What causes stomachache in children?

Children's stomachache may be caused by intestinal spasm, acute pancreatitis, enteritis, appendicitis, intestinal obstruction, etc. When the child has a stomachache, parents should not panic. First, you can give the baby some hot water, and then go to the hospital for examination. Only by finding the cause can you prescribe the right medicine and have a better treatment effect.

1. Intestinal spasm. This is the most likely cause of stomach pain in children. In the pediatric surgery clinic of the Children's Hospital, most of the stomach pains in children are caused by pediatric intestinal spasms (intestinal cramps), which occur in children ranging from 1 or 2 years old to 11 or 12 years old. The most common age is between 4 or 5 years old and 5 or 6 years old. The main cause of intestinal cramps is improper eating (such as eating too much; eating a lot of cold food, etc.). At this time, the child has no specific tenderness points (his stomach is soft), can eat and drink, and is in good spirits. The treatment method is to take belladonna together with phenergan, chlorpheniramine, etc. When this happens, parents become very anxious, but generally there is no big problem.

2. Acute pancreatitis. Children aged 2 or 3 do not get the disease very often, but the incidence rate is relatively high in children aged 4 or 5 and above. The causes are mostly overeating, and most of them are greasy and indigestible food; pancreatitis caused by biliary ascariasis blocking the bile duct (this situation is rare); leukemia patients used L-mendoamidase. The symptom is pain on the upper left side of the belly button. The parents found that the child ate a lot and had a stomachache (crossed his legs), and did not allow anyone to touch the upper left side of his belly button. Pancreatitis can usually be cured, but acute hemorrhagic necrotizing pancreatitis can quickly lead to shock. Symptoms include severe abdominal pain (the child does not allow parents to touch his stomach), vomiting, poor mental state, and gray complexion. If rescue is not timely, it can result in death. The first step in first aid for pancreatitis is fasting, followed by adjusting the liquid diet.

3. Enteritis. The main symptom is pain in the entire lower abdomen centered around the navel, accompanied by vomiting and diarrhea. The stomach feels soft and there is no fixed tender point. Enteritis is usually caused by eating unclean food. Just pay attention to food hygiene in daily life.

4. Appendicitis. The main symptom is pain in the right lower abdomen. Children aged 2 or 3 years old have stomach pain and obvious bloating, accompanied by vomiting. There is tenderness in the entire abdomen and they do not allow touching. They may have a fever of more than 38 degrees. Children aged 2 or 3 should pay more attention to this because it is easy to cause perforation and peritonitis. Children over 10 years old who suffer from appendicitis initially experience pain in the upper abdomen (or stomach pain), which shifts to the right lower abdominal pain after a few hours. Some children also have nausea and vomiting, and there is a very obvious tender spot in the right lower abdomen that does not allow to be touched. The pain may be accompanied by a low fever, ranging from 37 degrees to 38 degrees, or even up to 39 degrees.

5. Intussusception. If a child aged 6 months to 1 year old cries, parents should consider whether the child has a stomachache. If the child cries in bursts, every 10-20 minutes, each cry lasts for 5-6 minutes before returning to normal. This situation is most likely intussusception, where one intestinal tube protrudes into another, causing cramps and intermittent pain (curling the body), which is primary intussusception. Then vomiting followed, and a few hours later, blood in the stool (like red fruit jam or soybean curd soup). Changes in eating habits are one of the important causes of intussusception. Most children aged 5 or 6 years old will have a small tumor growing on the ileocecal region. The tumor becomes entangled with the intestines, causing intussusception, which is secondary intussusception. Careful parents can feel a mass on their child's stomach, which is like a sausage, about 4-6 cm in size. Over time, the intussusception also changes. At first, it may be in the right upper abdomen, then the upper abdomen, and then the left lower abdomen. Some intussusceptions are very loose and can protrude from the anus.

6. Intestinal obstruction . Different ages have different intestinal obstructions. Children who have suffered from fetal degeneration peritonitis may also suffer from intestinal obstruction. Children who have undergone abdominal surgery may also develop adhesive intestinal obstruction. The symptoms are intermittent pain around the navel, accompanied by vomiting, vomiting undigested food, and small children vomiting milk curds and then vomiting bile-like substances. Sometimes, the child's intestines can be clearly seen in rows, and there are tender spots on the abdomen when touched (pain in random locations that cannot be touched).