How to deal with xenon in babies? How to care for xenon in babies

Xenon is a common disease in children. Most babies with xenon will recover on their own between the ages of one and two. If you find that xenon is bothering your baby and he or she is unable to recover, you need to seek a doctor's diagnosis and receive a targeted treatment plan. Today, I will tell you when you can tell if your baby has xenon.

Symptoms of xenon in babies

The baby's hernia often manifests as crying, a feeling of heaviness, tenderness, and a groin mass. The mass will increase when crying, exercising vigorously, or having hard stools, and will disappear on its own when lying down or pressing with hands. Once the hernia mass becomes incarcerated (the hernia mass cannot be retracted), abdominal pain, nausea, vomiting, fever, loss of appetite, or crying and irritability will occur.

Baby hernia first affects the patient's digestive system, causing symptoms such as lower abdominal distension, abdominal pain, bloating, constipation, poor absorption function, and decreased physical fitness.

Secondly, the groin area is adjacent to the urogenital system, and the compression of the hernia may affect the normal development of the reproductive system.

The biggest risk of hernia in babies is incarceration. The baby suddenly has worsening abdominal pain, cries non-stop, and then has symptoms of intestinal obstruction such as vomiting, abdominal distension, and constipation; the mother may find an oval mass in the groin or scrotum, which is hard and painful. If hernia incarceration is not discovered in time, it can cause serious complications such as intestinal obstruction and intestinal necrosis, and may be life-threatening if not treated in time. Therefore, if the baby cries, gets irritable, vomits, etc. for no reason, be alert to whether it is caused by hernia incarceration.

What is Children's Xenon?

Pediatric hernia is also known as pediatric hernia. It is one of the common diseases in pediatric surgery. The main clinical manifestation is that the child has a reducible mass in the groin shortly after birth. Most of them appear at 2 to 3 months old, and some may occur as late as 1 to 2 years old. The general incidence of pediatric hernia is 1-4%. The incidence rate in males is 14 times that in females, and it is higher in premature infants. It may occur on both sides.

Pediatric hernias may occur days, months, or years after birth. Usually, when a child cries, exercises vigorously, or has dry stools, there will be a protruding mass in the groin, which sometimes extends to the scrotum or labia; it will disappear on its own when lying down or pressed with hands. Once the hernia mass becomes incarcerated (the hernia mass cannot be retracted), abdominal pain, nausea, vomiting, fever, anorexia, or crying, irritability, etc. will occur.

In the early stage of pediatric hernia, the swelling may disappear when the child lies flat and quiet; as the intra-abdominal pressure continues to increase, the swelling may descend into the scrotum. At this time, if the factors that increase the intra-abdominal pressure can be eliminated, and the child is allowed to lie flat, or the swelling is gently pushed toward the abdominal cavity, the swelling can return to the abdominal cavity through the channel where the testicles descend, and the swelling disappears. This situation is called a reducible hernia. If the swelling cannot be returned to the abdominal cavity, abdominal pain will intensify, crying will not stop, and then symptoms of intestinal obstruction such as vomiting, abdominal distension, and difficulty in defecation will appear. An oval swelling can be seen in the groin or scrotum, with a hard texture and obvious tenderness; those with long-term incarceration will have redness and swelling on the skin. If the intestine cannot be returned for a long time, serious complications such as intestinal ischemia and necrosis may occur.

Medically speaking, what people usually call pediatric hernia mainly refers to congenital oblique hernia. Because the testicles of boys descend to the scrotum through the inguinal canal before birth, the peritoneum that moves downward forms the processus vaginalis. If the processus vaginalis has not been closed after the baby is born, or is incompletely closed, it will become a larger cavity, and the contents of the abdominal cavity will protrude from here to the body surface, forming a hernia. Because the right testicle descends slightly later than the left, the processus vaginalis is also closed later, so there are more right inguinal hernias. Of course, girls can also develop hernias due to weak abdominal walls, but the incidence is relatively low.

Because the abdominal muscles of infants can gradually become stronger as their bodies grow, and hernias may disappear on their own, infants under 6 months old do not need to be treated for the time being. The condition should be observed at any time. When the hernia is protruding, it should be put back in time to prevent the hernia from protruding again. The developing abdominal muscles also have the opportunity to strengthen the abdominal wall, making it possible for the hernia to heal on its own. (However, it should be noted that during this period, if the hernia becomes incarcerated, that is, the hernia mass is stuck and cannot be relocated, effective measures should be taken immediately to relocate it, and treatment should be received as soon as possible.)

