Signs and causes of ACETONE in a child

Acetone in a child is a condition caused by a significant increase in ketone bodies in the blood. In this case, characteristic symptoms are present, manifested by a strong smell of urine, unexpected nausea and vomiting. With timely and proper treatment, acetone returns to normal. In the article we will talk about what elevated acetone is in a child and how to treat this condition.

Acetone in a child: causes, symptoms, treatment

Elevated acetone in children does not always mean the presence of a serious disease. Doctors talk about it as a symptom characterizing a violation of the digestibility of carbohydrates and metabolic processes in the child’s body. Also, this sign may indicate severe fatigue and appear simultaneously with other symptoms. It should be noted that increased acetone may be a consequence of a recent intestinal infection.

If a problem arises - acetone in children, how to treat it? Evgeniy Olegovich Komarovsky has his own opinion regarding this issue. Acetone is a breakdown product during fat oxidation. The fact is that our body requires energy to function normally, and it takes it in the required amount from glucose, the source of which is carbohydrates.

A significant amount of these substances does not mean that energy will increase: excess glucose will invariably be deposited in the body in the form of glycogen. The reserves will last a long time for an adult, but this amount is not enough for children. A child needs almost 2 times more energy.

Thus, during times of stress, overwork, and heavy physical exertion, the body can only draw energy from its own fat and protein reserves. When oxidized, these substances form not only glucose, but also acetone.

It should be noted that normally, when conducting urine tests in a child, the acetone level should be zero or be so insignificant that it would not cause harm to the baby’s health. A small amount of acetone is independently eliminated through the respiratory system, lungs and processed with the help of nerve cells.

Signs of elevated acetone

Komarovsky speaks of acetone in children as a harmless symptom (of course, this applies to cases of timely and correct treatment).

So, the first sign that indicates that a child does not have enough glucose is the smell of acetone from the child’s mouth. If an overestimated level is found in the blood, then they speak of the presence of acetonemic syndrome. If a pungent odor comes from urine, then in this case they complain about acetonuria.

What else could increased acetone mean in children? How to treat? Evgeniy Olegovich Komarovsky warns that elevated levels can appear after high fever, severe intestinal infections, and also when the body is inhabited by helminths.

Secondary syndrome can occur due to the presence of endocrine, infectious, surgical and somatic diseases.

Rarely, diabetic syndrome occurs due to lack of insulin. Indicators can rise even due to an unbalanced diet, that is, with long breaks between meals, as well as when consuming large amounts of fat and minimal amounts of carbohydrates.

As for the main symptoms, in this case there may be excitement, sharply turning into lethargy, and vice versa. Abdominal pain, vomiting, temperature up to 38.5 can also occur with increased acetone levels.

Determination of the level of acetone in urine using the express method

You can find out about the increased level of acetone yourself at home, using test strips. You can buy them at the pharmacy for a relatively low price.

The test consists of a strip of litmus paper, one side of which is impregnated with a special chemical reagent that reacts to the presence of ketone bodies.

To carry out the test, you need to take only fresh urine, then the indicator part of the strip is immersed in the urine for 1-2 minutes, after which you can evaluate the result.

Based on the changing color of the indicator part of the strip, conclusions can be drawn about the presence of ketone bodies. You can understand how serious the disease is by comparing the color of the strip with the scale on the test package.

A positive result for acetone in urine is graded from one to three or five “+”. It depends on the company that produces the test strips.

Diet with acetone in urine in children: list of products

Evgeniy Olegovich Komarovsky explains in detail what acetone is in children and how to treat it. What diet does a famous doctor recommend for elevated levels?

So, in order to reduce the amount of ketone bodies in a child’s body, you should start by observing the drinking regime. In this case, Komarovsky recommends giving the child compotes made from dried fruits. These drinks can increase glucose levels in the body. The compote should be quite sweet and warm.

Be sure to give your child fructose daily. According to Dr. Komarovsky, it is absorbed faster than sucrose. In addition, with the help of fructose, glucose levels increase gradually and evenly, without sudden surges or declines.

By the way, a large amount of this component is found in raisins. A handful of dried fruits should be poured with boiling water and left for 15 minutes, then filtered twice with gauze and given to the child.

Taking glucose in ampoules will not hurt. This method is most useful if the child complains of malaise, dizziness and abdominal pain after vigorous activity. Glucose ampoules (40%) will prevent nausea and vomiting.

Be sure to consume alkaline drinks. In this case, mineral water without gas or “Regidron” is suitable. It should be noted that the temperature of the liquid should be equal to the child’s body temperature. This will allow the beneficial components to be absorbed into the blood faster.

What to do if the indicator is elevated?

If all the characteristic symptoms of acetonuria are present in a child, you should consult a doctor. It is acceptable to treat a child at home, but under the supervision of a doctor.

The first thing you need to do is:

reduce ketone levels in urine;
eliminate symptoms of the disease;
adjust nutrition;
identify and eliminate the causes of this condition.

If infection is the cause of the disease, antibiotics are prescribed. To cleanse the body of acetone, enterosorbents are prescribed.

