What does acetone in the blood indicate in children?
Causes of acetonemic crisis
Normally, there should be no acetone in the baby’s blood. If the body fails, then in the urine and blood tests detect acetone. This condition is called acetonemic crisis or acetonemia. It is worth noting that it can develop very quickly. The kid suddenly becomes sluggish, complains of feeling unwell. However, this violation is characteristic only for children.Increased blood levels of two substances, acetoacetic acid and acetone, lead to acetonemia. They are also called ketone bodies.This happens with various metabolic disorders in the child’s body.
Acetone and acetoacetic acid are formed in the liver of each person. With the development of the disease, the level of these substances increases, which has a negative effect on the state of the central nervous system, as well as other organs and systems of the baby.
The functioning of the liver, which can not produce enough of the necessary for the digestion and assimilation of fatty foods, is impaired.
In addition, the main causes of acetone in the blood include the following groups of diseases:
- affecting the central nervous system.
In some cases, elevated acetone in the baby’s blood can cause irregular meals. It is very important that the children's body receives food five times a day at a fixed time. Very often, acetonemia develops as a side effect in infectious and viral diseases such as SARS, bronchitis, and pneumonia. If elevated acetone in the blood has arisen during the trip, then this indicates that an infection has entered the body against which the child’s body has not developed immunity. Often, an acetonemic crisis becomes an unpleasant companion during family vacations.
Children's diabetes mellitus also contributes to the development of acetonemia, since metabolic processes are disturbed in the body. In addition, problems with the gastrointestinal tract and neuro-arthritic diathesis increase the risk of such an unpleasant disorder. Various disorders of the nervous system, which include overwork, chronic fatigue, high mental and mental stress, can also trigger acetonemic crisis. It is very important to promptly identify the cause of the disorder in order to undergo appropriate treatment and prevent recurrent seizures.
The phenomenon of acetonemia is quite common. Basically, this disorder develops in children aged 1 to 12 years. At the same time, the average age of the diseased is 5 years. Only from 4 to 6% of babies endured this condition at least once in their life. For this reason, it is so important for parents to find out as much information as possible, so that if necessary, take the right measures that will keep their children healthy and prevent complications.
The main symptoms of the disease
The main symptom of a child’s illness is ketosis. This condition begins with a sharply appearing nausea and vomiting.In this case, the baby complains about the feeling of pain in the abdomen (especially in the navel), a sharp deterioration in appetite.Often he refuses even to drink. Changing the mood of the child. He may become lethargic or nervous. At the same time, parents may notice the smell of acetone in the urine. Some compare it to the smell of fresh apples. For some, this smell is barely perceptible while it is heard from others at a sufficiently long distance. It should be noted that vomiting can periodically appear and disappear. Such symptoms can last up to 5 days.
The deterioration of the health of the child is indicated by the dryness of the mucous membranes and skin, which develops as a result of gradual dehydration. A characteristic feature of acetonemic crisis is a sharp decrease in body weight, a sunken look and a characteristic blush that should alert the parents. The baby does not look healthy, because the blush gives a painful look.
Often with acetonemic crises, body temperature rises, which is also one of the main symptoms of an increase in acetone in a child’s blood. It can rise to 38.5 degrees. In this case, it is very important to provide qualified medical assistance in a timely manner. Parents should understand that all the symptoms described are progressive. An acetonemic crisis is not a disorder that a child’s body can cope with on its own.
To help parents make a preliminary diagnosis, there are special test strips for the determination of ketones in the urine. They can be used at home. It is important to understand that the test strips are designed only for parents to be able to make a preliminary diagnosis and promptly contact the doctor to confirm and prescribe treatment.
Treatment of acetonemic crisis
In the past, all methods of treatment were limited to the appointment of a diet by the doctor, which implies the rejection of high-fat foods. This recommendation has not lost its relevance today.It is advisable to make the child's diet in such a way that during the treatment period it consists mainly of carbohydrate foods. It is much easier to digest by the body. The second rule - the appointment of drugs that prevent dehydration. It is necessary to water the baby with a solution of Regidron or its analogues. This drug normalizes the water-salt metabolism in the body. You can also use a glucose solution, the concentration of which is 5%. Such treatment should take place under the supervision of a physician.
All measures should be aimed at cleaning the body from acetone and acetoacetic acid. For this it is important to increase the level of glucose. At home, you can otpaivat baby sweet tea, compote of dried fruit, broth hips. In this case, drinking should be given in small portions. If the baby drinks about 100 milliliters of liquid at a time, it can again cause vomiting. Try to give the baby first teaspoon, and then a tablespoon of tea, compote with an interval of about 1 hour.
In severe cases, you can put the kid an enema, which will help cleanse the body of harmful substances.Good results are obtained by the alternation of sweet drink with table mineral water, which contains various micro and macro elements. Among the drugs that can alleviate the child’s condition are the following:
We recommend to consult a qualified doctor at the first symptoms of acetonemic crisis. If the baby does not receive medical care in a timely manner, this may lead to an even higher level of acetone. In such a case, hospitalization is necessary for infusion therapy. It involves the intravenous infusion of medicinal solutions, which is always a great stress for the physical and psychological state of the child.
Acetone in the blood is the cause of an extremely dangerous condition called acetonemic crisis. It can develop suddenly as a complication of various diseases. To determine the level of acetone in the body, you can use special test strips.