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projectile postprandial, non-bilious vomiting, and progressive in severity
and frequency. This usually begins after two to three weeks of age. There's
an olive shaped mass palpable in the right upper quadrant. Peristaltic
waves are visible across the abdomen after feeding. There's an insatiable
hunger with weight loss and dehydration. Depending on duration of
symptoms, hypokalemia, and hypochloremia, and metabolic alkalosis can
occur. And this may be associated with hyperbilirubinemia and mid gut
malrotation, or absent or hypoplastic mandibular frenulum.
Risk factors of pinworm infection
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, family contact, primary caregivers of infected children, daycare center
attendance, or institutional residence. School aged children are at highest
risk. This is also common in parents, age 30 to 39 years, due to transmission
from their children. Boys are affected twice as often as girls, except in
children, five to 14 years. In this age range, infection is more common in
girls. Other risk factors are poor hygiene and improper hand washing,
crowded living conditions and warm climate.
Risk factors of colic
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maternal smoking, increased maternal age and being the first born child
Parent education on pinworms
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about careful hand washing and hygiene, washing the clothing and
bedding in hot water at the time of treatment, and daily for two to three
weeks. Discourage scratching, keep the hands away from the face and
mouth, and avoid sleep overs with infected children.
Non pharm treatments for functional abdominal pain
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