There are situations that the child has obvious symptoms indicating the presence of ARVI, such as fever, severe coughing, runny nose, etc., weakness, abdominal pain, sometimes a loose stool, the child feels nausea, which flows into vomiting. In addition, the child smells like acetone - there is a possibility that the urine contains an increased concentration of acetone, which can manifest as a general malaise and without signs of respiratory diseases.
All of the above symptoms may indicate the presence of an acetone syndrome, which can cause an acetone crisis. If all the above signs are observed in the child for the first time, the main thing to do is to consult a doctor who will prescribe all necessary blood and urine tests.
In order to get the results of the entire list of tests passed, you need time, but you can check the concentration of acetone in the urine in children, and at home, using special tests that are sold in pharmacies. In the same tests, there is a detailed instruction, which describes how to use the test strip. Also in the test there is a scale that will help you determine the amount of acetone in the urine.
The causes of the occurrence of acetone syndrome.
The presence of acetone in the baby's urine, primarily indicates a violation of metabolic processes in his body. There are several reasons that can cause such violations, the most common of which is severe poisoning. But there are cases when from time to time signs appear again.
Factors affecting the occurrence of acetonemia are as follows.
Great physical load in children, with a body weight that does not reach the norm. This is possible if the child is very active and agile.
Also, the genetic predisposition can be the reason, it is possible if among close relatives, including grandparents and older relatives, there are patients with diabetes mellitus, with kidney failure, gout.
If the cause is heredity, then factors that can provoke acetonemia can be viral infections, eating disorders, stressful situations, severe fatigue.
Doctors explain the effect of the above factors as follows: the main amount of energy received by a person is the "merit" of glucose accumulating in the liver and muscle mass. It accumulates not in pure form, but as a substance called glycogen. In children with insufficient body weight, the substance is sufficient for about two to three hours. With improper diet, stress and physical exertion, the glycogen reserve in the child is consumed more quickly and the body has nothing left but to "search" for the necessary energy in fats. Each molecule from which the fat consists is broken down into molecules, three of which are glucose and one acetone.
Acetonemic syndrome can occur more than once in a child, from the age of 10 months to 7 years, in extremely rare cases up to 12.
If you are confronted with the manifestations of acetonemia with a certain periodicity, there is an occasion to seriously take up the examination of the child. First of all, you should consult an endocrinologist and a gastroenterologist. Otherwise, the situation threatens to end with diabetes.
First aid.
The main thing about which you need to remember - in no case can you let the state of dehydration.
Dehydration in a child may result from persistent vomiting and diarrhea, which can be caused by an acetone crisis.
If the parents find out the presence of acetone in the urine of a child, it is necessary to do the following: every 5 to 10 minutes give him to drink 5-10% glucose solution in a bottle, or a teaspoon 40% glucose solution, sold in ampoules. If the child does not want or can not take the drink for any reason, pour it through a syringe without a needle.
Allow to dissolve glucose in a tablet. You can alternate the intake of glucose with compote from dried fruits.
However, in any case, you should consult a doctor to find out the cause of acetone in the baby's urine. Because this situation can be caused by the onset of the onset of diabetes. The essence of diabetes is not a lack of sugar in the body, but the fact that it simply does not absorb them, but this requires a special treatment, which is better not to delay.