Children often complain of abdominal discomfort, heartburn, nausea, sore throat, and sometimes dizziness. These symptoms may be manifestations of a disease such as (reflux of acidic contents from the stomach into the esophagus). Reflux can also occur unusual symptoms: recurrent runny nose, hoarseness, coughing, frequent sighs.
Increasingly, children are diagnosed with malabsorption syndrome - a syndrome of malabsorption in the small intestine of some food products which is accompanied by diarrhea or constipation, discomfort, bloating, sometimes skin rashes, impaired growth and weight gain.
Changes in the structure and size of the pancreas, an inflection in gallbladder. By themselves, they are not a cause for concern, but in combination with complaints of abdominal pain, changes in appetite, stool, indicators physical development child, require additional examination to identify the cause of indigestion.
IMPORTANT! Acute and sudden abdominal pain, vomiting, diarrhea, and the appearance of blood in the stool are reasons to urgently consult a pediatrician.
While periodic pain, associated or not associated with food intake, the appearance of pain at night, a feeling of nausea, and decreased activity of the child most often suggest a planned additional examination.
The Children's Clinic uses wide range instrumental and laboratory research, as well as genetic tests:
Gastroscopy can also be performed on children at the EMC Children's Clinic in Moscow simultaneously and in a state of medicated sleep under the supervision of experienced anesthesiologists.
A pediatric gastroenterologist performs diagnostics and treatment in accordance with international standards accepted in leading clinics in Western Europe and the USA. Parents get the maximum detailed information about the disease and the causes of its occurrence. A child with suspected gastroenterological pathology is first examined by a pediatrician to make a preliminary diagnosis. Upon confirmation of the disease profile little patient referred for consultation with a pediatric gastroenterologist.
Treatment of diseases of the digestive system is not only about taking medicines. Daily routine, balanced and healthy eating, physical activity– all this is not only mandatory, but also individual for each child. Restoring digestive function is a long process. Parents often have questions and difficulties, so our doctors are always open to dialogue and are in touch with parents on any issue.
A pediatric gastroenterologist consults young patients at the EMC Children's Clinic at the address: Moscow, st. Trifonovskaya, 26.
Pediatric gastroenterologist
Pediatric gastroenterologist is a doctor who diagnoses and treats organ diseases gastrointestinal tract in children: esophagus, stomach, intestines, pancreas, liver, gall bladder. The children's gastrointestinal tract is distinguished by delicate mucous membranes and their abundant blood supply. Due to less allocation gastric juice and its low bactericidal properties, a child is more susceptible to pathogens of gastrointestinal infections, and many diseases of the digestive system begin in childhood.
If you need to consult a doctor, you can make an appointment with pediatric gastroenterologist network of clinics " Family doctor"by calling 24/7 or leaving a request on the website.
1. Diseases of the esophagus:
2. Stomach diseases:
gastritis – inflammation of the gastric mucosa, leading to disruption of its functions;
ulcer of the stomach and duodenum.
3. Diseases of the pancreas:
4. Diseases of the liver and biliary tract:
hepatitis - inflammation of the liver, most often of viral origin;
obstruction bile ducts– their blockage in the background cholelithiasis, tumors or inflammation of the biliary tract.
5. Intestinal pathologies.
colitis - inflammation of the large intestine, painful in the stomach and change in stool;
duodenitis - inflammation of the duodenal mucosa;
enteritis - acute or chronic inflammation small intestine;
celiac disease – damage to the intestinal mucosa due to gluten intolerance;
stool disorders - diarrhea, constipation, change in stool color not associated with consumption coloring products;
Dysbacteriosis is a disorder of the intestinal microflora.
Any problems in the functioning of the digestive system or a child’s complaints of abdominal pain should be a reason to make an appointment with a pediatric gastroenterologist, since only the identification and treatment of pathology can early stage development will protect the patient from possible complications.
If a child develops at least one of the listed symptoms, an appointment with a pediatric gastroenterologist is necessary.
1. Chronic constipation.
It can be psychological when the baby squeezes and prevents the exit of feces. But it may also indicate dysbacteriosis, gastroduodenitis, dysfunction of the digestive glands, helminthiasis, polyps, and intestinal tumors. An appointment with a pediatric gastroenterologist is necessary if the child has bowel movements only 1-2 times a week, experiencing painful sensations.
The most common cause is infection rotavirus infection or pathogenic bacteria. Diarrhea can also be caused by secretory insufficiency of the gastrointestinal tract. Blood, mucus, food debris in stool characteristic of colitis, enteritis, biliary dyskinesia. In these cases, treatment should be started immediately.
