Here, we'll take a look at
gastrointestinal disease of the young.
Our discussion, importantly, you want to
divide the young into different age groups.
And after you do so, you will be then
focused upon, well, what are the common
causes of, in this case,
Here, maybe it's the fact that the
duodenum did not develop properly
or perhaps the esophagus
did not develop properly.
In other words, I'm referring to atresia
or perhaps there is GI obstruction.
And by obstruction, once again,
maybe there was malrotation
such as a volvulus.
Other causes of neonatal vomiting include inborn errors of metabolism and infections.
Such as necrotizing enterocolitis or sepsis.
Infants. As a child gets a little bit older,
We'll talk about common gastroenteritis
entities that you will encounter.
Another common inventile cause can be GERD.
Most gastroesophageal reflux in this age group is uncomplicated.
With only a minority of cases being severe or pathologic.
Also, food allergies are a big one.
Milk protein intolerance
is also a big one.
Often times as a child is growing
and there is increased amount of
protein in the milk,
you will find that the
child starts vomiting
and then also another
big topic for us
in childhood GI diseases
will be diarrhea.
Inborn errors in metabolism
that more or less
would be your biochemical
Other causes include: infection, an increased intracranial pressure
due to either hydrocephalus or nonexidental drama.
As the child grows a little bit
even older towards teen age,
then teenagers may suffer from
gastroenteritis, systemic infections,
toxic ingestions are a big
one especially as you
get into the age of experimentation
in a child or a teenager.
Appendicitis should be --
Well, I'll walk you through this
as being a differential.
Ulcers and pancreatitis.
Other considerations for this age group include:
obstruction, secondary to inflammatory valve disease
Psychogenic vomiting and pregnancy.
Here are three different
age groups, all children,
and common causes of pediatric
vomiting in the clinical practice.