Vegeto-vascular dystonia in children treatment and symptoms of VVD in children and adolescents

The syndrome develops gradually under the influence of a number of negative factors. The main reason pediatricians consider an excessive load on the central nervous and vascular systems.

First you need to understand that the human body needs strict regulation of the autonomic system. Internal organs and blood vessels are controlled by the autonomic nervous system. The slightest violations in the interaction lead to disastrous consequences – VVD in children and adolescents with a whole “bunch” of concomitant pathologies.

Here are the main causes of violations:

  • rapid development of anthropogenic civilization;
  • the introduction of household chemicals and genetically modified foods;
  • hereditary predisposition;
  • pregnancy pathology;
  • features of the constitution;
  • brain injury;
  • increase in the intensity of information flows;
  • socio-economic factors (family conflicts, increased life pace of parents, frequent travel, school loads);
  • chronic infections (tonsillitis, caries, sinusitis);
  • mental illness;
  • toxic nerve damage;
  • diseases leading to metabolic disorders in the body (pathology of the heart and kidneys, diabetes mellitus).

The main cause of dystonia is a stress factor. High school load and an increased volume of curricula are the main enemies of the modern child. It is difficult to avoid this, so you should think about relaxation and a change of activity. Below we look at the symptoms of the disease.

There are threats closely associated with the development of the IRR. We are talking about related pathologies. Vegetative-vascular dystonia in children can be accompanied by rather strange symptoms, among which there are viral diseases, high blood pressure, and stressful conditions.

These signs may indicate the development of the following ailments:

  • infectious and inflammatory heart diseases;
  • arrhythmia;
  • Itsenko-Cushing’s syndrome;
  • heart disease (change in the heart muscle);
  • bronchial asthma;
  • Graves’ disease;
  • mental disorders.

The course of the pathology can be accompanied by a large number of syndromes (there are about thirty in total). With senestopathy, the pain “wanders” to different points of the body, changing its intensity and location. From the digestive side, abdominal pain, diarrhea, constipation, nausea and a banal appetite may be observed.

In case of disturbed thermoregulation, you will encounter regular (daily) low temperatures.

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Here are a couple more examples:

  • vascular syndrome (arterial hypertension and hypotension);
  • cardiac syndrome (heart pain, malfunctions in the normal functioning of the heart);
  • respiratory syndrome (shortness of breath, shortness of breath);
  • neurotic syndrome (changeable mood, dizziness, fatigue, sleep disturbances and frequent headaches).


Vegetative-vascular dystonia in children is a secondary syndrome affecting various somato-visceral systems and developing against the background of deviations from the autonomic regulation of the functional state of the body. According to various sources, certain signs of vegetative-vascular dystonia are diagnosed in 25-80% of children. More often, the syndrome is found in children 6-8 years old and in adolescents, mainly women.

In pediatrics, vegetative-vascular dystonia is not considered as an independent nosological form, therefore various narrow disciplines are involved in studying its manifestations: pediatric neurology, pediatric cardiology, pediatric endocrinology, pediatric gastroenterology, etc. Vegetative disorders in children can give rise to the development of serious pathological conditions – arterial hypertension, asthma, gastric ulcer, etc. On the other hand, somatic and infectious diseases can aggravate vegetative Wow shifts.

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Vegetative-vascular dystonia in children

What are the symptoms of VSD?

Pathology most often manifests itself during periods of active growth of the baby – these intervals are associated with the rapid development of the vegetative system. Dominance of the vagus nerve tone entails clinical consequences.

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Here is a complete list of signs of the disease:

  • lack of appetite for overweight;
  • fear of enclosed spaces and stuffy rooms;
  • decreased activity of the baby;
  • timidity;
  • cold intolerance;
  • unexplained abdominal pain;
  • chilliness;
  • feeling of lack of air;
  • constant sighs, “lump in the throat”;
  • nausea;
  • allergic reactions;
  • skin marbling;
  • vestibular disorders;
  • high level of perspiration;
  • urination (frequent), excessive salivation;
  • swelling under the eyes;
  • constipation of spastic nature.

Negative phenomena in the region of the heart and blood vessels are also observed. Blood pressure decreases, heart rate becomes more rare. There is an illusion of “increasing” the size of the heart.

If the VSD is accompanied by sympathicotonia, it is worth paying attention to the following symptoms:

  • reduction of pain sensitivity;
  • quick temper;
  • changeability of mood (lability);
  • distracted attention;
  • feeling of heat, increased palpitations;
  • predisposition to neurotic conditions;
  • paresthesia in the limbs;
  • pale skin, cold limbs, white dermographism;
  • unmotivated fever;
  • polyuria.

Classification of vegetative-vascular dystonia in children

When making a diagnosis of vegetative-vascular dystonia in children, a number of criteria are taken into account, which are decisive in distinguishing forms of the syndrome. According to the prevailing etiological signs, vegetative-vascular dystonia in children can have psychogenic (neurotic), infectious-toxic, dishormonal, essential (constitutional and hereditary), mixed nature.

Depending on the nature of autonomic disorders, sympathicotonic, vagotonic and mixed variants of vegetative-vascular dystonia in children are distinguished. Given the prevalence of autonomic reactions, vegetative-vascular dystonia in children may have a generalized, systemic or local form.

