The baby has a stomachache

Dysfunction of the gastrointestinal system is the most common cause of anxiety and pain in children. Many of them are accompanied by vomiting, diarrhea and fever. Pain can start suddenly and be a signal of serious disorders (eg, appendicitis). Pain in the abdomen can occur, pass and occur again and again with ulcer disease, diverticulum of Meckel and other diseases.

In any case, the child's complaints of abdominal pain should serve as a basis for serious concern to parents and compulsory medical advice!

Some diseases in which abdominal pains are observed:
Intestinal disorders, Inguinal hernia, Hepatitis, Cholecystitis (inflammation of the gallbladder), Pancreatitis (inflammation of the pancreas) Peptic ulcer, Intestinal obstruction, Glynnaya invasion, Tuberculosis, Crohn's disease, Mekel's diverticulum, Ulcerative colitis, Appendicitis, disorders in the genitourinary system, ( Infection of the urinary bladder and urinary tract, ovarian cyst (in girls), with poisoning.

Infants up to six months . Pain in the abdomen is often caused by colic (ingress of air into the stomach or intestines). The child can cry, stretch his legs, bend them to the stomach and in general feel bad for an hour or more. Crying can temporarily cease, if gases come out. Usually colic disappear at the age of six months.

Newborns may also suffer from blockage of the stomach or intestinal tract. This is indicated by vomiting or bloating.

Children older than six months. A typical cause of stomach pain is inflammation of the stomach and intestines (gastroenteritis) from viral and bacterial infections that can be accompanied by diarrhea, vomiting, fever, abdominal pain, nervous excitement and general excitement. Sometimes a child's appetite is reduced, and in this connection a decrease in food intake. Usually, infections take place within two to ten days.

Older children may feel abdominal pain and respiratory illness, such as influenza. In addition to pain in the abdomen, there may be other symptoms: angina, fever, runny nose, headache and vomiting. Another possible cause of abdominal pain in infants may be inguinal hernia (a tumor in the lower part of the abdomen that appears in the groin area). The usual symptom is vomiting, as well as pain in the lower abdomen. In this case, surgical intervention is required. A swollen, painful, reddened testicle can also cause abdominal pain, crying and vomiting. This condition can be confused with inguinal hernia.

Children of preschool age. Common causes of abdominal pain are constipation, urinary tract infections, pneumonia. If the cause is constipation, the pain almost always disappears after a bowel movement. Infection of the urinary tract is often accompanied by fever and some discomfort during urination. If a child has pneumonia, cough, high fever and chest pain can occur. Anemia with sickle-shaped erythrocytes is accompanied by pain in the chest, back, arms or legs.

Another possible but less common cause of abdominal pain in this age group is food poisoning (convulsive pain in the abdomen, very loose stools and vomiting).

Most food poisoning and all surgical problems require physician intervention.

Students, including teenagers. Some of the above conditions continue to be the main sources of abdominal pain: inflammation of the lining of the stomach or intestines (gastroenteritis), viruses, abdominal, pneumonia, urinary tract infections and anemia with sickle erythrocytes.

At the same time, recurrent abdominal pain in only 7-10% of children is caused by organic disorders or diseases. Usually. Repeated and passing pains in the abdomen cause disturbances in the function of the genitourinary organs, disorders of the bowel function and common illnesses (eg, Flu). For example, the baby's intestines may not function properly if the diet is inappropriate, especially if the child can not eat certain foods, such as milk and dairy products. (Malabsorption syndrome). Another cause of pain associated with abnormal bowel function is constipation. Constipation occurs when the activity of the colon is weakened. In adolescent girls, abdominal pain can be caused by contractions of the uterine muscles during a painful menstrual period (dysmenorrhea). Sometimes the pain of the release of the egg from the ovary during the menstrual cycle. In 80-90 percent of cases, the abdominal pain that occurs and passes is more psychological than a physical or functional cause.

Attacks of pain in the abdomen differ depending on the causes. Pain caused by physical illness usually does not go away, or is cyclical, often associated with some kind of action or nutrition. Pain tends to occur in a specific area of ​​the abdomen (for example, in the navel area).

Infectious diseases of the urinary tract are accompanied by pain in the pelvic region.

The main disease manifested by attacks of abdominal pain may have the following symptoms: loss of appetite, weight loss, periodic body temperature rises, jaundice, changes in stool for consistency and color, constipation or diarrhea, blood in the stool, vomiting eaten by food, bile or blood, swelling Stomach.

