Yu smɔl pikin kin gɛt bɛlɛ at ɔltɛm? Lɛ wi lan bɔt wan Pediatric Gastroenterologist!

yu pikin kin se, "Mama, mi bele de at"? I kin vɔmit afta i dɔn drink milk? Ɔ i rili nɔ want fɔ it? As mama ɔ papa, we smɔl pikin gɛt bɛlɛ we de at, yu go mɔs fil bad ɛn fred. So tide wi go tɔk bɔt wan dɔktɔ we spɛshal pan yu pikin in dijestiv sistɛm, dat na, bɛlɛ we de at. Dɛn dɔktɔ ya na di wan dɛn we wi kɔl Pediatric Gastroenterologists .

Udat na dis Pikin Gastroenterologist? (Udat na Pediatric Gastroenterologist?)

Fɔ tɔk am simpul wan, dis na dɔktɔ we dɔn gɛt spɛshal trenin fɔ trit di bɛlɛ prɔblɛm dɛn we yɔŋ pikin dɛn gɛt, dat na, prɔblɛm dɛn we de wit di dijestiv sistɛm. Jɔs lɛk dɔktɔ dɛn we de trit big pipul dɛn we gɛt bɛlɛ prɔblɛm, bɔt dɛn dɔktɔ ya kin trit prɔblɛm dɛn lɛk dis spɛshal wan pan bebi dɛn, pikin dɛn we de smɔl, ɛn yɔŋ pipul dɛn.

Yu pikin in dijestiv sistɛm inklud:

• Mɔt
• Esophagus (di tiub we de kɛr it go dɔŋ di trot) .
• Bɛlɛ (we dɛn kin kip di it we wi de it) .
• Smɔl intestin
• Big intestinal

(Dis na wetin wi kin kכmכn fכ kכl di dijestiv trakt כ ``Gastrointestinal כ GI trakt''.)

• Ɛn bak di pankrias.
• Liva
• Galblad we de na di bɔdi
• Di trakt we de na di biliary

Dɛn spɛshal dɔktɔ ya kin no ɛn trit prɔblɛm dɛn na ɔl dɛn tin ya. Jɔs tink bɔt, sɔntɛnde, di pikin in bɛlɛ kin at smɔl, ɛn i go bɛtɛ insay tu ɔ tri dez. Bɔt sɔntɛnde, dɛn prɔblɛm ya kin rili siriɔs , ɛn dɛn kin nid fɔ gɛt tritmɛnt we go sev pɔsin in layf. Sɔm sik dɛn de we kin de fɔ ɔl in layf, bɔt if dɛn trit am fayn ɛn wok togɛda wit di dɔktɔ, di pikin kin liv nɔmal wan wit da sik de. Fɔ dɔn, di tray we dɛn dɔktɔ ya de tray na fɔ gi yu pikin gud, gladi layf (`(gud kwaliti layf)`).

Frɔm di tɛm we pikin swɛla it, digest am, ɛn leta i poop, ɔltin we kin apin kin rili kɔmpleks. Dɛn spɛshal dɔktɔ ya no dis wan ol prɔses gud gud wan. So, dɛn kin tɛst ɛn trit yu pikin di we we go fayn fɔ yu. Dɛn kin ɛp yu bak fɔ ɔndastand yu pikin in sik ɛn wetin fɔ ɛkspɛkt tumara bambay.

Wetin rili dɛn dɔktɔ ya de du? (Wetin di wan dɛn we de mɛn pikin dɛn we gɛt bɛlɛ kin du?)

