syndrome in children

How can one recognize acetonemic syndrome in a child?

Each child can manifest this condition in a different way, but the attacks, so-called acetonemic crises, have typical symptoms:

Abdominal pain and cramps, poor appetite up to refusal from food (even favorite dishes), bowel disorders (constipation or diarrhea)

Acetone smell from the mouth, from vomited matter, urine, and cutaneous coverings

Increase of body temperature to 37.5-38.5°С

Nausea, possibly repeated and continuous vomiting, which begins with any attempt to feed or water the child, and leads to dehydration

Dehydration and intoxication signs (the child is sluggish, skin turgor is reduced, skin is pale with a blush on the cheeks)

Headache, whining and protervity, agitation and anxiety, which alternate with apathy, drowsiness and weakness

In repeated acetonemic crises, experienced parents can prevent its development by taking several preventive measures, including the use of Betargin at the recommended dose and administration regimen (see instructions for use), due to which the child’s condition improves significantly, and vomiting may not occur. In extreme cases, the crisis will resolve sooner without any complications.

Acetonemic syndrome diagnostics at home
setting using acetone test stripes:

  + or ++ mild crisis (can be treated at home, with mandatory execution of all doctor’s prescriptions)

+++ 400-fold elevation of blood ketones level

++++ 600-fold elevation of blood ketones level.
3 and 4 pluses require inpatient therapy

How can acetonemic syndrome be managed?

In children with frequent acetonemic crises, their recurrence should be avoided. It is recommended to change a child’s daily routine, introduce reasonable physical exertion, outdoors activities, avoid overstrain, eliminate stress as far as possible, as tension in the nervous system can cause acetone increase in a child’s blood. Be sure to be attentive to the child’s nutrition: he or she should not be overfed or kept hungry for a long time; it is better to divide meals by 4-6 times a day, in small portions, and reduce the amount of animal fat in the diet. If acetone smell from the mouth appears, it is advisable to take measures to prevent the progression of this condition. In this case, it is recommended to use Betargin in pediatric dosage form – 10 ml sachets, No. 5 in a pack.

Nutrition recommendations for acetonemic syndrome

Split meals in small portions 5-6 times a day are recommended, as well as consumption of alkaline mineral water for alkalization of urine, at the rate of 3-5 ml/kg 3 times daily for 1 month.

To be excluded

fatty meats and young poultry meat;

concentrated broths and beef teas, offal (liver, kidney, heart, tongue), some fish varieties (sardines, anchovy, sprats, cod), smoked products;

mayonnaise, mushrooms, legumes (peas, beans, soybeans, lentils), vegetables (eggplants, tomatoes, peppers), greens (sorrel, spinach, parsley), sour fruit (oranges, cherries, apples);

chocolate, pastries with cream and various fillings;

concentrated juices, caffeinated beverages (tea, coffee), sweet carbonated soft drinks.


low-fat meats of adult animals (rabbit, turkey, beef, lean pork), lean fish;

fresh vegetables (carrots, potatoes, cucumbers, cabbage, radishes, onions);

berries and fruit (grapes, watermelon, apricot, peach, plum, pear, sweet apples);

cereals (oatmeal, buckwheat, corn);

fermented milk products, nuts, honey, sugar;

dried fruit compote, jelly.

Recommended dosage regimen


Children aged 3 years and more with acetonemic syndrome – take the contents of 2 sachets per day (in the morning and in the evening). Dilute the contents of 1 sachet in ½ of a glass (100 ml) of drinking water at room temperature and take 1 teaspoon every 10-15 minutes.

The child has acetone elevations associated with viral infection; it rises sharply, up to convulsions. Should Betargin be taken only when acetone is detected, or somehow as a prophylaxis? Victoriia, 27.05.17

Betargin is recommended to be taken when acetonemic syndrome is developingm or when symptoms-precursors of acetonemic crisis appear. Since you know and associate an increase in acetone with viral infections and fever, you can start taking it without waiting for the symptoms to appear.

Stay healthy!


The child is 7 years old, his acetone increased, and the doctor prescribed Betargin. For how many days should it be taken? We have been taking it for two days in the morning and in the evening… Victoriia, 13.05.17


As a rule, with proper split use in acetonemic syndrome, improvements in the child’s condition and improvements in test results should also be observed as early as on day 2. But it is desirable to continue taking Betargin for a week, in order to eliminate negative effects of the impact of ketone bodies on the body and to normalize metabolic processes. Stay healthy!

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