Abdominal pain in children can occur literally from the first months of life. Before you raise a panic, take into account the age of the baby and the nature of pain, because many of these phenomena are just the age nature. Nevertheless, the doctor will have to show the child, since the pain in the abdomen can be symptoms of various ailments.
Timely consultation with a specialist will help to avoid serious trouble, especially in cases where surgical intervention is required.
The baby will not be able to complain about the pain in the stomach, so the problem can be suspected only by changes in behavior. The baby will start to worry, cry loudly, beat the legs and push them to the stomach. A crumb can also groan, push, blush.
The attack can continue until the child has a chair. At occurrence of such symptoms, it is necessary to show the child to the pediatrician and, possibly, to the gastroenterologist.
Most often, something like this happens to newborns at about 3-4th week of life during or immediately after feeding due to colic and increased gas formation. The problem occurs for several reasons.
Firstly, the infant’s gastrointestinal tract is not yet adapted to work in new conditions and fails in the first 3–3.5 months. Secondly, the kids have not debugged system for the production of digestive enzymes. The consequence of this state of affairs often becomes lactase deficiency.
In this case, the crumb lacks a special enzyme – lactase, which breaks down milk sugar – lactose. Unfortunately, now lactase deficiency has become a rather “fashionable” diagnosis, and sometimes a baby can be treated for a long time for a non-existent disease.
Just in case, keep in mind that in infants in the overwhelming majority of cases, lactase deficiency “accompanies” other ailments, such as intestinal dysbiosis (imbalance in the composition of the intestinal microflora). This is because the intestinal microflora is involved in many processes, including it produces many enzymes.
It is also possible to suspect lactase deficiency if the baby’s stool becomes frothy, liquid, while the nursing baby is very worried, it cries and literally after a few minutes refuses to suck milk at all. The chair can become either frequent (up to 8–10 times a day), or disappear altogether. The child stops gaining weight or starts losing it.
An exact diagnosis helps analysis of feces.
Depending on the cause of the disorders, the doctor will prescribe a crumbs of treatment, and in order to help the child immediately, listen to the advice of experienced mothers and pediatricians. You can remove the attack, if you give the child water, baby tea with fennel or chamomile.
It will be useful to slightly massage the tummy, stroking and rubbing it in a clockwise direction. After that, put the baby on his stomach and massage his back. Then give the opportunity to lie quietly, and better – crawl on his stomach.
The procedure lasts 3-5 minutes. Repeat it must be five times a day.
If the crumbs do not have a chair for more than 1 day, you can make a microclyster or put a glycerin candle. When abdominal distention is recommended for 10 minutes to put the vapor tube.
Its tip should be smeared with cream or petroleum jelly. Such drugs as Sab Simplex, Espumizan, Bobotik will help remove the gases that have accumulated in the intestines.
Any of these funds in the amount of 8-15 drops should be added to each feeding. The specific drug is selected individually depending on how the baby reacts to it.
Dosage should be recommended by a pediatrician.
The child suddenly became very restless, screaming almost without interruption, it is impossible to calm him down, did the excretion of feces and gases cease or did a blood clot appear in his feces? The combination of symptoms indicates the risk of intestinal obstruction.
Most often, it is caused by invagination in young children, when one section of the intestine is wedged into another. This disease is typical for children younger than 4 years old, and the risk is higher in babies who are bottle-fed.
A painful attack lasts about 5 minutes, during which the child screams, presses the legs to the stomach, turns pale, becomes covered with cold sweat. Very small refuse breast, do not take the nipple. The attack ends as suddenly as it began.
At 15-25 minutes there is a lull, the baby calms down. Then everything repeats again. Against this background, vomiting begins periodically.
6 hours after the first attack of pain, a blood clot appears in the stool, which makes them look like raspberry or currant jelly.
Immediately call an ambulance or take the baby to the surgical department of the hospital. If the diagnosis is confirmed, treatment is possible only in the hospital. The surgeon will try to return everything to its place with a jet of air.