3. Nausea and vomiting.
4. Lack of appetite, weight loss.
In some cases, they indicate gastroenterological diseases: gastric and duodenal ulcers, colitis, hepatitis, intestinal dysbiosis or celiac disease.
5. Severe flatulence.
In newborn babies, colic is temporary physiological characteristics. In preschool and school age increased gas formation may be caused by an unbalanced diet or be a symptom of serious dyspeptic diseases: inflammation of the pancreas, stagnation in the intestines, mucous colitis, etc. In the latter case, the child should be brought to see a pediatric gastroenterologist to prescribe treatment.
6. Abdominal pain.
Caused by inflammatory, mechanical causes, constipation, tumors, acute and chronic infectious diseases. An appointment with a pediatric gastroenterologist, for example, is needed for regularly occurring painful sensations in the baby's belly. At acute pain in the abdomen, you should call an ambulance.
7. Bad breath.
an acetone smell appears with dysbacteriosis, helminthiasis, and pancreatic diseases;
putrefactive – with low acidity of the stomach and diseases of the esophagus;
sour – with high stomach acidity, gastritis and reflux esophagitis;
sweetish – for liver diseases;
chemical – for biliary dyskinesia.
Initial appointment A pediatric gastroenterologist includes examination of the child:
palpation of the abdomen;
tapping the abdominal area;
check skin;
inspection oral cavity;
carrying out breath test on Helicobacter pylori(if necessary) – a causative agent of inflammation of the stomach and duodenum.
Changes in the color of the skin, oral mucosa, localization of pain when palpating the abdomen, and collection of patient complaints allow the doctor to make a preliminary diagnosis and prescribe a series of tests and studies.
1. Analyzes.
General blood and urine analysis - show general condition body.
Biochemical analysis blood – diagnosis of metabolic disorders.
Stool analysis for scatology - identifying pathologies of all organs digestive system.
Analysis of stool for dysbacteriosis - determination of the composition of intestinal microflora.
Analysis of stool for carbohydrates - diagnosis of lactase deficiency in a child.
2. Visualization methods.
Ultrasound of organs abdominal cavity – standard examination for parenchymal (dense) organs of the digestive system. Problems of hollow organs (esophagus, stomach, intestines) using the method ultrasound diagnostics, as a rule, are not detected.
Magnetic resonance imaging (MRI) – examination for suspected tumors, cholelithiasis or pancreatitis.
X-ray – for diagnostics intestinal obstruction, congenital anomalies intestinal development, chronic enteritis, nonspecific ulcerative colitis and some other pathologies.
3. Endoscopic methods.
Prescribed for diagnosing diseases of the digestive system when regular pain in the abdomen, the presence of neoplasms, malformations of the gastrointestinal tract. Endoscopy allows you to collect biomaterial for analysis, carry out treatment and perform manipulations to stabilize the child’s condition when internal bleeding, acute intestinal obstruction, presence foreign objects in the esophagus, stomach or intestines. In pediatric gastroenterology it is used:
gastroscopy – endoscopy of the esophagus and stomach.
Colonoscopy – endoscopy of the rectum and colon.
A pediatric gastroenterologist at the Family Doctor clinic in Moscow may suggest performing the procedure on a child over 7 years old in a state of medicated sleep.
1. Conservative treatment.
Drug therapy.
Physiotherapy.
Prescribed at an appointment by a pediatric gastroenterologist for irritable bowel syndrome, constipation, decreased intestinal motility, gastritis and some other diseases. Physiotherapy includes:
applications with paraffin, ozokerite;
Following a special diet.
Eliminating fatty, fried, spicy, salty foods from the diet, giving up chips, soda, smoked foods and other harmful foods and switching to natural baked, boiled or steamed foods.
2. Surgical treatment.
In some cases, without surgical intervention cannot be avoided, for example, in case of inflammation of the appendix, cholelithiasis (if there is a threat of complications), malignant tumors and some others.
Emergency surgery is required for perforation of the stomach wall, bleeding caused by progression peptic ulcer, and others emergency conditions(appendicitis, peritonitis, diverticulum rupture, etc.)
For intestinal obstruction, surgery is necessary to clear the blockage and remove part of the intestine.
Mandatory removal require intestinal polyps. If you have multiple polyposis, you may need to cut out the affected part of the intestine.
Surgical intervention used as a last resort measure for treating duodenitis if it is ineffective conservative treatment or in serious condition patient.
If you notice symptoms of digestive system diseases in a child, you should immediately contact a specialist. An appointment with a pediatric gastroenterologist is possible on the website of the Family Doctor clinic, which has a network of branches in different districts of Moscow.
