What causes dull pain in the left lower abdomen in children?

Children are most likely to suffer from abdominal pain at ordinary times, because they do not pay much attention to their diet and often drink beverages or eat cold things, which will cause abdominal pain. So when a child feels a dull pain in the lower left abdomen, it is necessary to consider the possibility of intestinal spasm or acute pancreatitis or enteritis, because these are on the side of the abdomen, not in the middle of the stomach.

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 are 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 would not let anyone 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 may 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 abdominal pain and obvious abdominal distension, 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 it 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.