As the age increases, the hernia will become larger and larger. If it can be reduced in time, it is not a big problem. However, if the hernia appears when exerting a little force or even standing, it will often affect normal life. It may also lead to incarcerated hernia and strangulated hernia. When the child cries violently or exerts force suddenly, the intra-abdominal pressure suddenly increases, the abdominal intestinal tube protrudes too much, and the hernia sac neck is often rubbed, so that the hernia contents cannot be reduced. You should go to the hospital for diagnosis and treatment immediately. If the incarceration lasts too long, serious complications such as intestinal necrosis will occur. At this time, emergency surgery will be much more risky.

Therefore, when parents find that their child has a hernia, they should immediately take the child to a regular hospital for treatment. Children under 6 months old do not need to be treated for the time being, but need to be closely observed. If the hernia of children over 6 months old gradually increases, or there is a history of incarceration, time should be taken to carry out thorough treatment as soon as possible.

How to treat xenon in babies

Children are at high risk of hernia. Common hernias in children are inguinal hernia and umbilical hernia. Umbilical hernia in children will mostly heal or improve by themselves at 1-2 years old. It is recommended to observe. Let me talk about the diagnosis and treatment of inguinal hernia in children.

Inguinal hernia is the most common birth defect in children, and the incidence is higher in premature infants. During the growth and development of the fetus, the genitals gradually mature and descend. If the processus vaginalis does not close during this process, it may cause inguinal hernia. The descent of the male testicles eventually reaches the bottom of the scrotum, and the right side descends later, so the male-female ratio of inguinal hernia is 15:1, and the right side is 6 times that of the left side.

The occurrence of inguinal hernia in children is closely related to the development of the reproductive system. Some children will have reproductive system malformations. Therefore, I recommend that once an inguinal hernia is found in a child, he or she should go to a specialist hospital for treatment in a timely manner.

As the child grows up, the abdominal wall tissue gradually becomes stronger and some inguinal hernias can disappear. In China, it is generally recommended to use binding or pediatric hernia belts for children under 1 year old, and then perform surgery after 1 year old. However, the probability of self-healing is very small, and local compression is very painful and difficult to persist. In addition, the chance of hernia incarceration in children is much higher than that in adults. Therefore, in European and American countries, surgical treatment is performed immediately after inguinal hernia is discovered in children to reduce the risks of hernia incarceration. This view is gradually being accepted in China. Similarly, I also recommend that surgical treatment should be performed if inguinal hernia is discovered in children.

Will general anesthesia damage the child's brain and affect growth and development? This is the biggest concern of every parent. Children cannot actively cooperate with surgery, so pediatric surgery requires general anesthesia. Existing studies have no evidence that anesthesia affects development, but some observations have found that anesthesia may affect behavior. Experts recommend that you should not refuse any necessary surgery in order to avoid general anesthesia.

If the hernia is incarcerated, the difficulty of the operation will increase exponentially, the operation time will be significantly prolonged, and even two operations may be required, which will not be worth the cost. Of course, anesthesia, like any drug, has adverse reactions, so it should be avoided if possible. Therefore, I suggest that pediatric inguinal hernia surgery requires full communication between experienced specialists and family members to reach a consensus.

Inguinal hernia surgery for children only requires high ligation of the hernia sac to cure the disease, without the need for tissue repair or patching. The surgical methods are divided into traditional surgery and laparoscopic minimally invasive surgery. Laparoscopic surgery can safely treat inguinal hernias and can also check for bilateral hernias at the same time. It also has mild postoperative pain, fast recovery, and beautiful incisions, so it should be the first choice. I suggest that inguinal hernia surgery for children should be performed in a specialist with laparoscopic experience.

What does hernia incarceration look like? Parents of children with inguinal hernia need to be aware of hernia incarceration at all times. This is very important. Hernia incarceration is manifested by a local mass that cannot shrink and is accompanied by pain. As the disease progresses, symptoms of intestinal obstruction such as abdominal distension, vomiting, and cessation of bowel movements, as well as systemic manifestations such as fever and dehydration, appear.

Children cannot express themselves, often only crying and having difficulty eating, which is very easy to be neglected. Keeping bowel movements smooth and avoiding crying and repeated coughing are also effective measures to reduce hernia incarceration. Once hernia incarceration occurs, I do not recommend that parents retract it on their own, and they should immediately go to a specialist emergency room for treatment.

Finally, I still want to remind everyone that the so-called "minimal or even non-invasive hernia treatment without surgery" is actually injection treatment. The bloody lessons have proved that this not only cannot cure hernia, but will cause abdominal adhesions, intestinal obstruction, spermatic cord vascular occlusion, vas deferens damage, and even lead to loss of fertility and other serious consequences. In addition, local inflammation and scarring will occur after injection, which will increase the difficulty and risk of future operations. Injection treatment is no longer used in regular hospitals and should be resolutely abandoned!