Acetone in the urine of the child: causes, symptoms, treatment

Acetone in the urine of the child – is a very common condition of the body, which can develop in healthy children, and as a result of severe chronic diseases. In any case, this is a dangerous condition that is able to quickly regress and become life-threatening. The article will be discussed about the causes of acetone in the urine of the child, symptoms and treatment. Parents can learn what to do in times of crisis and how it can be avoided.

Causes

For the First time with this disease parents face all of a sudden. In a completely healthy child suddenly begins profuse vomiting. It raises the body temperature, it becomes sluggish and apathetic. The urine of the child smells like acetone.

The Smell – this is the first sign of disease. This condition is called acetonemia. Cause of acetone in the urine of the child is a violation of lipid and carbohydrate metabolism. The simplest and most common method of diagnosis of this dangerous condition is the detection of ketone cells in the urine.

Ketone cells is acetoacetic acid or, simply, acetone, which is formed in the liver from the processing of minerals that enter the body with food. Acetone in small quantities is a source of energy but its excess is the poisoning of the body, which responds by copious vomiting.

The Reasons for the development of this condition the child many:

• Prolonged intake of antibiotics
• Colds
• Eating a carbohydrate or protein foods,
• Food poisoning.

In addition, to provoke such a reaction can stress, excessive exercise, starvation, if a long time has a high body temperature.

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Acetoneiso crisis syndrome

The Acetone in the urine of the child – in our day the problem is very urgent. Doctors believe that this disease often suffer from very active children, moving and emotional. As a rule, boys who do not gain weight, that is, different slender physique. Due to the high activity of the child, it is a waste of energy, causing the body begins to consume their accumulated fat reserves.

So what does the acetone in the urine of the child? Why is there this terrible condition? How to recognize and treat?

Accumulate In the blood of acetone, which occurs acetoneiso crisis. If such reactions of the organism are periodically repeated, the disease develops into acetoneiso syndrome. Most of these painful conditions are in their Teens, but until the child is older, parents need to monitor their health and diet, to strengthen the body, and more walk in the fresh air.

The Reason for the development acetoneiso crisis can be:

• Fatigue
• Long trip,
• Excitement
• Fatigue
• Errors in diet.

Most Often, the saturation of the body of ketone bodies occurs as a result of excessive consumption of fatty foods. The fact that the child's body's ability to metabolize fat reduced, and vomiting and may provoke even a single excessive consumption of junk food.

But the reason for the increase of acetone in the urine of the child can become malnutrition or prolonged fasting. When the body does not get enough nutrients, it uses its internal reserves. That is, the processes of internal fat, as a result of this process, the blood is ejected a huge amount of acetone. Therefore, children, it is very risky to arrange fasting days, fasting and to choose a diet without the advice and supervision of a doctor.

The Increase of acetone in the urine of the child can occur suddenly, without any precursors. Occasionally before crisis may not have the appetite of the child. However, he becomes lethargic and is experiencing weakness, drowsiness. He has nausea, abdominal pain. The urine of the child smells like acetone, the same smell can be felt from the mouth. This is all the symptoms of impending vomiting. She can be single and indomitable. The child can neither eat nor drink. Any attempt to water or feed it lead to new bouts of vomiting.

The Temperature usually rises to 38-39 °C. the child's Skin grow pale, have an unhealthy blush on the cheeks. Frequent vomiting is dehydration. But the most characteristic symptom of acetone in the urine of the child and development of acetonemia – a sharp breath, urine and vomit.

Why most of the acetone in the urine is increased in children?

Acetonaemia develops in children aged 1 year to 14 years. Why do you have children? Adults get sick, too. They are prone to stress, infections, but they have this condition is not developing. The exception is patients with diabetes of people.

Physiological peculiarities of children's organism, which develops this condition:

• Children are very active, so energy demand is higher than in adults.
• They, unlike adults, no reserves of glucose.
• They Have a physiological lackenzymes, which participate in the destruction of the ketone to the cells.

Vomiting can be a consequence of the disease, such as diabetes, intestinal infections, liver, kidney, brain tumor, concussion. But in most cases acetonemia vomiting occurs in perfectly healthy children with neuro-arthritic diathesis. It's a genetic disorder of metabolism. Usually these children have a good memory, inquisitive, easily excitable, they are ahead of their peers in development, but lag behind in weight gain. This diathesis violates the exchange of uric acid and purines, and is in adulthood leads to the development of kidney stones, joint disease, diabetes and obesity.

The Increase of acetone in the blood and in the urine of the child for the first time may occur during the first year of life and repeat until adolescence. As a rule, after 14 years, the syndrome most of the children are lost.

