• December 22nd, 2023

Stomach aches in children: how do you know when something is serious

Most children experience abdominal pain from time to time. They may describe these pains with terms like tummy ache or stomach ache.

As a parent, it can be difficult to decide whether your child's abdominal pain is normal or a sign of something more serious. Indigestion or gastroenteritis? Is he scared or worried about something? Did he swallow a toy? Appendicitis? It can be difficult to know what to do. If, after reading the following lines, you need the support or advice of a doctor, the easiest way is to have a remote consultation with paediatricians or gastroenterologists from the Digital Clinics platform.

Causes of abdominal pain in children

Among the many potential causes of abdominal pain in children, the most common include:

Indigestion

This is a general term that describes discomfort in the upper abdomen in children. Common symptoms include pain or burning in the area between the sternum and belly button or bloating in the upper abdomen. Most of the time, indigestion will go away on its own and is not considered serious. Prepare smaller meals and try a blander diet. Talk to your pediatrician if the discomfort persists.

Viral gastroenteritis (stomach flu)

This is an infection marked by watery diarrhea, abdominal cramps and pain, and nausea or vomiting. See your pediatrician if your child has a fever of 39 degrees Celsius or higher, bloody diarrhea, or significant pain or discomfort. The most important thing is to stay well hydrated.

 Constipation

Constipated children rarely go to the toilet for number 2 or have hard, dry stools. They may frequently complain of stomach pain, bloating or discomfort. Talk to your pediatrician if they don't want to eat, are losing weight, have bloody stools, or have repeated episodes of constipation.

Stress or anxiety

When children are stressed or anxious, their bodies release the hormone cortisol into the bloodstream. This can trigger abdominal cramps and discomfort.

Appendicitis

Appendicitis is an inflammation of the appendix. It causes sudden pain that starts around the navel and then moves to the lower right abdomen. The pain worsens if children cough, walk or make other jerky movements. Appendicitis pain usually increases and eventually becomes severe. Appendicitis is a medical emergency, and these children should receive immediate medical attention.

Intestinal obstruction

An intestinal obstruction is a blockage that prevents food or liquids from passing through the small intestine or colon in children. It can be caused by scar tissue, a twisting or narrowing of the intestine, or swallowing an object. Common symptoms include abdominal pain that comes and goes and is located around or below the belly button; constipation; the inability to eliminate gas; swelling of the abdomen; or vomiting. Consult the doctor immediately if children are suspected of having an intestinal obstruction.

When should I go to the doctor with abdominal pain?

 With any abdominal pain, seek emergency medical attention if children have:

   Pain so bad they can't move without feeling more pain

   Difficulty sitting or finding a comfortable position

   Fever

   Bloody stools

   Persistent nausea and vomiting

   Skin that looks yellow

   Severe tenderness when the abdomen is touched

   Swelling of the abdomen

 How do I take care of a child with abdominal pain?

 If you are caring for a child with colic:

 Make sure he's resting

It is very important that he drinks enough clear liquids—encourage him to take small sips often

If he doesn't want to eat, don't force him

If he is hungry, give him diet food such as crackers, bananas or toast

Encourage him to sit on the toilet, the position may help him pass stool or gas, which may relieve his pain

Distract him from the pain by reading a book, stroking his tummy or with quiet toys and games

 If the child is sick with gastroenteritis:

    breastfed babies should continue to be breastfed but may need to feed more often

   oral rehydration solutions as well as breast milk may be required

   bottle-fed babies may need formula and oral rehydration solution


On Digital Clinics you can always get a quick online consultation and consult with an experienced paediatrician or gastroenterologist to ask for support for the problems your child is facing. No trips to the polyclinic and no waiting times.

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