We are waiting for you in the network of clinics “Family Doctor”!
This is a specialist who is involved in the diagnosis, treatment and prevention of pathology. digestive tract in children. Diseases of the digestive system are among the most common today. Their causes are varied: from unbalanced nutrition to stress, and children's body least protected from these factors. That is why consultation with a pediatric gastroenterologist is necessary in case of any problems related to the digestive system.
If you are looking for a pediatric gastroenterologist in Moscow, contact the CELT multidisciplinary clinic. We employ leading domestic specialists who have extensive experience and have all the means to determine the cause of the disease, make a correct diagnosis and prescribe effective treatment.
A good pediatric gastroenterologist is necessary for many young patients with digestive problems. It's no secret that childhood has its own anatomical and physiological characteristics. This rule also applies to the gastrointestinal tract. Therefore, the need to consult a child with a specialist is obvious. pediatric practice.
A whole series clinical manifestations should be a reason to visit a pediatric gastroenterologist:
Urgent consultation is also required by suspicion of bleeding from the gastrointestinal tract, which manifests itself in the form of vomiting mixed with blood, black stools, and stools mixed with blood. Such situations are rare, but should be regarded as life-threatening, and therefore immediately supervised in a hospital setting!
During the consultation, a pediatric gastroenterologist conducts an initial examination and listens to any complaints. It is very good if parents bring with them the data of everyone diagnostic studies, if any have been carried out before, as well as previous expert opinions. This will save both time and money. In order to make a diagnosis, pediatric gastroenterologists at the CELT clinic carry out comprehensive examination, which is assigned based on the specific clinical situation and may include the following:
If the situation requires it, a pediatric gastroenterologist can join forces with other pediatric specialists (neurologist, surgeon, endocrinologist, otolaryngologist, dentist, pediatrician) to jointly evaluate the results obtained diagnostic examination and drawing up an individual treatment program.
Multidisciplinary clinic CELT: we will take care of your baby's health!
Every parent, at least subconsciously, is always afraid that their child will get sick. And this really happens sometimes - children get sick. However, in such cases they do not always require the help of a pediatrician or otolaryngologist. Sometimes you have to contact a doctor such as a gastroenterologist. What kind of specialist is he, what does he treat, and where can I find the best pediatric gastroenterologist?
First of all, it is worth clarifying what kind of doctor a gastroenterologist is and what ailments he treats. After all, not everyone is strong at medical terminology. So, a gastroenterologist (for children or adults, it doesn’t matter) is a specialist who treats the gastrointestinal tract. In addition, he also deals with the prevention of various types of diseases of this body system. The most common disease among them, but by no means the most dangerous, is, perhaps, gastritis. The word "gastroenterologist" in Greek means "womb" (gaster), "gut" (enteron) and "teaching" (logos). From this it turns out that this doctor it just treats organs such as the intestines, gall bladder, esophagus, liver, duodenum and the like.
As mentioned above, probably the most common reason for contacting (at least to a pediatric gastroenterologist) is gastritis. This is an inflammation of the stomach lining, usually due to poor diet and lifestyle in general. Also, the reason to come to the clinic for an appointment with this doctor may be:
It's no secret that the mentality of the Russian person is such that he does not like to go to doctors. It would be better to endure until the last minute, and go to a specialist only if it becomes completely unbearable. Still, you should overcome yourself and not wait until it “presses”, but go to the clinic yourself or call a doctor at home. If this advice is relevant for adults, then it is even more important when it comes to the health of a child.
So, in what cases is it necessary to consult a gastroenterologist?
Most often, it is impossible to get to a gastroenterologist without a referral from a pediatrician, therefore, you will first have to visit this doctor. You should have with you medical card and the results of the tests, if, of course, they are available. Important: if white, yellow or any other coating appears on your tongue, you do not need to remove it before visiting a doctor. Examination of the tongue is an indispensable condition of the examination process, as it helps the gastroenterologist to create a more complete and clear picture of what is happening.
Before you rush to use the services of a pediatric gastroenterologist in a hospital hospital at the slightest complaint in a child, you should familiarize yourself with the information below, which, by the way, is a recommendation from specialized specialists.
Firstly, if your baby has a stomach ache and the pain is not sharp or sharp, then there is no need to panic and assume the worst. First, you should call a local doctor from your clinic, he should examine the child and only then decide what to do next. However, if the pain arose suddenly, “out of nowhere”, it is strong, sharp, then there is no need to wait, you need to immediately call an ambulance.
