Acetone in the urine, or acetonuria, is a pathological condition that occurs due to excessive accumulation of ketone bodies in the blood of a child. This disorder develops as part of the acetonemic syndrome, accompanied by periodic acetonemic crises. In this article, we will talk about acetone in the urine of a child in terms of symptoms and treatment.
How is acetonemic syndrome manifested?
As we have already said, the primary clinical manifestation of this pathology is recurrent acetonemic crises.
Symptoms characteristic of crises can increase suddenly or follow the precursors — weakness and malaise, loss of appetite, nausea, headache, and so on.
- First of all, with an acetone crisis, repeated vomiting is observed, which quickly leads to dehydration. Children with such a pathological condition become lethargic, drowsy, pale, move little.
- Without fail, there is an increase in body temperature to subfebrile or febrile values. In most cases, there are spastic pains in the abdomen, accompanied by a violation of the stool. In severe situations, the clinical picture may be supplemented by convulsive seizures.
- Another characteristic symptom is the smell of acetone coming from the mouth, urine or skin of the child.
In the absence of the necessary medical care, the frequency of acetonemic crises may become more frequent, and the attacks themselves may become more severe.
Tactics of treatment for acetonemic syndrome
In the event of a crisis, the child must be hospitalized in the department of the appropriate profile.
- First of all, measures are taken to eliminate dehydration. For this purpose, the baby can be given plenty of fluids (oral rehydration). However, sometimes in more severe cases, there is a need for infusion therapy.
- Additionally, antiemetics, sedatives, antispasmodics and other symptomatic drugs are prescribed.
In most cases, with the right choice of therapy, all the symptoms of an acetone crisis can be stopped within five days.
Outside of an attack, the child must follow a special diet — fatty foods, smoked meats, and spicy dishes are limited. The basis of the diet should be plant foods, low-fat dairy products, cereals.
It is also recommended to ensure that the baby sleeps enough, more often was in the fresh air. If possible, hardening procedures should be carried out.
In addition, as prescribed by a doctor, vitamin complexes, gastroprotectors, enzymes, and so on can be taken.
Various biologically active additives are often used, for example, an oral liquid containing arginine and betaine, the effectiveness of which in the treatment of acetonemic syndrome in children has been proven by scientists from the Donetsk National Medical University. M. Gorky in a work published in 2015.
Be sure to regularly monitor the level of acetone in the urine, for example, using special test strips.
Published on 04.10.2022 14:37
Therapeutic approaches for acetonemic syndrome in children / Marushko Yu.V., Chef G.G., Polkovnichenko L.N. and etc. // News of medicine and pharmacy - 2012 - #1
Modern possibilities of metabolic therapy of acetonemic syndrome in children / Konysheva N.V., Galaeva Ya.Yu., Evtushenko I.S. and etc. // Crimean Therapeutic Journal - 2015 - #2