When the acetone level is too high, it leads to a lack of glucose in the body, in which case the child will need an IV to restore strength. It is very important to prevent dehydration, so you need to drink more fluids.

You need to follow a diet that will help reduce the level of ketone bodies in your urine. It is important for parents to ensure that the child does not go hungry or overeat. During an exacerbation, the diet should include dairy products, fruits, jam, honey, vegetables, and cookies.

It is necessary to follow a daily routine; the child should sleep at least 8 hours. More time to walk in the fresh air. A little physical activity will only be useful, it could be jogging or swimming in the pool.

Diet by day

So, if the doctor recommended a diet for your child, then on the first day try not to feed him anything, just give him small sips every 5 minutes. If he wants to eat, give him dried fruit compote or raisin decoction. If the child wants to eat, offer him homemade crackers.

On the second day, you can give rice water and a baked apple. Be sure to drink as much as possible and offer glucose in ampoules. On the third day, it would be a good idea to offer your child porridge with water. Among the cereals, it is optimal to cook rice, oatmeal or buckwheat.

Next, prepare vegetable soup for your baby and complement the dish with biscuits or bread. Under no circumstances should you overfeed your child or force him to eat.

What is not recommended to feed?

If such a condition has befallen a child, then Dr. Komarovsky knows for sure how to treat acetone. Using the method of a famous pediatrician, many people have already gotten rid of this symptom, for which we thank him very much. So, it is not recommended to include in your child’s diet:

mushrooms, mushroom broths;
meat and fish broths;
smoked food;
sauces, spices, mayonnaise;
fatty dairy and fermented milk products;
fresh baked goods;
sweets, chocolate.

Spicy, pickled foods, as well as chips, crackers, sweet carbonated water and store-bought juices should be excluded.

What should be included in the menu if acetone is high?

High acetone and its reduction at home is possible if you follow a proper diet. The menu should include:

chicken and quail eggs;
non-acidic ripe berries;
rabbit, turkey, chicken, veal meat;
cottage cheese, yogurt, kefir (low-fat);
milk and vegetable soups.

Food processing is also important in this situation. All food should be steamed or baked.

In case of vomiting, the child should be given an adsorbent drug - “Enterosgel”, “Atoxil”, “White Coal”.

We hope that Evgeniy Olegovich Komarovsky answered the question about what acetone is in children and how to treat it clearly and succinctly. Health to your children!

In this article we will analyze the causes and consequences of increased acetone in children, which in medicine is referred to as acetonemic syndrome (hereinafter AS). We will also talk about such manifestations as: “the smell of acetone from the mouth of a child”, “increased acetone in the blood of a child”, “acetone in the urine of a child”, “acetone and temperature in a child” and “cyclic vomiting”.

How to accurately determine that a child has acetone?

Parents do not always understand that abdominal pain, nausea, and vomiting can be associated with excess acetone. Most mothers think it's an intestinal infection. And an elevated body temperature in a child is correlated with a common cold.

How can you tell if your baby has too much acetone? To do this, you need to use special test strips. You can buy them at any pharmacy.

It is necessary to lower the litmus strip into a jar of collected child urine for a few seconds. After this we can draw a conclusion.

If a child has acetone in his urine, what does this mean?

It all depends on the values: if, according to the color scale on the package, the mother sees a result from 4 to 10 mmol/l, then this means that the child’s condition is of moderate severity.

If it is more than 10 mmol/l, then this indicates a serious condition and the child needs urgent medical attention. If the value on the scale does not reach 1.5 mmol/l, then this indicates a normal state of health.

Why does acetone increase in children?

An increase in acetone in children makes itself felt through a complex of clinical manifestations associated with the accumulation of under-oxidized products of the “decomposition” of fats and proteins in the blood and other tissues of the child’s body. This is one of the most common diseases of childhood, in which episodes of vomiting alternate with periods of complete health of the baby.

It usually occurs in children from 2 to 10 years old, but sometimes an increase in acetone is observed in adolescence.

For the normal functioning of any organism, including a child, energy is constantly needed. Energy is most actively produced through the metabolism of carbohydrates, which involve various sugars, glucose, fructose, sucrose, bread, cereals, cereals, etc. But under various stressful situations or stress (physical, nervous, viral infections, injuries, teething) The body's need for energy increases sharply. At the same time, energy from carbohydrates does not have time to be produced in sufficient quantities, or there are not enough carbohydrates themselves.

In this case, the body begins to oxidize fats and proteins - at the same time, energy is also produced, but in smaller quantities, and at the same time, the products of such oxidation - ketone bodies (popularly called “slags”) accumulate in the blood. Ketone bodies are toxic and actually poison the child's body. Ketone bodies irritate the mucous membrane of the baby's digestive tract and hence the abdominal pain and vomiting.

An increase in acetone in its most pronounced form is manifested by acetonemic crises (AC).

A crisis can be caused by many factors that, under conditions of high excitability of the nervous system, act as stress on the child:

psycho-emotional stress;
conflict (with parents, teachers, peers);
change in the usual communication environment;
various emotions “in abundance” (birthday with an abundance of gifts, guests and clowns, going to the circus, playgrounds, zoo);
errors in the diet (eating tasty foods: chips, nuts, cakes, pastries, chewing gum, candies with dyes and flavors, smoked foods, fried and fatty foods in large quantities, with a lot of seasonings and spices).