Another tip concerns nutrition. If a child has had stomach problems before and has been prescribed a diet, it is necessary to strictly follow it. In case of deviation from the regime and use forbidden foods One should not be surprised that the child’s old illness has worsened again.
Very often, parents with tiny children, infants under one year old, sign up for a consultation with a pediatric gastroenterologist. Digestive disorders in such babies, as a rule, are caused by the same poor nutrition. The main food for children of this age should remain milk - mother’s milk or formula, it doesn’t matter. Parents, trying to introduce complementary foods as quickly as possible, begin to feed him what the baby’s stomach is not yet ready for. Therefore, there is no need to force things. You need to strictly follow the pediatrician’s recommendations and remember that everything has its time. Then an appointment with a pediatric gastroenterologist will not be necessary later.
If such a specialist is still needed, where to go? Where to find a good doctor? Where does a pediatric gastroenterologist see in the capital? Indeed, in Moscow there are so many different clinics, it’s easy to get confused. Below we list at least some of them (which patients respond well to) with an obligatory indication of the cost of services.
So, the Best Clinic medical center on Nizhnyaya Krasnoselskaya Street is very famous among residents of the metropolitan metropolis. Providing assistance in the field of pediatric gastroenterology varies there within two thousand rubles (plus/minus one hundred to two hundred rubles). The family clinic "Miracle Doctor" near the Ploshchad Ilyich metro station is no less popular, and the cost of an appointment there, although not much, is cheaper - from 1600 to 1800 rubles. On Lobachevsky Street there is a center "K+31", where a pediatric gastroenterologist provides consultations for 2800 rubles. In 2nd Tverskoy-Yamsky Lane there is a very expensive, but, judging by the reviews, very good center of JSC "Medicine", where you will have to pay 4,300 rubles for an appointment with such a specialist.
Depending on the service, the price at the Family Clinic near the Kashirskaya metro station also fluctuates: the minimum is 1900, the maximum is 3800 rubles. A pediatric gastroenterologist in diagnostic center"SM-Doctor" will be able to help on Priorov for 1800-2350 rubles (depending on the type necessary assistance). By the way, this same clinic is also located on Kibalchicha Street. The cheapest appointment is in the Dobromed family clinic network - about 1,600 rubles.
Good doctor is always doubly valued, and a good pediatric gastroenterologist is worth his weight in gold. That is why it is so important to know the names of these specialists. Of course, you cannot list all the competent doctors of this profile in multimillion-dollar Moscow, but you can at least name a few.
In several places at once (for example, on Kashirskoye Highway), Doctor of Sciences, an employee of one of the medical institutes, a specialist in pediatric gastroenterology and pediatrics, Alfiya Aminova, receives patients, who has received many grateful reviews from the patients treated by her. Everyone notes not only the high professionalism of this doctor, but also her friendliness towards both parents and young patients. The doctor is competent, polite, pleasant, answers essentially all questions, and gives recommendations. And most importantly, he knows how to communicate with children. For all these and many other qualities, pediatric gastroenterologist Aminova deserves to be on the list the best specialists capitals. The price for the services she provides is within two and a half thousand rubles.
Another pediatric gastroenterologist in Moscow charges a little less (from 1800 to 2350 rubles). This is Lyudmila Pugacheva, who works in the clinic at Priorov. After graduating from Krasnoyarsk medical school in the specialty "pediatrics", later she was certified as a doctor of the highest qualification category and underwent retraining in two specialties at once: "endoscopy" and "gastroenterology". You can contact her for both treatment and diagnosis. various diseases organs of the digestive system, including for endoscopic examination of the stomach. A significant advantage of doctor Pugacheva is that she works with children of absolutely all ages, including newborn babies, who often suffer from digestive disorders. In the rating of pediatric gastroenterologists, Pugacheva always occupies a leading position, and reviews about her are almost completely positive.
Pediatric gastroenterologist Sergei Kholodov works on Vorotynskaya Street and Kashirskoe Highway. He is a doctor of the highest qualification category and part-time endoscopist. Kholodov S. has been working in this field for twenty years. This specialist differs from others in that he can work with overweight patients unique technique. Kholodov sees both children and adults with gastroenterological problems, and in addition, you can come to him for an endoscopic examination.
People speak very positively about this specialist. They write that he gives the necessary recommendations, speaks informatively and to the point, is pleasant to talk to, and carries out all procedures deftly and painlessly. The main thing that parents note is his ability to find contact with a small patient, including an obstinate teenager. This pediatric gastroenterologist in Moscow charges two thousand rubles for his appointment.
