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The primary acetonemic syndrome is differentiated from the secondary form, as well as intestinal infection, neurosurgical pathologies, appendicitis and coreg pills. Narrow specialists are invited for consultation: a gastroenterologist, an endocrinologist, a neurologist, an infectious disease specialist.

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When identifying secondary ketoacidosis, it is important to establish the cause of the formation for the choice of tactics of therapeutic measures.

Treatment of acetonemic syndrome.

The task of treating acetonemic syndrome in children during a crisis is to eliminate dehydration, restore electrolyte balance, and stop vomiting attacks. During periods of rest, therapeutic measures are to prevent the development of the condition with the help of maintenance therapy and prevention.
When ketoacidosis is detected, the child is placed in a hospital and the following measures are taken: In the case of a secondary form of ketoacidosis, etiotropic treatment of coreg disease is carried out.

Fluid therapy is indicated for persistent vomiting and moderate to severe dehydration. Intravenous infusion of glucose and alkaline solutions has the following effects: helps eliminate dehydration; improves fluid microcirculation in the body; helps more efficient absorption and metabolism of readily available carbohydrates; restores acid-base balance. Proper treatment allows you to cope with the manifestations of coreg syndrome in 2-5 days.

In the periods between attacks, children prone to acetonemic crises are monitored by a pediatrician, a pediatric endocrinologist is involved, since there is a risk of developing diabetes. The course is assigned: therapeutic massage; multivitamin complexes and calcium preparations; enzymes and hepatoprotectors; sedatives. Twice a year, blood glucose is monitored, ultrasound of the abdominal cavity and kidneys is carried out. A coprogram (a comprehensive analysis of feces) is required to detect changes in the functioning of internal organs.

  • Proper nutrition for acetonemic vomiting in children is the basis for the treatment and prevention of seizures, so you need to revise the menu and make the right diet
  • Permitted foods include sour-milk products and milk, potatoes, cereals, eggs.
  • Lean beef, chicken breasts, turkey, rabbit are suitable for meat. Fish can be boiled, soups - on vegetable broths.
  • The diet includes carrots, beets, fruits and berries, fresh fruit drinks and dried fruit compotes.
  • Of citrus fruits, grapefruit and lemon are not prohibited, as they support the alkaline reaction of urine.
  • Feed the child fractionally, food is given in small portions.
  • Dishes are best steamed, baked or boiled. Sufficient fluid intake is necessary: ​​1–1.5 liters per day.
  • Prohibited foods include fatty meat (especially young animals) and fish, saturated bone and meat broths, offal (kidneys, brains, liver).

You should not give mayonnaise and sour cream, smoked and canned foods, legumes, pickles, because of the increase in acidity, kiwi, currants, rose hips are undesirable. Do not allow long breaks between meals (no more than 3 hours).

When compiling a diet menu, it is necessary to identify which foods the baby's body reacts negatively to, in this case they are strictly limited. Fats are not completely removed from the diet, they are replaced by 2/3 with vegetable oils. Since carbohydrates burn fats, they are combined when preparing dishes: butter is put in porridge, cutlets are allowed only with vegetable stew or a side dish of cereals.


With acetone syndrome, folk recipes are used to prevent attacks of vomiting when the smell of acetone appears. To replenish the balance of electrolytes, plentiful sweet drinks are recommended. Use herbal decoctions and infusions:

Coreg (Carvedilol) Prescriptions

Dry grass of lemon balm (1 tablespoon) is poured into a thermos, poured with boiling water (Carvedilol 25mg), insisted for 2 hours. Filter, take 25 ml throughout the day 6 times.


Peppermint (1 tablespoon) is poured with a glass of boiling water, the dishes are covered with a lid and wrapped. After 2 hours it is filtered, the broth is taken 4 times a day in a spoonful. Mix a spoonful of dry raw materials of lemon balm, catnip, thyme, pour hot water (400 ml). Stand in a water bath for a quarter of an hour and filter. Divided into equal portions, the entire composition is drunk per day.

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Primary (idiopathic) acetonemic syndrome occurs in 4-6% of children, mainly with uric acid diathesis (MD) aged 1 to 12-13 years and is characterized by permanent hyperuricemia and periodic metabolic (acetonemic) crises, the main manifestations of which are ketoacidosis (often hypoglycemic ), hyperketonemia, acetonuria. Very often (about 90% of cases) in the structure of crises, repeated vomiting is observed, which is defined as acetonemic. A correct understanding of the features of MD allows a qualified approach to solving the issues of etiopathogenesis and treatment of AS, avoiding acetonemic crises (AC).


These include: decompensated diabetes mellitus, insulin hypoglycemia, renal glucosuria, glycogen disease, thyrotoxicosis, infectious toxicosis, toxic liver damage, hyperinsulism, traumatic brain injury, brain tumors in the sella turcica, X-histiocytosis, Itsenko-Cushing's disease, leukemia , hemolytic anemia, starvation. The clinical picture depends on the underlying disease, which is superimposed on ketonemia and manifestations of typical or atypical gout.


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carvedilol in children occurs much more often than in adults, and this is facilitated by reduced tolerance to fats, more intense processes of glycolysis and lipolysis due to increased energy needs. It should be emphasized that a number of diseases in children are accompanied by hyperketonemia, which should be considered as a secondary acetonemic syndrome.

Diagnosis of acetonemic syndrome. Acetonemic syndrome is characterized by the presence of ketone bodies in the blood: acetone, acetoacetic acid and b-hydroxybutyric acid, which are products of incomplete oxidation of fatty acids and are formed during the breakdown of ketogenic amino acids. Ketonemia is always accompanied by acetonuria and leads to the accumulation of ketone bodies in the tissues, the development of metabolic acidosis.

In the conditions of coreg pills socio-economic development of society, which entailed a technological and environmental catastrophe, the problem of diseases of civilization arose, which, in fact, are diseases of adaptation. Along with hypokinesia, obesity, endocrinopathies, vegetativevascular dysfunctions, neuroses and psychopathies, acetonemic crises can also be attributed to dysadaptoses, which manifest themselves in childhood and are regarded by most pediatricians as acetonemic syndrome.

If a child constantly has bouts of vomiting, it is important for parents to feed him properly, carefully monitor his health, and control the concentration of ketone bodies so as not to miss the recurrence of crises.

To determine the concentration of ketone bodies at home, parents need to use special test strips. The express method allows you to timely determine the increase in metabolic products in the urine on a color scale and not miss the decrease in carbohydrates and the onset of a crisis.

Adhere to a healthy diet with limited fat. Avoid overwork, emotional overload. To prevent infectious diseases, timely vaccination and hardening procedures are recommended. Organize a daily routine with rest and walks, sleep for at least 8-10 hours, for preschoolers a quiet hour is required. Provide optimal physical activity, it is necessary for the growth of muscle tissue and increase glycogen. But you need to make sure that the child does not overstrain.

The prognosis for acetonemic syndrome is favorable, with timely access to a doctor and following the recommendations, it is possible to stop vomiting and reduce the frequency of occurrence of crises. As the child grows older, usually at the onset of puberty, the symptoms disappear completely. To prevent the development of seizures in children, it is important to observe the following rules:

If the method did not help and vomiting still began, you should consult a doctor.

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