Main causes of the disease

The mechanism of development of the disease is the breakdown of proteins and fats with the formation of ketone bodies and their accumulation in the blood of children. Subsequently, the blood is filtered by the kidneys and ketonuria develops. The condition is extremely dangerous for the child, since ketones have a negative effect on the body’s cells, including brain cells, leading to the development of metabolic acidosis, due to which the child can fall into a coma and die.

Parents often wonder why their baby's acetone levels have increased. This condition has different causes, but one of the most common is a decrease in blood glucose concentration, which occurs due to metabolic disorders.

In particular, glucose concentration may decrease due to prolonged fasting, when the body does not receive enough nutrients.
Diabetes mellitus is also one of the most common causes of the appearance of ketones in the urine in children, because with this disease, the absorption of glucose is impaired, since the body lacks insulin.
Another reason for the appearance of ketone bodies in the urine of children may be an unbalanced diet (excessive consumption of proteins and fats), which disrupts the digestive processes.
There is another serious disease that can provoke an increase in acetone levels in children. This is a hereditary (or acquired) enzymatic deficiency, due to which the body is unable to properly digest carbohydrates. Factors provoking the pathological condition may include reasons such as:
physical overload;
mental stress;
unhealthy diet;
and excessive exposure of children to the sun (heatstroke).

An increase in the level of acetone in a baby’s urine can also be caused by diseases of an infectious nature, elevated body temperature, or exacerbation of chronic diseases.
Sometimes an increased amount of the substance is observed in the postoperative period, with various injuries and damage, poisoning.
Another reason for this phenomenon may be the presence of cancer or mental illness.

Symptoms of increased acetone in children

At first glance, acetonemic crises occur suddenly. However, if you carefully analyze and remember, then each acetonemic crisis is preceded by precursors of an attack, which include:

general malaise,
refusal to eat,
nausea, weakness,
lethargy or agitation
migraine-like headache,
stomach ache,
pale colored stool (gray, yellow),
stool retention,
There may be a peculiar “fruity, vinegary” smell from the mouth.

Parents may also notice that the baby is pale or slightly jaundiced, has a lack of desire to play, or has an apathetic facial expression.

the child is pale,
with a characteristic unnatural blush on the cheeks,
signs of intoxication are increasing,
the acid-base balance of the blood is disturbed,
the temperature rises to 37-38.5C,
liver enlarges
the child is worried about dizziness,
headache (moderate),
cramping or persistent pain in the abdomen, often without specific localization,
stool retention,
nausea,
then repeated, uncontrollable vomiting develops over 1-5 days with frequent, repeated attacks.

Actually, this is why in foreign literature this syndrome is called “cyclic vomiting syndrome.” As vomiting becomes more frequent, fluid loss increases and body weight loss occurs. Often the vomit contains bile, mucus, and even blood - that is, the child has nothing to vomit with. The skin is dry, pale, sometimes with a bright unnatural blush.

At this stage of the disease, parents make the most mistakes in “treating” their children. They do not understand what is happening to the child, they do not know what to feed him or whether he needs to be treated.

Most often, worried mom and dad try to force-feed the weakened baby with meat or fish broth, cottage cheese, sour cream, kefir, egg, steam cutlet, chop and other ketogenic products.

But it is precisely this food load that aggravates metabolic disorders and contributes to the progression of the crisis. Gradually the little one's condition worsens. The child first becomes nervous, excited, runs and screams, then becomes lethargic, adynamic, apathetic, does not want anything - does not eat or drink.

Trying to feed or drink a child also provokes repeated episodes of vomiting. In most cases, a strong odor of acetone is felt in the vomit, urine and exhaled air. In severe cases, in the absence of adequate treatment, acetonemic coma may develop.

Why does the symptoms of acetonuria appear?

Pathology is caused by many reasons, so the doctor does not immediately understand what is happening to the patient. Often children are bothered by various alarming symptoms, which to some extent facilitate the diagnosis. With severe acetonuria, children experience the following clinical manifestations:

nausea;
vomiting (acetonemic);
lack of appetite;

The child is sick and lies in bed

weakness and apathy;
smell of acetone in urine, mouth;
dry skin, tongue and face;
headaches and dizziness;
abdominal cramps;
white-yellow coating on the tongue;
strong thirst.

The baby may feel well, but this does not mean that there is no pathology, especially when there are a lot of ketones in the urine. The doctor directs the patient to undergo a series of tests to find out the cause of the pathology.

The urine test is retaken. If the situation does not change or worsens, then there are metabolic disorders, and measures need to be taken. Typically in medical practice, acetonuria results from the following pathological conditions:

long-term fasting or low-carbohydrate diet;
diabetes;
severe infections and poisoning;
lack of enzymes;
temperature increase;
anemia;
liver diseases;
stress and severe mental states/shocks;
increased physical activity;
hypothermia;
tumor diseases (rare).