Pikin dɛn we de mɛn dɛn bɛlɛ kin du ɔl wetin big pipul dɛn we de mɛn dɛn bɛlɛ kin du. Di difrɛns na dat, dɛn kin gi dɛn savis ya to bebi dɛn, pikin dɛn we de smɔl, ɛn smɔl pikin dɛn. Di wok we dɛn kin du ɛvride kin gɛt fɔ du wit:

• Dɛn kin tɔk to di mama ɛn papa ɛn aks bɔt di pikin in sik ɛn in mɛdikal istri.Dɛn go aks yu kwɛstyɔn dɛn lɛk, "Aw lɔŋ di pikin dɔn gɛt dis bɛlɛ pen?", "I de vɔmit?", "I de lɔs in wet?"
• Dɛn kin rifer yu fɔ spɛshal imej tɛst fɔ no ustɛm na di sik, ɔ dɛn kin du sɔm tin dɛn dɛnsɛf.
• Dɛn kin trit di sik we dɛn kin no. I kin bi wit mɛrɛsin, ɔ i kin bi ɔda tritmɛnt.
• Dɛn de du ɔda risach bɔt di sik dɛn we pikin dɛn gɛt na dɛn bɛlɛ .
• tumara bambay, dɔktɔ dɛn go tich ɛn gayd ɔda pipul dɛn.

Us kayn tɛst ɛn tritmɛnt dɛn ya dɔktɔ dɛn kin du? (Di we aw Pikin dɛn we de mɛn dɛn bɔdi kin du)

Dɛn spɛshal dɔktɔ dɛn ya kin du bɔku bɔku tɛst ɛn tritmɛnt dɛn. Fɔ ɛgzampul, dɛn tren dɛn spɛshal wan fɔ du wan tɛst we dɛn kɔl ɛndoskɔpi .

Fɔ tɔk am simpul wan, ɛndoskopi na we dɛn kin put wan lɔng, tin tiub we gɛt kamɛra we dɛn tay pan am insay di pikin in bɔdi fɔ luk insay fɔ no wetin mek di sik de. di say we di tiub de, na di pikin in simptom dεm εn wetin di dכkta want fכ si.

Na sɔm kayn `(Endoscopy)`:

• di כp εndoskopi: Dis min fכ put wan tכb tru di mכt. i de mek di pikin si di εsophagus, bεlε, εn כp pat pan di sכmכl intestכn (duodenum).
• Kolonoskopi: dis involv fכ put wan tכb tru di an (dכwn di an) fכ egzamin di כl big intestin (kכlon).
• Kapsul ɛndoskopi: Dis difrɛn smɔl. Di pikin de swɛla wan smɔl kamɛra, we tan lɛk vaytamɛn kapsul. Di kamɛra de tek pikchɔ dɛn fɔ di smɔl intestinal we i de muv tru di bɔdi.

Dɛn `(Endoscopy)` tɛst ya na big ɛp fɔ no di sik dɛm. Bikɔs dɛn kin luk insay di ɔgan dɛn na di pikin in dijestiv sistɛm. sכmtεm we dεn de du dis tεst, dεn kin tek sכm sכm tisu sεmpl (`(bayopsi)`) fכ sεnd fכ כda tεst dεm. Dɔn bak, sɔmtɛm dɛn kin yuz `(Endoscopy)` fɔ trit di sik.

Apat frɔm dat, pikin dɛn we de mɛn dɛn bɛlɛ kin du tin dɛn bak lɛk:

• Liva bayɔpsi na we dɛn kin tek smɔl pat pan di liva fɔ si if di liva sik de, wetin de mek i sik, ɛn ɔmɔs damej dɔn apin.
• If di pikin gɛt prɔblɛm fɔ it, dɛn kin put wan fidin tyub (`(fidin tiub)`) fɔ gi di it we i nid, ɔ dɛn kin gi am it tru wan kateshɔn we dɛn kin put insay di bɛlɛ (`(IV kateta)`).
• Du spεshal tεst (`motility testing`) fכ si if di smol mכsul dεm εn nεv dεm na yu pikin in dijestiv trakt de wok fayn fayn wan.

Ustɛm dɛn go sɛn pikin to dɔktɔ we de mɛn di bɛlɛ? (Wetin mek dɛn go sɛn pikin to dɔktɔ we de mɛn di bɛlɛ?)

