If your child has a stomachache, beware of these 7 dangerous diseases that parents should not ignore.

Many children have experienced stomachaches, and these situations are not as simple as drinking some hot water or eating something bad.

Ying Aijuan, chief physician of pediatrics at Hangzhou First People's Hospital, said that although children may complain of stomach pain, it may be functional abdominal pain or organic abdominal pain, parents must not take it lightly.

Acute intussusception: more common in infants and young children, manifested by sudden vomiting, paroxysmal crying (caused by paroxysmal abdominal pain), and at the same time, feeling like there is something like sausage in the child's stomach. After 12 hours, the child's stool is like "jam". In this case, X-ray examination, B-ultrasound and other examinations must be taken to make a timely and clear diagnosis.

If intussusception occurs within 48 hours, the problem can be solved immediately by air enema, but if this opportunity is delayed, it is likely to further lead to intestinal obstruction. Sometimes, due to parental negligence, intestinal obstruction, intestinal bleeding or even intestinal necrosis has already occurred by the time the child arrives at the hospital. At this time, surgery is the only option, but this is definitely the result that parents and doctors least want to see.

Acute appendicitis: At the beginning of the disease, there will usually be pain around the navel, and the pain will gradually move to the right lower abdomen. When it persists for a period of time, it will be accompanied by rebound pain, vomiting and fever, and the body temperature can rise to about 39°C. When children have abdominal pain, they often lie in bed with their right leg curled up or walk with a bent back. If the child cannot express the pain in words, his crying will be different from usual. He will curl up his body and break out in cold sweats. At this time, parents should suspect the possibility of appendicitis.

Incarcerated hernia: This situation often occurs in children who already have hernia. A foreign body can be felt in the groin, and it is accompanied by symptoms of abdominal pain and vomiting. Umbilical hernia and inguinal hernia are the most common hernias in children. Umbilical hernia rarely becomes incarcerated, and most abdominal pain is caused by incarceration of inguinal hernia. In this case, the child must be sent to the hospital for treatment in time.

Acute enteritis: The onset is often sudden, with symptoms of fever, diarrhea, and vomiting. There is often paroxysmal abdominal pain before diarrhea, but the abdominal distension is not obvious. Summer and autumn are the peak seasons, mainly due to bacterial infection caused by neglect of food hygiene. The sick children must be isolated, and tableware can be disinfected by boiling in water for 15 minutes. Toys given to children can be made of wood or plastic which are easy to disinfect. It is best to expose children's sheets and blankets to the sun for 6 hours to disinfect them.

Peptic ulcer: The clinical manifestations of peptic ulcer in children are varied, and the symptoms vary greatly at different ages. It is more common in school-age children. The abdominal pain symptoms are obvious and often recur. The child will feel obvious pain around the umbilicus, sometimes with night pain. Abdominal examination may show upper abdominal tenderness, and the child may be emaciated. If you have the above symptoms, it is recommended to have a gastroscopy as soon as possible.

Chronic gastritis: Children often have recurrent paroxysmal abdominal pain, mainly above the navel and around the navel, often accompanied by upper abdominal tenderness, loss of appetite, gradual weight loss, and typical symptoms such as vomiting and heartburn. Most children have uneven hunger and fullness or usually like to eat raw and cold food. In the past, it was believed that chronic gastritis was uncommon in children. However, because children nowadays tend to eat more "junk food" and parents do not pay attention to cultivating good eating habits in their children, the incidence rate is increasing. If upper abdominal pain or periumbilical pain occurs repeatedly, a gastroscopy should be performed as soon as possible to confirm the diagnosis.

Ascariasis: With the improvement of sanitary conditions, the incidence of ascariasis is not high at present. The abdominal pain caused by ascariasis is sudden. When in pain, the child bends over, breaks out in cold sweat, and has a pale face. The abdominal pain is most severe around the navel. Occasionally accompanied by vomiting, and even vomiting of roundworms. Abdominal pain can be relieved or even disappear on its own. The pain may occur for several minutes each time, may occur every other day, or may occur several times a day.

Ying Aijuan reminded that there are far more diseases that cause abdominal pain than these few. For example, myocarditis, diabetic ketoacidosis and other cardiovascular and endocrine system diseases can all have abdominal pain as the first symptom. In addition, there are urinary tract stones, bile duct stones, cholecystitis, and digestive tract malformations (mesenteric compression syndrome, Meckel's diverticulum). If children have chronic recurrent abdominal pain, it is recommended to see a doctor as soon as possible to rule out organic diseases.