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Störungen der Motilität

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Pädiatrische Gastroenterologie, Hepatologie und Ernährung

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Ein weinender, schreiender und nach dem Eindruck der Eltern möglicherweise durch Schmerzen geplagter junger Säugling führt bei den Eltern zu großer Besorgnis und Unruhe. Für die Eltern kann ein über mehrere, insbesondere nächtliche Stunden schreiender Säugling eine große psychische und physische Belastung bedeuten. Es kann zu Störungen der Paarbeziehung und auch zur Ausübung von Gewalt gegen das Kind kommen. Beim Kinderarzt werden die Kinder typischerweise wegen »Bauchkrämpfen« vorgestellt; der Arzt sollte sicherstellen, dass keine ernsthafte Erkrankung vorliegt (⊡ Tab. 8.1). Organische Ursachen werden in höchstens 5% der Fälle diagnostiziert. Neben der sorgfältigen Untersuchung besteht die wesentliche Aufgabe des Kinderarztes in Aufklärung, Beratung und Hilfeleistung für die Eltern. Klassische Trimenonkoliken sind in der Mehrzahl der Fälle nach 3-4 Monaten selbstlimitierend. In den Familien existieren zahlreiche »Rezepte«, um eine symptomatische Besserung zu erzielen; eine gesicherte medikamentöse Behandlungsoption besteht derzeit jedoch nicht. In einigen Kliniken gibt es spezielle Schreisprechstunden, in denen sich ein multidisziplinäres Team um die Problematik kümmert.

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Author information

Authors and Affiliations

  1. Kinder- und Jugendmedizin, St.-Marien-Hospital, Robert-Koch-Str. 1, 53115, Bonn-Venusberg

    S. Buderus Dr.

  2. Kinderklinik und Poliklinik, Dr. von Haunersches Kinderspital, Lindwurmstr. 4, 80337, München

    S. Koletzko Prof. Dr.

  3. Universitätskinderklinik, Hufelandstr. 55, 45122, Essen

    A. Ballauff Dr.

Authors
  1. S. Buderus Dr.
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  2. S. Koletzko Prof. Dr.
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  3. A. Ballauff Dr.
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Editor information

Editors and Affiliations

  1. Klinik für Kinder- und Jugendmedizin, Marienhospital Osnabrück, Johannisfreiheit 2-4, 49074, Osnabrück

    Burkhard Rodeck

  2. Universitätsklinikum Gießen und Marburg GmbH Zentrum für Kinderheilkunde und Jugendmedizin Abt. Allgemeine Pädiatrie und Neonatologie, Justus-Liebig-Universität, Feulgenstr. 12, 35385, Gießn

    Klaus-Peter Zimmer

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Buderus, S., Koletzko, S., Ballauff, A. (2008). Störungen der Motilität. In: Rodeck, B., Zimmer, KP. (eds) Pädiatrische Gastroenterologie, Hepatologie und Ernährung. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-73969-2_8

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  • DOI: https://doi.org/10.1007/978-3-540-73969-2_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-73968-5

  • Online ISBN: 978-3-540-73969-2

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