Yu pikin kin nid fɔ go to spɛshal dɔktɔ lɛk dis fɔ tɛst ɔr tritmɛnt. Na sɔm kwɛstyɔn dɛn ya we dɛn dɔktɔ ya kin ɛp wit:

• we di pikin sho simptom dεm we riliyt to di dijestiv sistεm (`(GI simptom dεm)`) . (e.g. we yu de fil pen na yu bɛlɛ we nɔ de chenj, yu de vɔmit, yu de gɛt dayarɛa, yu de kɔnstipɛshɔn).
• Insay kes dɛm we di pikin nɔ de tek di it we i de it.
• If dɛn nɔ trit di sik fayn , ɔda prɔblɛm dɛn kin apin .
• Sɔntɛnde na tin dɛn we layf de pan denja .

Impɔtant tin na dat, di dɔktɔ dɛn we de mɛn pikin dɛn kin rifer pikin dɛn to dɔktɔ we de mɛn dɛn bɛlɛ fɔ mek dɛn gɛt pen na dɛn bɛlɛ we de wok fayn. If yu pikin de gɛt bɛlɛ pen ɔltɛm we de mek i nɔ ebul fɔ go skul ɔ ple, dat kin mek i nɔ ebul fɔ du ɛnitin ɛvride. Bɔrku rizin kin de fɔ dis bɛlɛ pen. Wan dɔktɔ we de mɛn di bɛlɛ kin du tɛst fɔ no wetin rili de apin.

Wetin na sɔm pan di sik dɛn we dɛn dɔktɔ ya kin trit? (Ɛgzampul dɛn fɔ di kɔndishɔn dɛn we pikin dɛn we de mɛn dɛn bɛlɛ kin no ɛn trit)

Di dɔktɔ dɛn we de mɛn pikin dɛn we gɛt bɛlɛ kin trit bɔku tin dɛn, lɛk:

• Siliak sik: Dis na alɛji to wan prɔtin we dɛn kɔl gluten (we de insay wit ɛn bali).
• Sayklis vɔmit sindrom: Fɔ vɔmit fɔ sɔm dez fɔ no rizin.
• Eosinophilic esophagitis (EOE): Inflameshɔn na di εsophagus (fud paip) we kin kam bikɔs ɔf alɛji.
• Fɔd alɛji ɔ intolɛreshɔn: Pikin nɔ kin gri fɔ it sɔm it dɛn.
• Gastroesophageal reflux disease (GERD): Di riflɔks we de insay di bɛlɛ go insay di εsophagus (we fiba di gastritis).
• Blɔd we de kɔmɔt na di dijestiv trakt (GI blɔd) .
• Growth faltering/failure fɔ gɛt wet .
• Inflammatory bowel disease (IBD): Dis inklud di krεse inflammatory kכndishכn dεm na di intestines we dεn kכl Crohn’s disease εn ulcerative colitis.
• Irritable bowel syndrome (IBS): Na wan sik we de mek di intestinal dɛn kin fil bad ɛn mek di bɛlɛ kramp, dayarɛa, ɔ kɔnstipɛshɔn.
• Liva sik .
• di mכtiliti ishu dεm fכ di GI trakt: fכd nכ de muv fayn fayn wan tru di intestכn dεm.
• Di sik we de na di pankrias .
• Malnutrishɔn .
• We pɔsin wet pasmak ɛn we fat pasmak.
• Short bowel syndrome: Na wan sik we kin apin to pikin dɛm we dɛn dɔn pul pat pan dɛn smɔl intestin.

Wetin na di ɛkspɛriɛns ɛn trenin we dɛn dɔktɔ ya gɛt? (Wetin di wan dɛn we de mɛn pikin dɛn we de mɛn dɛn bɛlɛ spɛshal pan?)

