In 5 main causes of generalized edema in children (1) , we talked about
the Renal , Cardiac and allergic causes , and how for the mother to
differentiate between the diferrent types of edema and its causes . In this
article we will talk about the other causes of generalized eema in children
which are Hepatic causes ( causes
related to the liver ) and Nutritional causes
of generalized edema . .jpg)
4-Hepatic : causes related to the liver leading to edema is very characteristic
clinically in any child or even adult with generalized edema and can be
confirmed easily by investigations for the enzymes of the liver and other liver
function tests . The patient will be jaundiced ( which is yellow discoloration
of the skin and the mucous membranes all over the body ) , also other
manifestation of liver affection may be present as pain the site of the liver (
the right hypochondrium ) . Also ascites is a common manifestation in the edema
caused by liver disease . .jpg)
5-Nuritional ; nutritional causes of generalized edema in children is
now in developed countries a rare cause , but in many developing countries
nutritional causes of generalized edema is still a common cause . Examples of
nutritional causes is deficiency In the protein content of the diet and other
aggressive disease which is common in Africa as Marasmus , Kwashiorkor and
Marasmic Kwashiorkor . Cause of edema is mainly deficiency in the protein in
diet leading to decreased protein in body fluid , this leads to increase in the
infiltration of the fluid from inside the vessel to outside , and by effects of
hormones as ADH ( anti diuretic hormone ) and Aldosterone , the retention of
salt and water increases inside the body . Edema is usually in the most
dependent parts of the body in the sole
of the foot and then ascends . 
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