Acetonuria cannot be ignored, since it is better not to cause metabolic disorders. In childhood, it is easier to correct pathological conditions, so there is no need to immediately panic and look for serious illnesses. For additional diagnostics, a blood sugar test is taken (fasting and with exercise) and glycosylated hemoglobin is examined.

This will exclude or confirm diabetes, which often accompanies acetonuria. The doctor also prescribes a general blood test (CBC) and biochemistry, where serious disorders can also be detected.

In this video, the doctor will tell you what to do if there is a lot of acetone in the baby’s urine, the reasons for its appearance in children, and what it means:

Diagnosis of acetone syndrome. Primary and secondary AC.

Before determining that your child has an increase in acetone and that this is what should be treated, the doctor needs to make sure that the acetone syndrome in your child is not a manifestation of another, more severe and dangerous disease. Such manifestations are similar to decompensated diabetes mellitus, diseases of the kidneys, thyroid gland, pancreas, toxic liver damage, traumatic brain injury, brain tumors, seizure syndrome, leukemia, hemolytic anemia, fasting, poisoning, intestinal infection, acute surgical pathology, pneumonia and etc.

In these diseases, the clinical picture is determined by the underlying disease, and acetonemic syndrome is a secondary complication of the underlying disease. This is a “secondary” speaker.

A primary increase in acetone is also distinguished. Most often, primary acetone syndrome affects children with the so-called neuro-arthritic diathesis.

Diathesis is a congenital abnormality in metabolism in the body of a child (and then an adult), against the background of which the child (and then an adult) is predisposed to certain diseases. Manifestations of neuro-arthritic diathesis can be identified from the first days of life. Such children are noisy, fearful, often have a disturbed sleep pattern, are characterized by emotional lability, increased unmotivated nervous excitability, and are prone to frequent regurgitation, stomach and intestinal spasms, and abdominal pain.

Body weight is unstable, and by the age of one year, babies usually lag significantly behind their peers in weight.

The neuropsychic and intellectual development of such children, on the contrary, is ahead of age norms: children master speech early, show curiosity, interest in their surroundings, remember well and retell what they hear, but often show stubbornness and negativism, sometimes even aggression.

Children with neuro-arthritic diathesis often suffer from allergies, dermatitis, bronchial asthma, asthmatic bronchitis, urticaria, and kidney diseases. Urine tests of such children often reveal uric acid salts, oxalates, protein, and an increase in white blood cells and red blood cells.

To determine and confirm the correctness of the diagnosis, the pediatrician finds out how the child developed, what illness he had previously, what preceded the development of the disease now, what diseases were noted in the parents’ families, etc., then the child is examined and a series of tests and laboratory tests are prescribed.

Treatment of acetone in children at home

At home, the most convenient and common method for determining acetone in a child’s urine. Diagnostic strips for urine analysis are a litmus strip on which test zones with reagents applied to them are attached. You need to wet a test strip in urine and after 60 seconds compare how much it has changed color with the test scale (from + to + + + +). If the result is + or + + - this is mild or moderate AS, you can carry out treatment at home, if you get +++ or + + + + - do not treat at home, take the child to the hospital.

Severe, pronounced acetonemic syndrome requires intravenous administration of drugs to replenish the volume of circulating blood and relieve swelling of the pancreas, reducing the toxic load on the kidneys and liver.

Along with diagnosis, of course, we must also carry out therapeutic measures. The diagnostic criterion for the effectiveness of your treatment at home is the child’s condition - if the child becomes more active, vomiting has decreased, he has started drinking actively, he has started eating - hurray! Everything worked out for you and you are on the right track. Positive dynamics, which means you can stay at home; If the child remains lethargic, sleeps all the time, vomiting does not go away, and it is not possible to give him something to drink or feed - do not self-medicate, go to the hospital immediately!

In the treatment of increased acetone in children, several stages can be distinguished:

treatment at the stage of precursors of an attack;
treatment of an attack or crisis;
treatment during the recovery period after an attack;
treatment during the interictal period;
prevention of attacks.

At the 1st stage of precursors and initial symptoms, treatment is aimed at removing ketones from the body and relieving acidosis (treatment of “acidification” of the blood).

First of all, this is very important, it is necessary to cleanse the intestines with an enema with a 1% solution of baking soda (2 times a day). Drink frequently and in small portions every 10-15 minutes with a teaspoon (for children aged 6 to 10 years - with a tablespoon), drink in small portions (1-2 sips) - so as not to provoke vomiting.

Solutions for oral rehydration can be sweet black tea with or without lemon (not hot), rehydron, gastrolit, non-carbonated medium-mineralized alkaline water (Polyana Kvasova, Borjomi, dried fruit compote). During an attack, you need to use sweetened drinks (sugar, honey, glucose, fructose) in order to compensate for the deficiency of simple carbohydrates.

The child should not starve, however, a diet with increased acetone is selected, observing the principle of aketogenicity (without the inclusion of fat, purine bases and irritating components). Eating, as well as drinking, should be frequent and divided - 5-6 times a day. At the same time, you should not force feed the child - agree that the child chooses the dishes himself, but within the framework of the diet.