Fɔ bi pikin dɛn we de mɛn dɛn bɛlɛ nɔ kin izi. Dɛn fɔ go tru lɔng tɛm fɔ lan buk ɛn tren dɛn:

• Fɔs, wan bachelor’s degree (lɛk 4 ia).
• Dɔn go na mɛdikal skul ɛn gɛt dɔktɔrɛt (lɛk 4 ia).
• Neks na spɛshal trenin fɔ pikin dɛn (`(rɛzidɛns program na pikin dɛn)`) (lɛk 3 ia).
• Na afta dat nɔmɔ dɛn kin gɛt feloship pan pikin dɛn gastroɛnterɔlɔji (lɛk 3 ia).
• Sɔm kin gɛt ivin mɔ advans trenin , fɔ ɛgzampul pan tin dɛn lɛk transplant ɛpatɔlɔji, nyurogastroɛnterɔlɔji, ɔ fɔ mɛn pipul dɛn we fat.

Afta dɛn dɔn du ɔl dis, dɛn fɔ pas ɛgzam ɛn gɛt bɔd sɛtifiket fɔ pikin dɛn ɛn pikin dɛn we gɛt sik dɛn we de ambɔg dɛn bɛlɛ .

Sɔm dɔktɔ dɛn we de mɛn pikin dɛn we gɛt bɛlɛ kin disayd fɔ spɛshal pan ɔda tin dɛn ɛn lan mɔ bɔt dɛn. Ɛgzampul dɛn:

• Pikin dɛn liva sik ɛn liva transplant.
• Inflammatory bowel sik we de mek pɔsin in bɔdi wam.
• It we gi wɛlbɔdi.

Yu kin tink bɔt dɛn dɔktɔ ya as "pidiatricians with superpowers." Lɛk di dɔktɔ dɛn we de mɛn pikin dɛn ɔltɛm, dɛn rili sabi fɔ tɔk to pikin dɛn, kip dɛn sef, ɛn mek dɛn fil fayn. Dɛn spɛshal pawa na dɛn dip no bɔt pikin dɛn bɛlɛ prɔblɛm ɛn di dijestiv sistɛm prɔblɛm. Dɛn kin sɔlv ɛnitin frɔm we yu bɛlɛ de at ɔltɛm to we yu de blɔd we yu nɔ ɛksplen.

Dɛn spɛshal dɔktɔ ya de fɔ yu bak. Na nɔmal tin fɔ mek yu fred ɛn nɔ shɔ bɔt wetin fɔ ɛkspɛkt we yu pikin gɛt bɛlɛ we de at. Dɛn go ɛksplen to yu wetin de apin insay yu pikin in bɔdi ɛn tɛl yu ɛvri step na di rod.

Tin dɛn we wi fɔ mɛmba frɔm dis stori (Take-Home Message)

Okay, so wi don tok plenti tins tide. Fɔ dɔn, na di impɔtant tin dɛn we yu fɔ mɛmba:

• Pediatric Gastroenterologists na dɔktɔ dɛn we spɛshal fɔ trit di dijestiv sistɛm sik dɛn na bebi dɛn, smɔl pikin dɛn, ɛn smɔl pikin dɛn.
• If yu pikin kin gɛt bɛlɛ at ɔltɛm, i kin gɛt prɔblɛm wit di we aw i de digest, ɔ i kin gɛt prɔblɛm wit in divɛlɔpmɛnt, nɔ tink tumɔs fɔ go to spɛshal dɔktɔ lɛk dis.
• Dɛn dɔktɔ ya kin ebulFɔ no di sik kɔrɛkt wan, gi di pikin di rayt tritmɛnt, ɛn ɛp di pikin fɔ liv gud layf.
• Dɔn bak, dɛn kin rili lɛk pikin dɛn ɛn dɛn kin rili sɔpɔt dɛn mama ɛn papa.

So, we i kam pan yu pikin in wɛlbɔdi, i fayn fɔ go to dɔktɔ we sabi du dis kayn tin fɔ ɛp yu.

` Pikin Gastroenterology, Pikin Gastroenterologist, Pikin dɛn Bɛlɛ Sik, Dijeshɔn, Ɛndoskopi, Kolonoskopi, Pikin dɛn Wɛlbɔdi