Diana Shatveryan works at the clinic near Ilyich Square, whose services will cost patients 1,800 rubles. Endoscopist and gastroenterologist Shatveryan is also a candidate medical sciences. She easily performs endoscopic interventions of any kind, including stopping gastric bleeding. This pediatric gastroenterologist also works with adults, and the list of diagnostic tests that Dr. Shatveryan can perform is incredibly extensive. There are no bad reviews about this specialist, and among the positive ones there are words about sensitivity, goodwill, and attentiveness to his patients.
In the same clinic as Shatveryan, another good pediatric gastroenterologist, Elena Tomilina, is seeing her. She defended her PhD and received additional specialization as an endoscopist, working with both small and adult patients. They, in turn, do not regret good words to your doctor, noticing in the reviews how competent and competent a specialist he is, who understands not only his field, but also related ones, and can give really worthwhile recommendations, and will also popularly explain all interesting and incomprehensible points. And Dr. Tomilina’s optimism and sociability make her “their person” in the eyes of the children. Services in the field of pediatric gastroenterology provided by this specialist cost a little more than the previous appointment - two and a half thousand rubles.
Anatoly Matyukhin works on Yaroslavskaya Street, not far from VDNKh. He has not been working for so long, but nevertheless he has already managed to win the trust and respect of patients and colleagues. Dr. Matyukhin is a member of the Russian Gastroenterological Association, lectures on gastroenterology, writes scientific works. He is actively involved in the diagnosis and treatment of such unpleasant phenomena, like ulcers, all kinds of problems of the digestive system, colitis, as well as Crohn's disease (a disease that most often affects the small and/or large intestine, although any other organ of the digestive system can also be affected). For his services in the field of pediatric gastroenterology, Matyukhin charges from 1800 to 2350 rubles. But this price is justified: patients remain, if not delighted, then at least have a very favorable impression of the visit this specialist. They call him partly a psychologist - the doctor understands his patients so subtly.
And on Maroseyka, near Kitay-Gorod, you can get an appointment with pediatric gastroenterologist Elena Fridkina, whose experience in medicine is almost thirty years, and whose experience and competence leave no doubt. She is studying various questions: Diagnoses and treats all kinds of diseases of various organs of the digestive system. In addition, Friedkin’s doctor can also help in the field of dietetics, since he has this additional specialization. At the same time, the cost of her services is not so high, especially in comparison with the above-mentioned professionals - only 1,650 rubles. Patients respond favorably to this doctor, noting her ability to find an individual approach to each patient, desire and ability to delve into another person’s problem and help deal with it.
And one more doctor needs to be mentioned separately in the end - the main pediatric gastroenterologist. On the website of the capital’s Department of Health it is indicated that Tamara Skvortsova is one of them (albeit freelance). She concurrently works as the head of the gastroenterology department and heads the center of pediatric gastroenterology at the Morozov Children's City clinical hospital.
Below is a list of the most popular and frequently asked questions by parents to a pediatric gastroenterologist, as well as the answers to them:
Above is information about some pediatric gastroenterologists in the capital, which may be useful to someone.
As part of the reform of Moscow healthcare, on the basis of the gastroenterology department of the Morozov Children's Hospital, the city Center for Children's Gastroenterology was organized, the objectives of which are:
Morozovskaya Children's City Clinical Hospital is responsible for drug provision and correct use in children with IBD, the high-tech, effective and expensive drug Remicade (infliximab). The Center issues prescriptions and also creates special conditions for correct and safe administration of the drug (anti-cytokine therapy). The immunological status of patients with IBD is monitored in accordance with the developed modern standards treatment. The Center provides advisory services - diagnostic work on questions complex therapy severe, resistant to standard therapy inflammatory diseases intestines in children.
The center provides medical care children and adolescents with diseases leading to the formation of a stoma.
The Center conducts:
Tamara Andreevna Skvortsova - Head of the Center for Pediatric Gastroenterology and the IBD Center of the Morozovskaya Children's City Clinical Hospital of the Moscow Health Department, Candidate of Medical Sciences, gastroenterologist, chief freelance children's specialist gastroenterologist in Moscow
Glazunova Lyudmila Vladislavovna – pediatrician, gastroenterologist, deputy head of the gastroenterological service of the Morozov Children’s Hospital
Mukhina Tatyana Fedorovna – pediatrician, gastroenterologist of the highest category
Olga Aleksandrovna Goryacheva – pediatrician, gastroenterologist, candidate of medical sciences
Sarycheva Alexandra Andreevna – pediatrician, gastroenterologist
