Lavorando anche in un Pronto Soccorso con l’accesso pediatrico, negli anni mi è capitato ovviamente di imbattermi nelle più svariate patologie ma anche in tanti bambini portati per il classico “callo al dito”. E di questi accessi impropri mi sono sempre lamentata con il mio responsabile ricordando di quando eravamo piccoli noi, non esistesse neppure il pediatra di base ma solo il medico di famiglia. Durante uno di questi dialoghi quando aspettavo Supernano mi disse “parli adesso, ma vedrai, poi appena farà la prima cacca verde correrai anche tu”. Mi misi a ridere e la considerai una provocazione, ma poi effettivamente mi trovai di fronte al viraggio dei colori delle feci. E mi documentai.
Le feci in un neonato nei diversi periodi della crescita possono presentarsi di svariati colori per diversi fattori: alimentazione, flora intestinale, eventi patologici transitori o cronici.
Il colore dei primi giorni è il verde scuro del meconio: è dovuto dalla alta quantità di bile, muco, cellule parete intestinale, liquido amniotico. Tale colore è normale i primi giorni di vita ed è la conferma che tutto funziona alla perfezione.
Successivamente si potrà notare come il colore tenda ad un giallo vivo, le feci appaiono di consistenza molle con presenza di piccole raccolte bianche grumose; altro sfumatura di giallo, più scuro si puo’ verificare in quei neonati che vengono allattati artificialmente con il biberon. Quando la dieta inizia ad essere costituita da cibi solidi il colore predominante è il marrone; tuttavia va ricordato come in questa fase si possano alternare alcuni episodi in cui il colore può variare, con presenza di feci biancastre o chiare.
La ricomparsa del colore verde durante la fase di alimentazione con cibi solidi, non è associata ad alcuna anomalia, ma magari da imputare alla presenza di verdura nella dieta. casi patologici si possono riscontrare in quei casi in cui al colore verde si associ diarrea: si potrebbe trattare di gastroenterite acuta.
Altre forme di colore possono essere legate a problemi più seri, che possono interessare l’apparato digestivo, ed in particolare l’intero intestino:
- Feci di colore nero, possono essere dovute a verdure molto ricche di ferro, o a presenza di sangue digerito (melena) nelle feci.
- Feci di rosse, ovvero con presenza di sangue; piccole quantità di sangue possono essere presenti a causa di piccole lesioni che riguardano l’ultimo tratto dell’intestino, in genere nel retto, oppure dovute a colite causata in genere da intolleranza alimentare. Talora possono esservi striature di sangue nei bimbi stitici in presenza di ragadi anali.
- Feci gialle, ovvero con presenza di muco: il muco è fisiologicamente presente nell’interno dell’intestino in alcuni periodi può essere più abbondante e quindi rivestire le feci del piccolo, anche questo episodio se protratto nel tempo merita un approfondimento clinico.
io le voglio vreede le principesse! Davvero Anna…saranno gli anni, la primavera, la depressione pensionello…ma queste dolcezze ti scaldano il cuore e avresti voglia di mangiarle di baci. Poi magari quando sono grandi ti penti di non averle mangiate.Belle bimbe…complimenti alle mamme e …vabbe8 dai anche ai pape0.un abbracciomarina
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