In difficult cases, the child can be operated on.
When the child begins to speak, he may already complain about discomfort in the stomach. However, up to 6 years old, to show where exactly it hurts, the baby will not be able to, and in any case will point to the navel.
Parents need to consider that at this age abdominal pains can be acute and more or less constant, recurring for 3 months or longer.
The most dangerous and unpleasant states are combined in the concept of “acute stomach”. The child is experiencing acute pain, as if spilled throughout the abdomen. Because of this, he cannot get out of bed.
Often, the baby’s temperature rises, opens vomiting, excessively straining the abdominal muscles.
Such signs are more likely to indicate an attack of appendicitis. Fortunately, in children under 3 years old this happens very rarely.
In the early stages of appendicitis, dull pain is observed, which little worries the baby and is accompanied by a slight rise in temperature. It begins in the upper abdomen on the left, later it is felt on the right in the lower abdomen, after which signs of “acute abdomen” appear.
Try to remember the exact time (hour, minute) when the child first complained of unpleasant sensations, as well as the circumstances in which the pain arose – you will need to tell the doctor about this. Call an ambulance brigade urgently or take the baby to the hospital yourself.
Before the kid is examined by the doctor, it is impossible to give a painkiller in any case!
When, simultaneously with the pain or before its appearance, indigestion begins in the crumbs, it can be a manifestation of an intestinal infection – salmonellosis, dysentery, etc. To make an accurate diagnosis, you must call a doctor. You may need to take a blood test and feces.
Depending on the results of the research, the doctor will prescribe treatment and advise the diet. During the illness, do not feed the baby with raw vegetables and fruits and do not drink milk. The patient can be given pork, rabbit, chicken and turkey, no more than 1-2 times a week you can treat him to lean white fish.
Light vegetable soups are also recommended. The most important thing is that the child must often, but gradually drink.
Offer him water every 15–30 minutes, literally 5–20 ml.
Pains that persist for 3 months or more are considered chronic. They are similar to the manifestations of “acute abdomen” and at the same time pass by themselves in just a few minutes.
The second option is a long, pulling pain. The kid can complain about them several times a day or a month.
The reasons for such manifestations are many. These include abnormalities in the gastrointestinal tract (gastritis, gastroduodenitis, dysbacteriosis, worms, problems in the liver and pancreas), and problems with the biliary tract (dyskinesia, when the bile in the gall bladder is not active enough) or with pancreas.
In this case, it is necessary to consult a gastroenterologist. Be prepared to answer the following questions:
- whether pains are associated with food, that is, whether they always occur before, after food, or after the child has eaten certain foods;
- how often a baby complains of discomfort, how strong they are;
- whether pains are associated with physiological functions;
- where it usually hurts, where the pain spreads;
- if the child can do this, it is advisable to describe the nature of the pain: pulling, cutting, piercing, etc .;
- what remedies help relieve pain – medications, enema, heat, cold, massage, rest, etc.
It will be good if you come to the doctor with the results of tests for dysbacteriosis and ultrasound of the abdominal organs. Having examined the crumb and having studied the research data, the doctor will select a treatment regimen or advise to show the toddler to other specialists – for example, to a nephrologist.
Abdominal pain in a child may not be associated with diseases of the gastrointestinal tract or other internal organs. Then they are called neurotic.
The baby may complain of discomfort in the stomach when he is scared or does not want to do something. It happens, complaints appear after strong psycho-emotional stress, shocks.
In this case, it is not at all necessary that the crumb pretends: his stomach really hurts, sometimes very strongly, some signs may even resemble the symptoms of an “acute abdomen.” Nevertheless, the results of the surveys will convincingly testify: there are no deviations from the norm.
In this case, you need to consult a psychologist, as well as a cardiologist and a neurologist. It happens that abdominal pain associated with vegetative-vascular dystonia.
In the latter case, the child gets tired quickly, often and profusely sweats, sometimes complains that the heart beats more often than usual.