Enterocolitis syndrome is known by its acronym FPIES (Food Protein Induced Enterocolitis Syndrome) and refers to an inflammation of the small and large intestines.
FPIES is a response of the immune system, but it is not caused by the same factors that occur in most allergy responses of the immune system (such as insect bites or environmental allergies); inflammation of the gastrointestinal system occurs to one or more specific foods. We tell you how to detect enterocolitis syndrome in children and what are its possible causes.
Common symptoms of this syndrome they are vomiting and diarrhea in great quantity. It is usually accompanied short due to lack of absorption of nutrients.
A baby with FPIES could be considered as that with a severe stomach problem, but starting only a couple of hours after the offending agent ate; Many of these children are taken to the emergency department, with exaggerated weakness, repeated vomiting in a projectile ... Many times they are diagnosed as a temporary stomach infection, however, the moment they eat that food again, the symptoms reappear with the same intensity and same characteristics.
The typical reaction of this disease only involves the digestive systemMost of the time, it begins with vomiting late with respect to food intake (generally more than two hours) and the symptoms may be mild: increased reflux with several days, stools decreased in consistency; but they can also be life-threatening with dehydration shock.
In severe cases, after several vomiting of stomach contents, the child begins to vomit bile (yellow-green material), followed by diarrhea and can last for several days. In the worst reactions, which are about 20%, the child has vomiting and diarrhea, which dehydrates quickly and can go to shock. Which endangers life by failure for blood to reach vital organs.
Patients present with: weakness, dizziness, fainting spells, pale or bluish skin, rapid and weak pulses, rapid shallow breathing, low blood pressure, extreme thirst, nausea, vomiting, confusion and / or anxiety.
The most common triggers of this syndrome They are cow's milk (dairy) and soy. However, any food could cause it, including those with little allergens. But it is true that the most common causes are dairy and soy. Other common triggers are rice, oatmeal, barley, peas, potatoes, zucchini, chicken, and turkey.
If you have a reaction to a common food, it does not mean that it will react with other common foods. Although you can be triggered by any food.
The diagnosis is complex unless the reaction has occurred multiple times when eating the same food.
The FPIES reaction generally appears in the first weeks of life, or in older children if they were exclusively breastfed for the first few months. The reaction generally occurs with the introduction of the first solid foods or with dairy formulas, the food must be ingested directly by the baby, this reaction does not occur through the mother's food intake and the intake of womb for him baby.
The symptoms disappear 100% when stopping the foods that generate it.
Due to the symptoms mentioned, rehydration is very important, either at home if the patient's conditions allow drinking fluids or in the hospital if vomiting does not allow oral rehydration.
Treatment is based on stop the offending food and in children who are just beginning to eat different foods, these should be introduced with greater caution than in healthy children. It is suggested to introduce a new food every 3 weeks. Ideally, the doctor should write a letter to the patient briefly explaining what FPIES is and what their treatment should be in the emergency room.
The good news is that most children outgrow this disease by the age of 3. The decision to reintroduce the food into the diet must be in consensus with the doctor and prior to challenging the food in the office or hospital.
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