Abdominal pain in children of different ages
Possible causes of pain
Why, when the child’s stomach hurts, you should not refuse the help of a doctor? This condition can be a symptom of such serious diseases as appendicitis, tuberculosis, intestinal obstruction, pancreatitis, and others. This may also include intestinal infections, overeating and disorders in the urogenital system.Although there are quite simple and not so terrible reasons for such pain. For example, colic in babies.
In the first 6 months of life, the baby's gastrointestinal tract is actively developing, getting used to a new way of eating. From the fact that the baby often incorrectly absorbs food, capturing too much air, it causes colic. You can identify them by crying and whims, when the baby is trying to stretch the legs. However, if this condition is accompanied by vomiting and bloating, then you may be experiencing the effects of a blockage in the stomach or intestinal tract.
After six months, the appearance of pain can be associated with the introduction of complementary foods and the wrong selection of products, or with the individual intolerance of any type of food (for example, milk).Also during this period, the presence of an intestinal infection may be the reason that a child’s stomach hurts. In this case, there is diarrhea, the child becomes sick or he vomits, his body temperature rises, his appetite decreases. Often, abdominal pain occurs with flu, sore throat. At this age, an inguinal hernia can also manifest itself, so if you have severe pain or fever, you cannot postpone an appeal to doctors.
At preschool age, the transition to “kindergarten” food can be a cause of abdominal pain. Unusual products or failure to comply with hygienic standards can lead to the fact that the child will have diarrhea, he will complain that he is sick, and the general state of health worsens. In this case, you should find out the reason, and if it is in food, then you should get a certificate from the doctor about the need for dietary nutrition. Also at this age, infections of the urinary tract and urinary system, pneumonia are possible. Their symptoms can also be abdominal pain.
Schoolchildren are also often prone to the phenomenon of abdominal pain. Sometimes in this way they deceive adults in order to have lessons canceled. But, if a child has a stomach ache in the navel or in another place, and other symptoms are observed - diarrhea, his nausea, vomiting, fever - perhapsyou are dealing with an acute infection, the consequences of blows to the stomach, inflammations of the digestive tract.
Nature of pain
In the formulation of the correct diagnosis, it is important to determine the nature of the pain. It is good if your child is at the age when he can not only show where it hurts, but also can describe how it hurts. Abdominal pain may be different. The most dangerous is the condition, which is defined as "acute stomach". Why is that? Because in this case there is a suspicion of peritonitis or acute pancreatitis, which without the provision of timely medical care can be fatal.
Determining this, and do not think to give him painkillers before the arrival of doctors. All you can do is call an ambulance and prepare for hospitalization.
In addition to the acute form, perhaps also a manifestation of dull pain. For example, as in the case of inflammation of the appendix. Children also have chronic pain.Their peculiarity is that they can manifest themselves, then completely subside. They can occur in the presence of any chronic diseases or infections in the gastrointestinal tract.
If you notice that such pain began to appear with a certain frequency, then you should definitely consult with your doctor. He asks you about the nature of the pain, their duration and systematicity, about the presence of other symptoms (diarrhea or constipation, whether the child is often nauseous, etc.), whether this is due to an emptying of the intestines or to meals. Try to give the most detailed answers. This will help the specialist to correctly diagnose. And even better, if you come to the reception with the results of the ultrasound and a blood test.
There is another type of pain that is absolutely not associated with gastrointestinal problems or other internal organs. They are neurotic in nature. For example, when a baby experiences strong fear or anxiety, his stomach may ache or he will feel sick under severe stress. Constipation or diarrhea may also occur. At the same time, it cannot be argued that the pain is "far-fetched." The child is really experiencing it.
If, after examination, the doctor did not find the physical reason for such pain, then you should visit a psychologist or a neurologist with your child. This condition may be associated with vegetative-vascular dystonia, so it is advisable to consult a cardiologist.
How to determine appendicitis?
How to distinguish it from the symptoms of SARS, influenza, cholecystitis and gastritis?
If, after a long illness, the baby begins to complain of pain in the abdomen, he has diarrhea or is often nauseous, then this does not have to be a manifestation of appendicitis. Most likely, all this indicates an intestinal infection, which is treatable easily and without much difficulty. The doctor will list the drugs that the baby needs to give, and let you go home.
When do parents need to start “sounding the alarm”?
- When a baby has the pain of a whining, cramping or acute nature.
- When sensations go to the leg, arm.
- When the baby becomes too irritable.
- When he is looking for a more comfortable position, it becomes easier for him if he presses his legs to his stomach.
- When you touch the abdomen, he experiences severe pain.
- In addition to pain, his nausea, vomiting, diarrhea appears.
- Body temperature is kept within the normal range, but sometimes rises to 37.5 ° C.
If in 2 hours severe pain does not subside, then an ambulance must be called and hospitalized. The smaller the child’s age, the more difficult it is to make a diagnosis. That is why in case of any suspicions you should immediately seek help.
Sometimes the cause of abdominal pain can be intestinal invagination. How is she going? Part of the intestine from the lower section is infringed by the upper section. In this case, there is the infringement of blood vessels, there is a violation in the circulatory system.
The main danger is the development of necrosis, when the strangulated part of the intestine begins to die off. It appears quite often in infants after the introduction of complementary foods with a large amount of fiber. This increases peristalsis and leads to movement of the intestines. This diagnosis is made for older children. The cause of the disease is the protrusion of the intestine, the presence of polyps, tumors and other structures that disrupt the gastrointestinal tract.
How does intestinal invagination manifest?
- The baby is constantly sweating, crying, bending.
- After the first attack, apathy comes down to him. The stomach is gradually swollen.
- Blood is present in the stool.
- The child is sick, there is vomiting with blood.
- When palpating, you can find a seal on the gut.
- The body temperature rises.
With similar symptoms, the baby needs urgent hospitalization. Otherwise, the deterioration will lead to the need to carry out the operation.
Thus, if you notice that your child’s health has started to deteriorate sharply, and it is accompanied by abdominal pains - do not rush to give him medicine quickly. Better seek professional help. It can save your baby’s life.