According to the syndromological approach, in the course of vegetative-vascular dystonia in children there are cardiac, respiratory, neurotic syndromes, a syndrome of disturbed thermoregulation, vegetative-vascular crises, etc. The severity of vegetative-vascular dystonia in children can be mild, moderate and severe; by type of flow – latent, permanent and paroxysmal.

Diagnosis of vegetative-vascular dystonia in children

To understand why a set of studies is so extensive in cases of suspected IRR in a teenager, you should understand what kind of diagnosis it is.

The dysfunction of the vegetovascular system in a symptomatic plan resembles serious diseases of the basic systems of the body. Therefore, if you suspect a disorder of this type, the doctor, to eliminate the danger, must check everything, any possible options. And only after that treatment is prescribed.

Sometimes the disease proceeds in a calm rhythm, but sudden crises also occur. Among the signs of a vagoinsular crisis, suffocation, sweating, nausea, migraine, blanching, and an increase in blood pressure are worth noting. Symptomatic adrenal crisis is characterized by increased urination, fear of death, fever, chills, tachycardia and headache.

In the presence of these signs of the child, it is urgently necessary to take to the clinic, where he will be examined by the following doctors:

Doctors diagnose VVD after probable organ damage of a different nature is ruled out. A number of instrumental studies are prescribed – dopplerography, rheovasography, rheoencephalography. These procedures help to localize the lesion focus – the autonomic system.

The results of the ECG are carefully examined:

  • shortened PQ interval;
  • flattened T-wave;
  • located below the isoline level the ST segment.

Children with vegetative-vascular dystonia need a pediatrician’s consultation, as well as (in accordance with the leading causes and manifestations) a pediatric neurologist, pediatric cardiologist, pediatric endocrinologist, pediatric gastroenterologist, pediatric otolaryngologist, pediatric ophthalmologist.

The initial autonomic tone and autonomic reactivity is assessed by analyzing subjective complaints and objective indicators – ECG data, Holter monitoring, orthostatic, pharmacological tests, etc.

To assess the functional state of the central nervous system in children with vegetative-vascular dystonia, EEG, REG, EchoEG, and rheovasography are performed.

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During the diagnosis, another pathology that has similar clinical manifestations is excluded: rheumatism, infectious endocarditis, juvenile arterial hypertension, bronchial asthma, mental disorders, etc.

Prediction and prevention of vegetative-vascular dystonia in children

Consistent prophylaxis, timely diagnosis and treatment of autonomic disorders can significantly reduce or eliminate the manifestations of vegetative-vascular dystonia in children. In the case of a progressive course of the syndrome in the future, children may develop various psychosomatic pathologies that cause psychological and physical maladaptation of the child.

Prevention of vegetative-vascular dystonia in children includes the prevention of potential risk factors, restorative measures, harmonization of children’s development. Children with vegetative-vascular dystonia should be registered with specialists and receive systematic preventive treatment.

Modern treatment technologies

Effectiveness is achieved by combining prophylactic, drug and non-drug methods. Before starting treatment of vegetative-vascular dystonia in children, protect your baby from stressful situations. Stop swearing, minimize the impact of the school load. Love and tranquility – that is what should reign in the family.

Medicinal herbs can also help, but here it is necessary to give preference to collections with a sedative effect:

  • zamanikha;
  • eleutherococcus;
  • Aralia
  • motherwort;
  • ginseng;
  • valerian;
  • to the left;
  • hawthorn.

Non-drug therapeutic effect

Excessive drug loading can lead to unnecessary problems in the child’s body. Therefore, it is always worthwhile to begin treatment of VVD in children with non-drug methods of exposure. Actually, this therapy is considered basic. It is primarily about compliance with the regime:

  • walks in the open air;
  • 9 hours sleep
  • limitation of the training load (lessons need to be done, but breaks are organized between their implementation);
  • physiotherapy;
  • balanced healthy diet;
  • psychotherapy;
  • reduction of time spent by a child near a computer and other electronic devices related to information flows (mobile phone, TV);
  • moderate physical activity;
  • water treatments;
  • therapeutic massage and electrophoresis;
  • music lessons;
  • acupuncture.

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Herbal medicine is also recommended – the use of lemon balm (a neurotic form of the disease) and chamomile (digestive upset). Effective physiotherapy is considered to be electrophoresis of bromine (the collar region is being processed) and electrosleep.

Among the useful sports disciplines stand out:

Medical treatment

Medicines are not always prescribed by doctors and only in combination with non-drug exposure. If the child is able to lead a full life, doctors prescribe a balanced complex of drugs.

When the disease progresses, the child must undergo a medical examination, which includes an endocrinologist, psychiatrist, therapist, optometrist and neurologist (for girls, a gynecologist is added).

The following medications may be prescribed:

  • circulatory stimulants;
  • neuroprotectors;
  • antioxidants;
  • blockers;
  • antidepressants;
  • tranquilizers.

All drugs are prescribed by doctors individually. There is no “universal” set of medicines. Avoid self-treatment in every possible way – this can lead to irreparable consequences for the health of your child.

Antidepressants and tranquilizers are prescribed only as a last resort, the main emphasis is on sedatives.

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Detonic for pressure normalization

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Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.