{"id":235,"date":"2021-09-14T10:14:45","date_gmt":"2021-09-14T08:14:45","guid":{"rendered":"http:\/\/beta.farmaciavence.com\/blog\/?p=235"},"modified":"2022-05-05T12:34:56","modified_gmt":"2022-05-05T10:34:56","slug":"problemas-gastrointestinales-en-pediatria","status":"publish","type":"post","link":"https:\/\/www.farmaciavence.com\/blog\/problemas-gastrointestinales-en-pediatria","title":{"rendered":"Problemas gastrointestinales en pediatr\u00eda"},"content":{"rendered":"<p>[et_pb_section bb_built=\u00bb1&#8243; admin_label=\u00bbHeader\u00bb _builder_version=\u00bb3.22&#8243; custom_width_px__hover=\u00bb1080px\u00bb custom_width_px__hover_enabled=\u00bb1080px\u00bb custom_width_percent__hover=\u00bb80%\u00bb custom_width_percent__hover_enabled=\u00bb80%\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb gutter_width__hover=\u00bb3&#8243; gutter_width__hover_enabled=\u00bb3&#8243; parallax_1__hover=\u00bboff\u00bb parallax_1__hover_enabled=\u00bboff\u00bb parallax_2__hover=\u00bboff\u00bb parallax_2__hover_enabled=\u00bboff\u00bb parallax_3__hover=\u00bboff\u00bb parallax_3__hover_enabled=\u00bboff\u00bb parallax_method_1__hover=\u00bbon\u00bb parallax_method_1__hover_enabled=\u00bbon\u00bb parallax_method_2__hover=\u00bbon\u00bb parallax_method_2__hover_enabled=\u00bbon\u00bb parallax_method_3__hover=\u00bbon\u00bb parallax_method_3__hover_enabled=\u00bbon\u00bb use_background_color_gradient__hover=\u00bboff\u00bb use_background_color_gradient__hover_enabled=\u00bboff\u00bb background_color_gradient_start__hover=\u00bb#2b87da\u00bb background_color_gradient_start__hover_enabled=\u00bb#2b87da\u00bb background_color_gradient_end__hover=\u00bb#29c4a9&#8243; 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admin_label=\u00bbPosts\u00bb _builder_version=\u00bb3.22&#8243; custom_padding=\u00bb0|0px|54px|0px|false|false\u00bb global_colors_info=\u00bb{}\u00bb prev_background_color=\u00bb#000000&#8243; next_background_color=\u00bb#000000&#8243;][et_pb_row _builder_version=\u00bb4.10.7&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4&#8243; _builder_version=\u00bb4.10.7&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_image alt=\u00bbProblemas gastrointestinales en pediatria\u00bb title_text=\u00bb3-thumb\u00bb force_fullwidth=\u00bbon\u00bb _builder_version=\u00bb4.17.3&#8243; _module_preset=\u00bbdefault\u00bb border_radii=\u00bbon|25px|25px|25px|25px\u00bb box_shadow_style=\u00bbpreset1&#8243; global_colors_info=\u00bb{}\u00bb background_pattern_color=\u00bbrgba(0,0,0,0.2)\u00bb background_mask_color=\u00bb#ffffff\u00bb vertical_offset_tablet=\u00bb0&#8243; horizontal_offset_tablet=\u00bb0&#8243; z_index_tablet=\u00bb0&#8243;]<\/p>\n<p>[\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00bb4.10.7&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4&#8243; _builder_version=\u00bb4.10.7&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_text _builder_version=\u00bb4.10.7&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n<p>Antes de visitar al m\u00e9dico, algunos padres y madres acuden a la Oficina de Farmacia en busca de soluciones r\u00e1pidas para problemas sanitarios leves que afectan a sus hijos. El farmac\u00e9utico debe protocolizar su actuaci\u00f3n para dotarla de mayor eficacia, dispensando la medicaci\u00f3n adecuada o, si el caso lo requiere, deriv\u00e1ndolo a un facultativo.