The diet should be dominated by liquid oatmeal, corn, buckwheat, oatmeal, semolina porridge cooked in water, vegetable (cereal) soup, mashed potatoes in water, baked apples, biscuits. But if on the first day the baby doesn’t want to eat, don’t force him, the main thing is to let him drink.

The duration of such food restrictions is at least 5 days. To remove ketone toxins from the body, the child is given a sorbent solution to drink (early in the morning, 2 hours before meals, and in the evening - 2-3 hours after meals or in small portions throughout the day). Medicines are prescribed to reduce pain and cramps in the abdomen; for agitation, sedative herbal medicine: valerian tincture, chamomile decoction, passionflower herb extract, Pavlov’s mixture. It is not advisable for the baby to cry or be nervous, this will only increase vomiting and worsen his condition.

If at the 1st stage it was not possible to stop the AK for a number of reasons (non-compliance with doctor’s prescriptions, late treatment, etc.), an attack or crisis develops (2nd stage), which is most often accompanied by repeated or uncontrollable vomiting. The duration of vomiting ranges from several hours to 1-5 days.

Treatment is aimed at stopping vomiting, ketoacidosis - “acidification” of the blood, replenishing glucose losses, and correcting water and electrolyte metabolism. The basic principles of treatment remain the same as in the 1st stage, but with increasing fluid loss, intravenous drip administration of solutions and medications is necessary. For persistent, uncontrollable vomiting, injections of antiemetic drugs are indicated in a dosage appropriate to age.

If the child drinks willingly, intravenous administration of solutions can be completely or partially replaced by drinking alkaline mineral water and sweetened tea, compote, etc. At this stage, the treatment plan should be determined by a pediatrician; observation by a doctor and a nurse is also necessary, that is, the child should be taken to the hospital.

During the recovery period, there is an increase in the child’s activity, restoration of appetite, normalization of skin color, and positive emotions return. During this period, it is recommended to gradually restore the water-salt balance naturally and carefully expand the diet.

It is necessary to give a sufficient amount of fluid, the diet should be expanded very gradually, the child should eat small portions, at least 5-6 times a day.

croutons (preferably homemade, without spices and salt, without cheese or bacon flavors),
biscuits,
baked apple,
then mashed potatoes (with water, then you can add a little butter),
porridge,
low-fat vegetable soups,
lean beef (not veal, which contains many purines, like poultry),
boiled potatoes,
porridge (except millet and pearl barley),
milk,
kefir,
homemade yogurt made from low-fat milk - no additives,
weak tea,
non-acidic fruits and berries, as well as decoctions from them.

For 2-3 weeks, eat according to “Diet No. 5” (gentle, non-irritating, without seasonings, smoked meats, marinades, foods are mainly steamed or boiled) within the framework of the described diet. Liquid in large quantities is indicated (non-concentrated dried fruit compote, sweet tea with lemon; low-mineralized alkaline mineral waters (“Luzhanskaya”, “Polyana”) are alternated with medium-mineralized ones – “Morshinskaya” and “Truskavetskaya”, as well as specialized children’s water for babies).

According to the recommendations of doctors, it is necessary to change the eating behavior of the entire family and buy only high-quality food products. For this purpose, food for pregnant and lactating women and high-quality baby food for children are perfect. Eat with your whole family:

Note. Returns of food and cosmetic products are only possible if the packaging is undamaged.

Among the medications at this stage, sorbents (5-7 days) and metabolic stimulants (B vitamins) are prescribed for 3-4 weeks. If a child’s appetite remains low for a long time and this affects the quality of life, it is advisable to prescribe an enzyme preparation with low lipase activity and an appetite stimulant.

Prevention of increased acetone in children

Prevention of exacerbations of acetone syndrome is, perhaps, an underestimated part of treatment by many parents. After all, our well-being depends 15% on genetics, 15% on medicine and 70% on lifestyle, habits, nutrition and physical activity.

Treatment of acetonemic syndrome during the interictal period is aimed at compliance with diet, regimen and prevention of relapses of acetonemic crises.

For children with high acetone levels, adherence to the regimen is very important. The baby should live on his own schedule, convenient and familiar to him. It is necessary to avoid physical and psycho-emotional overload, prolonged sunbathing and overheating in stuffy rooms. It is advisable to limit the time you watch TV and work with your computer and phone. Especially before bed, to make it easier for the little one to fall asleep, it is better for him to read a book with you or listen to an audio fairy tale. Caress the baby and all the worries of the past day will go away. In the evening, you can take a soothing bath by adding salt with valerian or lavender to the water.

Acetone in children up to what age

When children suffering from acetone syndrome reach the age of 10-12 years, the manifestations of increased acetone stop bothering them - in fact, they “disappear” for almost everyone. But this does not mean that parents can relax. No, this syndrome can later develop into other chronic diseases in adulthood.

There remains a high probability of developing diseases such as gout, obesity, impaired glucose tolerance, type 2 diabetes mellitus, urolithiasis and cholelithiasis, and early-onset arterial hypertension. In this regard, children with elevated acetone are regarded as a risk group and should be monitored by a pediatrician, endocrinologist, neuropsychiatrist, and nephrologist.

