Han's mother reported that two months prior, her daughter began experiencing abdominal pain, loose stools, and occasional blood. Han had taken probiotics and painkillers for digestive disorders and gastritis, but her condition did not improve.

At Tam Anh General Hospital, Ho Chi Minh City, Dr. Lam Boi Hy, from the Pediatrics Department, diagnosed Han with terminal ileal ulceration, gastritis, and gastroesophageal reflux. She prescribed intravenous antibiotics and supportive fluid therapy. After 7 days, Han's abdominal pain, vomiting, and bloody stools significantly reduced, and she was discharged.

According to Dr. Boi Hy, stress during exam season and irregular eating habits can lead to gastritis and reflux esophagitis in Han. Her bloody stools may stem from terminal ileitis, a condition rare in children. This condition has various causes, including gastrointestinal infections or chronic enteritis.

If left untreated, prolonged bloody stools can lead to chronic anemia, causing fatigue and reduced academic performance. Intestinal inflammation lasting over two months also impairs nutrient absorption, hindering physical development. Uncontrolled, the condition risks recurrent episodes and becomes difficult to treat. Some cases develop complications like deep ulcers or bowel strictures, requiring intensive medical treatment or surgical intervention.

Dr. Boi Hy checks Han's health one week after discharge. *Photo: Tam Anh General Hospital*

During a follow-up visit one week later, Han reported no abdominal pain, ate normally, and slept soundly.

The doctor noted that pediatric enteritis often has an insidious onset, with symptoms easily confused with common digestive disorders. Therefore, parents should seek specialist medical attention immediately if a child experiences prolonged abdominal pain, recurrent vomiting, bloody stools, or weight loss, to ensure timely and proper treatment.

Minh Tam

*Patient's name has been changed