Symptoms of a crisis

So, the main symptoms for which parents can guess about what the child crisis:

• Repeated vomiting.
• Lack of appetite, nausea, refusal of drink and food.
• Abdominal Pain.
• Decrease in amount of urine, dry and pale skin, dry tongue, weakness.
• First observed arousal, which replaced drowsiness, weakness, lethargy, occasional seizures.
• The Smell of acetone.
• Fever.
• Enlargement of the liver.
• A Change in the blood and urine tests.

The crisis may Provoke delirium, acute respiratory infections, infection, moving, overwork, excess of fatty foods.

How to determine the presence of acetone in urine?

In our days it can be done independently, using special test strips that are sold in pharmacies. The method of analysis based on the type of litmus test. At the tip of the test the indicator is attached, which is impregnated sensitive to acetone reagent.

Analysis can only be performed with fresh urine. Strip-test for a few minutes immersed in the liquid, and then evaluated the result. The color of the indicator compared to the scale which is printed on the packaging and visually determine the level of acetone in the urine. The result can be positive or negative.

The Rules of acetone in the urine of the child the following:

• If the result shows the presence of acetone, which corresponds to a mild severity (index from 0.5 to 1.5 mmol/l), the treatment of the child may occur at home;
• Medium severity (index from 1.5 to 4 mmol/l), while the child can drink, then you should realize the treatment in a hospital;
• In severe condition (increased from 4 to 10 mmol/l) needs urgent hospitalization.
  

Acetone in the urine in children: causes and treatment

Vomiting can be prevented should you carefully look at the child. If he complains of nausea, lethargy, pain in the abdomen (the navel) is the signs of incipient crisis. To prevent attack of vomiting it is necessary to give to drink plenty of liquids, small portions, every 15-20 minutes. Give your child to drink needed water without gas, tea with lemon. He needs to drink approximately 1.5-2 liters per day. You should also give your child such medications as “Effective”, “Remedy”, “aluminium phosphate gel”. If temperature begins to rise, you need to do an enema with cool water - this will help her to knock down.

At the first signs of vomiting shows child hunger, but you need to drink to give. It is better to drink small amounts - a teaspoon every five minutes. When you started vomiting, you should enter the liquid with a pipette in the mouth in drip mode. Remember that body temperature will be elevated until the end of intoxication, that is, until the organism is not cleared from the acetone.

During the crisis if the treatment is performed at home, you need to constantly monitor the level of acetone in the urine.

If the child's condition does not improve, continued vomiting, you must seek the assistance of professionals. Doctor must put on a drip, which will help fight ketone bodies and dehydration.

With proper and timely treatment of the child with acetone in the urine, the symptoms subside in 3-5 days. After recovery, should create conditions so that the crisis does not recur.

Acetone in the urine of the child: syndrome treatment

If acetone increased once, should consult with a pediatrician about the need for examination of the child (General analysis of urine and blood the blood sugar in the blood, ultrasound of the liver and other abdominal organs). If the increase in acetone occurs periodically, the child needs to be adjusted diet and lifestyle, as well as in keeping a steady diet.

It is Necessary to normalize the daily routine, to ensure a long night sleep, the obligatory daily walk in the street. Children need to restrict TV viewing, computer, physical and mental stress. Sports can and should, but not on a professional level. Very well if you have the opportunity to visit the pool.

In repeated crises should follow a diet. Removed from the diet of fattyfish and meat, smoked products, marinades, mushrooms, cream, sour cream, tomatoes, sorrel, oranges, cocoa, coffee. It is forbidden to drink sodas, fast food, chips, nuts, crackers that are full of preservatives, essences and dyes. But every day the child must eat biscuits, fruit, sugar, honey, jam. But, of course, in reasonable quantities.

Which doctor to contact

In the case of frequent repetition increase the level of acetone in the blood, and if the child had a fever, drowsiness, lethargy - you need to call the pediatrician. As soon as the child improves it is useful to consult a gastroenterologist and an endocrinologist. In addition, you should seek a competent nutritionist that will help you choose the correct balanced diet.

The recommended food

Children who are affected by crises to organize acetanilides the fractional food diet. Exclude from food spicy, fatty and dairy products, meats, fresh fruit.

You Should arrange the child's diet in small portions: during the day he needs to eat 5-6 times.

Food should be neither cold nor hot. In addition, you should observe a drinking mode (a day he should drink 1.5-2 liters).

How to prevent the development of disease

To prevent the possibility of acetonemia you need to follow a healthy lifestyle. His life must be measured and calm.

You Must make sure that he was gaining good weight, was active and to protect it from stresses and shocks.

Acetoneiso syndrome is an age - related feature. When the child gets older, this problem will likely disappear.

Conclusion

So the acetone in the urine of a child is a dangerous condition that if not to provide him with timely help. Such children requires constant monitoring of blood sugar levels, proper diet and routine. Parents should have a home test strip that will help you quickly determine the condition of the child and in time to assist him.