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Severe vomiting, stool disorders, urine and exhaled air with the smell of acetone clearly indicate that the child has acetonemia. This syndrome develops due to the accumulation of ketone compounds in the body, which cause signs of intoxication. It is important to warn in time and begin to reduce elevated acetone in children - treatment is usually symptomatic and is based on correcting the baby’s diet.

What to do if a child has high acetone?

First of all, you need to call a doctor at home as soon as possible, especially if the baby begins to have an acetone crisis.

You can also avoid intense vomiting at home. If you have the slightest complaints of nausea, abdominal pain, loss of appetite, as well as the smell of acetone from the mouth, you should not feed the child. It is recommended to drink plenty of warm drinks, preferably every 15-20 minutes (in small portions, 2-3 tablespoons). Still mineral waters, tea with lemon or a slice of orange and sugar, honey, and sweet compotes are suitable. To restore the water-salt balance, you can try giving your baby Regidron, a glucose solution (5%).

It is important to simultaneously take care of intoxication of the body and removal of ketone bodies from the blood. Here's how to remove acetone from a child:

Make a cleansing enema with water (cool) or a solution of sodium bicarbonate with a concentration of 1-2%.
Give sorbents - Phosphalugel, Smecta, Enterosgel.
Give water more often (every 5-7 minutes from a teaspoon) if symptoms do not subside.

It is worth noting that the baby should not starve if he is hungry. You can feed food that is easily digestible and rich in carbohydrates, for example, semolina porridge, carrots, mashed potatoes, dry biscuits, vegetable soups.

If home measures do not help, the baby will be hospitalized and ketone compounds will be removed through drip administration of therapeutic fluids in a hospital setting.

How to treat acetone in children after a crisis?

When exacerbation is eliminated, you need to continue to monitor the child’s health. It is easy to prevent relapse of acetonemia if you follow these tips:

Normalize your daily routine.
Walk outdoors more often.
Make sure your baby gets enough sleep at night and during the day.
Eliminate any mental and physical overload.
If possible, visit the pool.
Limit TV viewing and computer games.

The basis for the prevention and treatment of the syndrome in question is diet.

What to feed a child with acetone?

corn, oatmeal, wheat and buckwheat porridge;
lean meat and poultry, white fish (sea fish only);
fermented milk dishes;
vegetables in any form;
dried fruits and fresh fruits, as well as sweet drinks made from them;
soup, borscht in vegetable broth;
green tea, compotes, homemade lemonade;
caramel, jam and honey;
walnuts, hazelnuts (limited);
chicken egg (1 piece per day) or quail egg (2-3 pieces per day).

Prohibited foods with acetone in children:

meat by-products and fatty meats, fish, poultry;
conservation;
smoked meats;
meat and fish broths, even weak ones;
seafood delicacies (mussels, shrimp, caviar);
chips, crackers, snacks, cereals;
puff pastry products;
fast food;
legumes;
“heavy” vegetables – cauliflower, spinach, mushrooms, radishes, sorrel;
sauces, hot spices.

Sample menu for a child after acetone

oatmeal with dried fruits;
cracker;
compote.

baked apple;
toast with jam;
green tea.

vegetable soup;
buckwheat porridge with steamed turkey cutlet;
dry biscuit;
berry juice.

cottage cheese with fruit;
hard biscuits;
dried fruits compote.

vegetable stew or salad;
boiled fish;
homemade sweet crackers;
Herb tea.

Before bed, you can give your baby a glass of warm kefir or low-fat yogurt. It is important that meals are frequent, but in very small portions.

How to quickly remove acetone from a child

High acetone and reducing it at home, Child's health

Hello, forum users! I am sharing my experience on how to avoid the hospital with the maximum amount of acetone, because... once every 1.5 g. got caught with acetone, I didn’t want to do it a second time. We had acetone 15, corresponding vomiting, diarrhea and a terrible lethargic state, temperature 39. She grabbed her head, but with the help of nifuroxazide she eliminated the vomiting and gave Enterosgel a couple of times. Then the diarrhea stopped, all this took 4-5 hours. Then it was necessary to fight with acetone, because... the quantity was huge! The very first thing you need to drink is 1.5 liters per day. This could be Borjomi mineral water with released gases, boiled water with honey (a teaspoon per cup), compote of dried apples and rose hips. And most importantly, you need to give Regidron to quickly restore glucose in the blood.

Alla May 25, 2012, 10:47 pm

It’s good when the child drinks all this, but when he is very weak, then you can’t do without a dropper.

Alice May 26, 2012, 09:15

As for drinking, the doctors say mineral water, but it makes the children vomit, so I made the drinks varied and it was better, she drinks 2.5 liters a day! dried fruit compote, but only apples, plums and apricots cannot be added. weak rosehip, still water Borzhom and everything is great! Maybe someone else can make something weak from compotes, too.

yaptitsa May 26, 2012, 10:02

Valeria - just don’t be offended! but your post can be said to be criminal.

Only a doctor has the right to prescribe treatment regimens.

How to remove acetone from the body?

The appearance of acetone in the body can be associated with various pathological conditions. In children (usually from 1 year to 13 years), increased formation of ketones most often occurs against the background of an acute viral infection, accompanied by a sharp increase in body temperature, as well as severe dietary errors.

