A two-and-a-half-year-old girl, Duoduo, was hospitalized for stomach bleeding due to Helicobacter pylori (HP) infection. The doctor said that it is very rare for Duoduo to suffer from gastric bleeding at his age. The hospital receives about 20 children with gastric bleeding every year, but they are usually 5 to 14 years old. Small ones like Duoduo are relatively rare. How could such a young child be infected with Helicobacter pylori? The whole family took a breath test. As a result, grandma\’s HP value increased significantly. The doctor said that this was generally related to her usual unscientific eating habits. The doctor asked the family how they usually fed the child. At this time, the grandma told the truth: \”Sometimes, she keeps chewing meat, so I bite off some and give it to her. Sometimes she sees my bowl If she wants to eat the food inside, I will feed her directly with my chopsticks.\” Now, the mystery was solved. Grandma was infected with Helicobacter pylori, and she chewed and fed Duoduo. Duoduo was young, had weak resistance, and the mucosa of the stomach was relatively fragile, so she became infected. Over time, gastric ulcers develop and, over time, cause gastric bleeding. After the truth was revealed, the family regretted it! What exactly is Helicobacter pylori? Helicobacter pylori (HP) is the main cause of chronic gastritis and peptic ulcer. This kind of bacteria can live in the patient\’s gastric juice for a long time and gradually erode the gastric mucosa. Infected people will experience symptoms such as pantothenic acid, belching, and abdominal pain. Severe long-term infection may lead to gastric ulcers, gastric perforation, and even cancer. If the baby is infected, it will lead to chronic gastritis and peptic ulcer. It may also lead to iron deficiency anemia, anorexia and thrombocytopenia in children, and even cause growth and development retardation in children. Helicobacter pylori has become a major public health problem in my country. In patients with chronic active gastritis, the detection rate of Helicobacter pylori is 95%~100%; in patients with duodenal ulcer, the detection rate is 85%~95%; in patients with gastric ulcer, the detection rate is 70%~ 80%; the detection rate among gastric cancer patients is about 80%. Research on gastric diseases in children has confirmed that the main pathogen causing gastritis and gastric ulcers in children is Helicobacter pylori. my country is an area with a high incidence of Helicobacter pylori infection. The infection rate of Helicobacter pylori in children is 25% to 64.39%. Once infected, the bacteria will be carried for decades, and the natural eradication rate is low. What are the routes of transmission of Helicobacter pylori in children? Helicobacter pylori is a typical bacterium that \”diseases enter through the mouth\”. The specific transmission routes are: oral-oral transmission and fecal-oral transmission. ① Oral-oral transmission is through close contact between people, mouth-to-mouth kisses between adults and children; during family meals, using your own chopsticks to pick up food for children; chewing rice with your mouth to feed children; giving food to children When feeding, use your mouth to blow on the rice to cool it down, and the saliva will be brought to the food; children use adult water cups, toothbrushes, towels, washbasins, etc., which are easy to stain with saliva. The above behaviors often occur in our daily parenting and family life. Therefore, Helicobacter pylori is most widely spread among families. If a family member has the above behaviors, please try to correct them. ② Fecal-oral transmission Fecal-oral transmission through contaminated food and water sources is the main transmission route of digestive tract infectious diseases. In layman\’s terms, that isDiseases are transmitted by eating food and drinking water contaminated with feces containing pathogens. Helicobacter pylori may be spread through this route. Therefore, we must pay attention to this aspect of hygiene in our home life. Regardless of whether you are an adult or a child, you must wash your hands before eating and after using the toilet, and the toilet must be cleaned frequently. In addition, a survey showed that the number of bacteria in toilet faucets is 44 times that of toilet seats! Therefore, in addition to the toilet at home, it is best to clean the sink and faucet in the toilet every day. What are the common symptoms of Helicobacter pylori in children? Symptoms of infection: Many infected children appear as \”asymptomatic carriers.\” After children are infected with Helicobacter pylori, if the infection is not serious, they will have intermittent abdominal pain or dull pain during the infection. If the infection is more serious, severe pain will occur. Generally speaking, the time of occurrence of pain is irregular and occurs repeatedly. In older children, pain often occurs in the upper abdomen or around the belly button, while in younger children, pain usually occurs around the belly button. The relationship between pain and diet in children infected with Helicobacter pylori is not obvious, but the vast majority of patients will develop pain after a meal or while eating. Patients infected with Helicobacter pylori are often accompanied by loss of appetite, diarrhea, constipation, nausea, abdominal distension, etc., and a few patients may also experience black stools or vomiting. Observing the tongue coating of child patients, white and greasy or map-like tongue coating is often found, accompanied by bad breath or taste. If infants and young children are infected with Helicobacter pylori, they will develop a series of gastrointestinal symptoms such as indigestion, chronic diarrhea, and vomiting. During the infection period, patients will also experience anemia, weight loss, malnutrition, and delayed growth and development. ① Helicobacter pylori is transmitted through saliva. If an adult is found on the test, it means that the adult was infected under the age of 5. ② People infected with Helicobacter pylori have a 10-20% chance of developing peptic ulcers in their lifetime, and only a 1-2% chance of developing gastric cancer. Although people who are positive for Helicobacter pylori are more likely to suffer from stomach problems than healthy people who are not infected, it does not mean that they will definitely get the disease. Similarly, people with stomach problems do not necessarily have Helicobacter pylori infection. But one thing is certain: for people at risk of gastric diseases and gastric cancer, killing and inhibiting Helicobacter pylori can help prevent gastric cancer! ③ If a child is infected with this disease, first share meals and share chopsticks, and then ask the doctor when it is appropriate to perform sterilization treatment. Adults should also check to see who has it, and then go for sterilization treatment. The incubation period of Helicobacter pylori is very long. Generally, the age of 35 is the period when carriers of this bacteria will experience an outbreak, and the age of 60 is the period of high incidence of cancer. ④ Do not usually feed mouth-to-mouth or chew the food. If the food is too big for the child to bite, you can buy food supplement scissors to cut the food into small pieces, or when cooking the child\’s food, cut the ingredients into smaller pieces; for adults and children Use separate tableware, and try to use serving chopsticks when picking up food; do not feed your children spicy or irritating food; and one more thing, parents should not kiss their children mouth-to-mouth.The method is also susceptible to infection. ⑤ If you or your family members have a bad stomach, it is recommended to go to the hospital to do a breath test to detect whether you are infected with Helicobacter pylori. This is also responsible for the baby and the whole family!