The duration of attacks of abdominal pain caused by the abnormal function of the abdominal organs varies depending on the underlying cause. For example, if the child does not have lactose tolerance, the attack of pain can occur within a few minutes or up to 2 hours after taking milk or dairy products. If the child suffers from gallbladder disease, - abdominal pain can begin soon after eating fatty foods.

Pain caused by psychological factors can sporadically occur every day. Sometimes a child does not complain of abdominal pain for weeks or months. The pain is usually not acute, the child seldom wakes up in the middle of the night.

Pain in the abdomen caused by psychological causes most often occur in the navel. Pain "distant" from the navel, most likely indicates a physical cause. The doctor, establishing the diagnosis, finds out from the child or parents the following: - what the pain is like, when it arises, where, in what place of the abdomen, after which there is pain, etc. The doctor is also interested in the presence or absence of other symptoms, such as vomiting, nausea, fever. Diagnosing the cause of pain is not connected with the disease of internal organs is quite difficult. The child can be affected by the tension of the atmosphere at home or in the children's team.

Prevention and treatment of attacks of abdominal pain depends on the underlying problem. For example, changing the diet can help if the pain is caused by ingesting foods that are intolerable to the body. Painkillers can help with abdominal pain caused by the menstrual cycle.

In any case, parents should know that in case of an acute attack of pain in the abdomen, accompanied or not accompanied by vomiting, nausea and other complaints, independently prescribe any painkillers CATEGORALLY CAN NOT be ! If the attack of pain in the abdomen does not go away by itself within 15-30 minutes, you should definitely show your child to the doctor. The doctor should exclude diseases associated with the so-called "acute abdomen" - appendicitis, intestinal obstruction, diverticulum of Meckel and others. As a rule, these diseases are treated surgically. If before the visit to the doctor you gave the child painkillers - this can mask the picture of the "acute abdomen" and significantly complicate the diagnosis.

Pain in the abdomen can be caused by:

Disease	Diagnosis (what to do tests)	Speak to :
Dysbiosis	Analysis of feces for dysbiosis. Sowing breast milk for sterility	Infectious Gastroenterologist
Reactive pancreatitis (dyspankreatism)	Scatology. Ultrasound of the abdominal cavity.	Gastroenterologist
Hepatitis A, B, C, E, D	Markers of hepatitis (AT and AH), blood (general and direct bilirubin, total protein, albumin, ALaT, ASAT, LDG, GGT, alkaline phosphatase, thymol test), prothrombin index.	Hepatologist, infectious disease specialist
mononucleosis	IgM, IgG to the Epstein Barra virus. General analysis of blood (atypical mononuclears lymphocytosis, leukocytosis).	Pediatrician, infectious disease specialist
Toxoplasmosis	Determination of the level of antibodies to toxoplasma.	Infectionist
Pyelonephritis glomerulonephritis, dysmetabolic metabolic nephropathy, crystalluria	Clinical urine analysis, urine sediment microscopy, Nechiporenko urine analysis, two-ported test. Daily urine analysis for salt. Inoculation of urine. Biochemical blood test (urea, created, uric acid, total protein, albumins, cholesterol, etc.). Urography, ultrasound of kidneys, etc.	nephrologist urologist
Gastritis, peptic ulcer	Helicobacter, pylori, ultrasound of the abdominal cavity, gastroscopy.	Gastroenterologist
Acute abdomen (appendicitis, acute pancreatitis, peritonitis, perforated ulcer, etc.)	The child can not get out of bed because of severe pain in the abdomen, the pain is most often intense, diffuse, the general state of health is bad, the temperature often rises, vomiting opens, the muscles of the anterior abdominal wall are strained. Appendicitis in the early stages is usually not accompanied by very severe pain. On the contrary, the pain is stupid, but quite constant, right in the lower abdomen (although it can start on the upper left), usually with a slight rise in temperature, there may be a single vomiting. The state of health can worsen with time, and eventually there will be signs of an "acute abdomen."	First aid, surgeon, hospitalization. In this situation, you should not give any pain medication before the doctor's examination
Gynecological pain (adnexitis, etc.)	Urogenital infections (chlamydia, mycoplasmas, trichomonads)	Children's gynecologist
Foci of chronic infection in the digestive tract	Yersinia, chlamydia, Trichomonas, the company-virus, the carrier of salmonella and shigella, worms, protozoa (amoebae, lamblia). Analyzes for the detection of these infections - antibodies in the blood, microorganisms in the stool (crops, DNA-diagnostics (PCR).	Gastroenterologist Infectiologist, Parasitologist
Cardiovascular and urolithiasis	Ultrasound of the abdominal cavity, urography	Gastroenterologist, nephrologist, urologist