Of course, specific diseases of carbohydrate or fat metabolism, disturbances in the functioning of the liver and pancreas are also an obvious reason for the abundance of acetone. Most often, severe ketonuria makes itself felt in diabetes mellitus.

In this case, treatment will consist, first of all, in normalizing blood sugar levels.

If acetone syndrome is diagnosed (the tendency of a child’s body to accumulate ketones), trouble can appear with any disruption to the usual rhythm of life and nutrition. This happens especially often during the season of colds and viral infections.

Sometimes acetone crises can occur, when the level of ketones increases very sharply and in serious volumes. This state of affairs causes a clear deterioration in health, weakness, and vomiting. The child refuses food, looks sick, dizziness and loss of consciousness may appear. Sometimes such episodes are associated with brain diseases, so a consultation with a competent neurologist is required.

How to define acetone?

Typical symptoms indicate the appearance of ketones:

nausea,
vomit,
weakness,
characteristic odor of acetone from the mouth (reminiscent of a fruity aroma),
any attempts to feed or water the child cause new attacks.

Usually, parents of children suffering from frequent episodes of illness always have special test strips ready. Simple indicators at home allow you to determine the level of ketones in the urine and give an objective assessment of the effectiveness of measures taken to restore health. The amount of acetone can also be shown by a routine urine test, which the doctor prescribes in all suspicious cases.

The results make it clear what exactly is happening in the body. Thus, a high rate of ++++ with proper therapy decreases within a few hours. Most often, improvements occur immediately after a decrease in body temperature and removal of signs of intoxication. Acetone in the urine is extremely rare for more than 3 days. For the first episode of acetonuria, consultation with a pediatrician is mandatory! Here it is important to exclude serious pathologies, in particular diabetes mellitus in children.

How to remove acetone from the body?

The main rule is to drink a lot. It is advisable if it is still mineral water or a decoction of dried fruits (in the absence of a positive reaction to elevated blood sugar). If you can’t give your child something to drink due to regular bouts of vomiting, then you should move on to dosed water intake. Give 5-10 ml. every 5-10 minutes. Babies can be given liquid using a regular syringe.
The first day, fasting is highly advisable. This way, it will be easier for the body to cope with intoxication. For the next few days, you should stick to the most gentle diet possible.
Take a soda solution (5 grams per glass of water) in small sips throughout the day.
Do a cleansing enema. Perhaps also with a weak soda solution.
If there is no positive dynamics within 2 days, you should urgently seek medical help at a specialized hospital where the child will be given the necessary IVs. Medical attention will also be required if any attempts to give the baby something to drink fail or cause vomiting. Remember, dehydration is extremely dangerous!
Sometimes acetone can only be removed with an intravenous infusion of saline. Do not expect the condition to worsen; if your ketone levels are too high, call an ambulance or go to a medical facility yourself for infusion therapy.

ACETONE I will share my experience on how to reduce acetone in a child’s body.

HELLO GIRLS!!

I want to share my experience with you and tell you the true reasons for the appearance of acetone in the body of our children and its removal to the 0 mark, painlessly and quickly, without resorting to the help of doctors and, of course, without droppers.

You won’t believe it, and I wouldn’t have believed it myself if I hadn’t encountered this problem, the reason for the high acetone is crazy simple. It might also come in handy for you, maybe you could just recommend it to your friends and acquaintances, my sister and I have familiar mothers who have been dealing with this for years They fight with the ill-fated acetone, but in reality the wolf is not as terrible as they paint it.

I'm telling you.

My husband and I decided that at least until she was 3 years old, we should limit our daughter’s intake of sweets. You see, among our friends and relatives there are a lot of terrible, shocking examples of ruined children’s gastrointestinal tracts and the consequences arising from this - HEALTH RUINED BY DOCTORS CHILDREN THROUGH THE PRESCRIPTION OF BROAD SPECTRUM ANTIBIOTICS.

So, our dad and I did not give our precious child anything sweet and we strictly punished all the relatives. Mom even forbade me to sweeten the compote. AND IT TURNS OUT THAT I WENT OVER, THEY SAY: A LITTLE BIT OF GOOD, THIS IS THE CASE.

It turns out that children under 7 years old have practically no muscle mass, and glucose in the human body accumulates in the muscles and, let’s say, is STORED, contained. If a child is hyperactive or has a fever or is nervous, glucose in the baby’s body is spent at the speed of an hourglass, as soon as the body’s supply of glucose is exhausted, and the child’s body urgently needs it as an energy material, the body begins to pull it from internal reserves, through simple synthesis and dismemberment , i.e. a child's adipose tissue breaks down into glucose and the same ACETONE to meet the needs of the child's body.

But here’s the most interesting thing: the child received glucose, but he was also rewarded with acetone as a follow-up, hence the child’s bad breath. In the process of decomposition, acetone begins to irritate the mucous membranes, which leads to emetic spasms and vomiting, respectively. That’s how it worked out for us, they didn’t give us any sweets, they caused the child to vomit and couldn’t understand what was happening, there was no temperature, the stool was normal, in general, the doctors made us angry for a long time, scared us, etc. Well, you understand.

