Pediatric Gastrointestinal Issues in LDS (August 27, 2020) E3 Summit
49:50-51:33
Q:
Next question my son with Loeys-Dietz gets sick or vomits at least a couple times a week. Should he be seeing a gastroenterologist or is this common?
LDSの息子は週に最低2～3回は具合が悪くなって、吐いてしまいます。消化器専門医を受診すべきでしょうか？嘔吐は一般的な症状なのでしょうか？
A:
Super common but if he's actually vomiting twice a week he should have at least a visit with a gastroenterologist to make sure there aren't more serious things going on.
嘔吐は非常によくみられる所見ではありますが、週に2回も吐いてしまうということなら、消化器専門医にかかり、より深刻な病気が隠れていないか調べてもらったほうがいいでしょう。
There are some anatomical issues that should, they should make sure that you don't have and there are some testings that should be done not necessarily endoscopy, there are a few x-ray tests I can think of that should be done.
身体構造上の問題がある可能性もありますし、受けるべき検査もあります。内視鏡検査以外に思いつくところでは、レントゲン検査をいくつか受けていただきたいと思います。
But especially if that vomiting is interfering with his ability to gain weight, if you have vomiting that's interfering with the ability to gain weight you should definitely be seeing a gastroenterologist or if you're having trouble gaining weight in general.
特に嘔吐が体重が増えない原因となっているということであれば、確実に消化器専門医を受診してください。
You know, that's one of those things I know people with Marfan's disease and Loeys-Dietz syndrome you have a lot of doctors that you see and I hate to sort of toss another appointment in your list of things to do. But it, but if, you know, there is a low body mass index, if your dexa is low, you know, each of your doctors is focusing on one thing and in that appointment, you know, there's only so many things you can pay attention to in an appointment
Marfan症候群やLoeys-Dietz症候群の患者さんは、多くの診療科にかかる必要があることは私もわかっています。そうした診療科の優先順位についてとやかく言うつもりはありません。ですが、BMIが低いとか骨密度が低いなどのように、各診療科で問題として取り上げることができるのはごくわずかな項目に過ぎません。
And having somebody on your team who's focusing very specifically on the nutrition and only looking at the nutrition can be very helpful if that's a big problem and one of the problems you're trying to address.
もしも、栄養面に大きな問題があり、それを解決しなければならないということであれば、自分の担当チームに栄養面に特化した専門家がいるということは大きな助けとなると思います。
The Marfan Foundation did not participate in the translation of these materials and does not in any way endorse them. If you are interested in this topic, please refer to our website, Marfan.org, for materials approved by our Professional Advisory Board.
The Marfan Foundation は、当翻訳には関与しておらず、翻訳内容に関してはいかなる承認も行っておりません。このトピックに興味をお持ちの方は、Marfan.org にアクセスし、当協会の専門家から成る諮問委員会が承認した内容をご参照ください。
