Pediatric Cooking Syndrome
Introduction
Introduction to Pediatric Cooking Syndrome Cooking syndrome (cookssyndrome) refers to a series of complex symptoms that occur after eating Chinese food, first reported by Kwork. Visible body sensation or facial, neck, upper chest, back and arms have "burning", "pressing", "tightening" or "numbness" and other abnormal feelings, accompanied by paroxysmal palpitations, known as Chinese restaurant syndrome. In the past, there was also a syndrome of excessive glutamate intake, which was also known for its delicious syndrome, Chinese headache, post-food Chinese syndrome, and Japanese restaurant syndrome. basic knowledge Sickness ratio: 0.001%-0.002% Susceptible people: children Mode of infection: non-infectious Complications: sinus tachycardia
Cause
Causes of Pediatric Cooking Syndrome
(1) Causes of the disease
The cause of this disease is not known to be related to eating Chinese food.
(two) pathogenesis
Ingestion of Chinese food (25%):
Some scholars believe that high sodium in Chinese food produces temporary hypernatremia, which causes intracellular hypokalemia, which causes muscle paralysis, palpitations, thirst and vascular headache. Many reports suggest that oral monosodium glutamate (monosodium glutamate MSG) is the disease. The etiology has been tested to show that a single intake of MSG more than 1.5g can cause disease (most people take 5 ~ 6g up to 12g) and the threshold of onset of intravenous injection of MSG is 125mg, the greater the intake, the more severe the symptoms In the investigation, although some people who ate 21g of MSG still had no disease, Ghadimi and others thought:
1 The symptoms are similar to the symptoms and signs induced by acetylcholine;
2 The role of anticholinergic agents and cholinesterase inhibitors supports the hypothesis that this symptom is a "temporary" acetylcholine disease;
3 The pattern of plasma cholinesterase activity in induced acetylcholineemia is similar to that after ingestion of MSG. Gore et al. believe that it is not simply due to the intake of MSG but the result of ingestion of MSG and other unrecognized substances or Results from the intake of certain substances that are completely unrelated to MSG
Genetic factors (6%):
There are also hereditary and individual differences. L-glutamate is a neuro-humoral transmitter with a large amount of central nervous system. It is harmless to the human body but gives a large amount of L-glutamic acid to animals. It has various effects: it can cause necrosis of the brain, especially the hypothalamus; it can cause obesity and endocrine gland lesions in mature mice; it can cause sleep and myoclonic seizures and tonicity in rats and mature dogs. The abnormal EEG of the sputum and sputum sputum also proves that pyridoxine (vitamin B6) can aggravate this abnormal change. This may be caused by the ingestion of L-glutamic acid and the production of -aminobutyric acid (GABA) and pyridinium phosphate. The metabolism of alcohol is abnormal, but its effect on the human body is not necessarily the same as that of animals.
In 1993, the 19th meeting of the FAO and WHO Experts on Food Additives announced that MSG is harmless can abolish the previous regulations on the restrictions on adult consumption of MSG. It is a reliable food additive other than infants within 1 year of age. The conclusion that the children are edible is based on extensive research. It is found that the "Chinese restaurant syndrome" is not due to the Chinese cuisine, but the MSG is caused by the contamination of the food by Bacillus cereus. Performance is stable and there is no need to worry about deterioration and toxicity.
Prevention
Pediatric cooking syndrome prevention
The key to preventing "delicious syndrome" is to prevent overeating. For children who are growing up, educate them. Delicious food should not be eaten too much, too full, especially to control high-protein foods such as seafood, meat and fish. Excessive intake in a short period of time, in order to prevent increased gastrointestinal burden, increase bile secretion and blood viscosity, induce various diseases. Another key to prevention is to pay attention to the proper mix of food. Regularly eat cellulose-rich vegetables to promote gastrointestinal motility and accelerate the excretion of toxic and harmful substances in the body. When cooking dishes, do not add or add MSG and chicken essence to prevent excessive sodium glutamate, which leads to aggravation of the symptoms of delicious syndrome. Once the above symptoms appear, you don't have to panic. If you have a quick rest, you should seek medical advice in time to prevent delays.
Complication
Pediatric cooking syndrome complications Complications sinus tachycardia
Can be complicated by palpitations and sinus tachycardia, dizziness, transient consciousness, and severe headache and vomiting. Sinus tachycardia, the most common type of tachycardia, is often associated with sympathetic excitation and decreased vagal tone. It is not a primary arrhythmia and can be caused by a variety of causes. Physiological conditions may be caused by exercise, anxiety, and emotional agitation, and may also occur after administration of drugs such as adrenaline and isoproterenol. It is highly prone to fever, hypovolemia, anemia, hyperthyroidism, respiratory insufficiency, hypoxemia, hypokalemia, heart failure and other heart conditions.
Symptom
Symptoms of Pediatric Cooking Syndrome Common Symptoms Scapula with "Simulation" Eyelid pain Facial numbness, tears, chills, sweat, and sexual consciousness
The patient developed symptoms 10 to 45 minutes after each meal, and also occurred 30 minutes to 1 hour after eating. There are many clinical manifestations, and the symptoms of each patient are different. The following aspects are summarized:
1. Head symptoms include slamming, beating, pliers, blunt pain, banding headache, seeing headache, acne headache, constrictive headache; neck tingling and backwards , upper back, forearm release; tearing, periorbital fibrous contracture, sputum pain, sturdy tension, masseter muscle, tendon muscle tension; face with cold sweat, tight numbness, flushing, tingling and warming Feeling; the numbness of the jaw is released to the subject.
2. The symptoms of the subject are cauterized or numb, radiating to the arms, chest and back. The muscle pain is radiated to the shoulders, shoulder blades and the upper part of the spine.
3. Upper limbs feel abnormal 2, triceps pain, shoulder strap "simulation".
4. Chest symptoms Chest cold sweat, discomfort under the sternum.
5. palpitations and sinus tachycardia.
6. Other body burnout, sometimes dizziness, guilt and nausea, severe sexual consciousness and severe headache and vomiting.
Examine
Pediatric cooking syndrome check
Laboratory tests generally have no specific findings, and ECG, EEG, and brain CT examinations are performed when necessary. Electrocardiogram is one of the most commonly used tests in the clinic and is widely used. Applications include: recording the electrical activity of the normal heart of the human body to help diagnose arrhythmia to help diagnose myocardial ischemia, myocardial infarction, to diagnose the location of myocardial infarction, to diagnose the heart enlargement, to judge the effect of drugs or electrolytes on the heart.
Diagnosis
Diagnosis and diagnosis of pediatric cooking syndrome
diagnosis
Diagnosis can be made according to the above-mentioned clinical manifestations after eating Chinese food or a meal cooked in traditional Chinese way, and closely observing the symptoms and rapid improvement of symptoms.
Differential diagnosis
This symptom has neither fever nor diarrhea, but is characterized by neurological symptoms. Comprehensive medical history and epidemiological investigation data should be combined with acute food poisoning and food allergy. The severity of clinical manifestations is related to the strength of allergens in food and the susceptibility of the host. 1. IgE-mediated food allergy clinical symptoms appear faster, can be a few minutes after eating to 1 ~ 2h. Sometimes a very small amount can cause very serious allergic symptoms. In terms of the order in which symptoms appear, the earliest appearances are often skin and mucous membrane symptoms. Respiratory symptoms such as asthma appear later or do not appear, but severe cases are often accompanied by respiratory symptoms, food-induced asthma is more common in infants, in addition to inhalation, generally combined with other allergic symptoms.