And I cured my daughter myself: I bought glucose at the pharmacy quietly, drank it for 4 hours and the acetone was completely gone - IRREVOCABLY. THE DOCTORS PRESCRIBED ALL MUCH MUCH, WOULDN’T GIVE IT, THROWED IT OUT, SAID I WOULD GIVE IT!

THIS IS WHAT THE DOCTOR HAS. And when they measured the acetone, the doctors told me: You see, WE CURED, AND YOU WOULD KILL THE CHILD.

And we found all the information in the medical reference book and Komarovsky has a program: ACETONE.

ACETONE has nothing to do with the pancreas or liver, as some people believe. and this is just a chemical. the process of decomposition of fat into glucose and acetone, due to a lack of glucose and the body’s need to replenish the required norm.

So, do not heal your children and filter every word of the doctors, double-checking their every word and the prescribed drug! The main drawback of our medicine is TERRIFYING CYNISM IN ITS SCALE. BE CAREFULL.

I would also like to add: At least 6 examples have already accumulated among our close friends who got rid of acetone irrevocably, but mothers and children suffered, believe it or not, for several years. There were regulars at children's clinics and they had cards like 1 Volume War and Peace.

Acetone can be exchanged (determined) independently at home by purchasing ACETONTESTS at the pharmacy. Price: within + - 10 UAH. (25 testers). One jar contains from 25 to 50 testers, it all depends on the manufacturer, packaging, and the price may vary accordingly, depending on the number of testers in the package.

BE HEALTHY AND GOOD LUCK.

March 14, 2013 at 01:16 pm

The opinions expressed in this topic represent the views of the authors and do not necessarily reflect the views of the administration.

Acetone in children, 6 important facts for responsible parents

Acetone in a child, acetone crisis, acetone in the urine, the smell of acetone from the mouth... all these words characterize the child’s condition and frighten parents, since theoretically everyone knows what to do and how.

When the situation concerns your child, there is panic and forgetfulness of the algorithm for getting the child out of this state. It is necessary to understand all the details, 6 facts that help responsible parents clearly know the course of action.

Fact #1 Who is susceptible to this condition?

Almost always these are active, restless children with a good memory. Their nervous system is a kind of paradox, expressed in this connection: the more active the child is, the faster he gets tired and exhaustion occurs.

Children under 10 months and adults do not suffer from an increase in acetone. The age from 1 year to 12 years is a period when parents must be extremely attentive and monitor the baby with special care to quickly detect an increase in ketone bodies in the blood (acetone).

Fact No. 2 Symptoms indicating developing acetone syndrome

overexcitement

loss of appetite and general weakness

drowsiness

headache

nausea and vomiting

lethargy and abdominal pain

heat

smell of acetone from the mouth and or in the urine.

Fact No. 3 How to determine the amount of acetone in urine?

To quickly determine the amount of acetone, you need to purchase an acetone test at the pharmacy.

It is a flask with stripes.

We read the instructions and check the expiration date, then open the flask and remove 1 strip, close the flask tightly.

We lower it into a pot or other container with urine, then put it in a dry place for 1-2 minutes. After this, we compare the color of the strip with the scale on the acetone test. Even the slightest increase in acetone is a reason to take urgent action.

An hour after urination, this urine will show a different level of acetone, erroneous, do tests right away.

Fact No. 4 First aid for the first symptoms of an acetone crisis

Plenty of warm sweet drinks. It can be: glucose, compote, tea, raisin decoction, water.

The problem of getting a child to drink is associated with acetone vomiting syndrome, which complicates the child’s condition, but you can try to cope with it.

To do this, feed the child in small portions of 5 ml, every 3-5 minutes. Rapid digestibility can be ensured by heating the drink to human body temperature.

Glucose can help relieve this syndrome; any glucose will do: in ampoules 40%, in bottles 10%, tablets.

Raisin water is 1 tbsp. raisins per glass of boiling water.

Sometimes you can come across recommendations to give your child Coca-Cola or alkaline water to drink; in these cases, you should be extremely careful and consult a doctor so as not to aggravate the child’s condition.

Fact No. 5 Home care or IVs in the hospital?

The decisive factor should be the child's urination, if you feed him so that he goes to the toilet every 2-3 hours, you can stay at home. Provided that the body temperature does not rise above 37.5 degrees.

Make sure he doesn't show any signs of dehydration. Namely: crying without tears, dry tongue, lack of urination for more than 6 hours, dry skin and mucous membranes.

Your task is to have time to give the child sweet water before vomiting begins, otherwise you should urgently go to the hospital by ambulance.

Fact No. 6 Prevention of acetone rising

Drinking plenty of fluids is a must after: any hysteria, stress, walks, training, outdoor games, during common colds or other diseases.
Correct diet; children susceptible to acetone elevation should be given sweets.
Regularly check the level of acetone in the urine and check for a specific odor from the mouth.
Consult with your doctor, who will tell you how to behave in your specific situation.

We hope that now you know exactly what actions and at what stage should be taken when raising acetone. We wish your little ones to stay healthy!