medicine treatment, Lingling's condition was quickly controlled, the abdominal pain disappeared, the number of stools gradually decreased, and her weight gradually increased.
Crohn's disease is very rare, but in recent years, the incidence of Crohn's disease has increased, especially in young people. Moreover, it is often mistaken by the common people as chronic enteritis, so the medical treatment is not timely, and the misdiagnosis rate is also high. 'said Zuo Xiaomei.
Why are at least two bags of hot strips a day the cause of the disease
Why does Lingling suffer from such a rare disease when she is young? During the treatment, Zuo Xiaomei found that Lingling loves spicy bars with a bag of 5 cents outside the school through communication with Lingling. Zuo Xiaomei thought it was the main cause of Lingling's illness.
On the morning of the 16th, Ms. Li introduced that in Guangdong, she would give Lingling a little pocket money every day, mainly for children to buy snacks, which she said was normal. After returning to Zitong, due to work reasons, every morning, she would give Lingling 7 or 8 yuan to go out for breakfast, but most of the time, Lingling bought snacks with the money.
'she especially likes to eat the fifty cents a bag of hot sticks outside the school. I picked her up from school several times in the afternoon and saw her eating them. There were two bags less in the bag, and five or six more in the bag. At that time, she was also asked to eat less, but I couldn't help it. 'Ms. Li said that after Lingling became ill, the doctor said it might have something to do with eating spicy bars for a long time. She asked Lingling specifically that she should eat at least two bags a day on average.
Zuo Xiaomei said that Crohn's disease is an inflammation of non-specific infection, that is, there is no clear bacteria and other causes of illness, but Lingling's long-term eating spicy bars must be the cause of the disease The spicy bar is not hygienic at first. Secondly, it contains a lot of flavors, cumin and other condiments that stimulate the intestines and stomach. Children are not fully developed. If eaten in large quantities, they will stimulate the intestines, thereby reducing their own resistance. 'said Zuo Xiaomei.
Hu Bing, deputy director of gastroenterology department of West China Hospital of Sichuan University, said that the cause of Crohn's disease has not been fully studied at present. Many factors, including infection, genetics and immunity, will lead to the occurrence of Crohn's disease. However, this little girl likes to eat spicy food. Eating these unsanitary food for a long time will stimulate the gut, cause intestinal inflammation and aggravate her condition.
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Crohn's disease, it's hard to cure what is Crohn's disease?
Zuo Xiaomei introduced that inflammatory bowel disease is a special chronic intestinal inflammatory disease, mainly including Crohn's disease (CD) and ulcerative colitis (UC). Clinically, patients will show repeated abdominal pain, diarrhea, mucinous bloody stool, and even various systemic complications such as blurred vision, joint pain, rash and so on. The patient's intestines can't absorb the carbohydrate, protein, fat, vitamin and many kinds of microelements. In addition, the inflammation of intestines or the medicine taken may cause the poor appetite, so it is often accompanied by different degrees of malnutrition, and even affect the normal growth and development of children.
A few days ago, Lingling was discharged from the hospital. Zuo Xiaomei explained to Ms. Li that after leaving the hospital, she should not only take medicine on time, but also eat food that stimulates the stomach and intestines, such as peppers and peppers. The treatment of Crohn's disease is a long process, and it is not easy to cure. If you don't pay attention to your diet, it will cause recurrence. Therefore, you have to control symptoms and reduce recurrence. "Zuo Xiaomei said that patients should pay more attention to diet at ordinary times and try to eat less multi fiber food; because of slow absorption, they need to eat less and eat more; they need to supplement vitamins, protein, water-soluble calcium and fat.