<\/p>\n<p>Los trastornos gastrointestinales (mala digesti\u00f3n de la leche, diarrea, estre\u00f1imiento y v\u00f3mitos) son muy comunes en el lactante, principalmente entre la segunda semana y el tercer o cuarto mes de vida. El beb\u00e9 expresa el malestar de este tipo de trastornos con llanto, que en muchas ocasiones est\u00e1n originados por c\u00f3licos. Normalmente el c\u00f3lico desaparece tras la expulsi\u00f3n de aire o la evacuaci\u00f3n de heces.<\/p>\n<p><strong>Maneras de prevenir los trastornos gastrointestinales en el beb\u00e9:<\/strong><\/p>\n<ul>\n<li>Priorizar la lactancia materna.<\/li>\n<li>Masaje en el vientre para prevenir y disminuir el c\u00f3lico del lactante.<\/li>\n<li>Favorecer la verticalidad del beb\u00e9 antes y despu\u00e9s de la ingesta de alimento para impedir la entrada de aire directamente del est\u00f3mago al intestino.<\/li>\n<li>Crear un ambiente relajado en la relaci\u00f3n entre el beb\u00e9 y sus progenitores.<\/li>\n<\/ul>\n<p><strong>Tratamientos de la diarrea y el estre\u00f1imiento en el beb\u00e9<\/strong><\/p>\n<p>El tratamiento de la diarrea aguda ir\u00e1 encaminado a la reposici\u00f3n de las p\u00e9rdidas y a la reintroducci\u00f3n de la alimentaci\u00f3n habitual lo m\u00e1s r\u00e1pidamente posible. La rehidrataci\u00f3n oral es la terapia m\u00e1s segura, efectiva y barata para el tratamiento de las alteraciones hidroelectrol\u00edticas en la diarrea aguda.<\/p>\n<p>El objetivo de la terapia antiestre\u00f1imiento es conseguir que el paciente haga deposiciones blandas, evitando la retenci\u00f3n fecal y el dolor en la evacuaci\u00f3n. En los pacientes lactantes suele ser suficiente con aumentar los aportes de agua o zumos naturales en los biberones. Si la impactaci\u00f3n fecal es considerable, se a\u00f1adir\u00e1n laxantes osm\u00f3ticos (como polvos de pepsina amil\u00e1cea y sales de magnesio) a uno o m\u00e1s biberones.<\/p>\n<p><strong>Algoritmo para la resoluci\u00f3n o criterios de derivaci\u00f3n del estre\u00f1imiento pedi\u00e1trico<\/strong><\/p>\n<p>El protocolo de actuaci\u00f3n ante un estre\u00f1imiento infantil debe ir descartando ordenadamente los siguientes supuestos que, en caso de ser afirmativos, deben derivarse al m\u00e9dico:<\/p>\n<ol>\n<li>Si el paciente es un ni\u00f1o menor de 6 a\u00f1os que no responde a medidas higienicodiet\u00e9ticas.<\/li>\n<li>Presenta s\u00edntomas como dolor y\/o distensi\u00f3n abdominal, v\u00f3mitos, sangre en heces, p\u00e9rdida de peso o mal estado general.<\/li>\n<li>Se alternan los periodos de estre\u00f1imiento y diarrea.<\/li>\n<li>Est\u00e1 tomando alg\u00fan medicamento que puede causar estre\u00f1imiento.<\/li>\n<li>El estre\u00f1imiento ha aparecido s\u00fabitamente sin que haya mediado alg\u00fan cambio reciente en la medicaci\u00f3n, en sus h\u00e1bitos alimenticios, emocional, f\u00edsico, etc.<\/li>\n<li>Se le ha administrado alg\u00fan tratamiento para aliviar el estre\u00f1imiento y \u00e9ste no ha mejorado en una semana.<\/li>\n<\/ol>\n<p>Si no se cumplen estos supuestos, se realizar\u00e1 el tratamiento y seguimiento desde la Oficina de Farmacia.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=\u00bb1&#8243; 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