Every child ever happens abdominal pain and usually in such cases do not need to worry too much.The discomfort may be caused by over-eating, fast food and swallowed air, constipation, gas skopleniel, temporary indigestion "food.
On the other hand, abdominal pain may be a symptom of a serious disease.In order to determine whether or not the disease is dangerous, it is necessary to assess pain using the following criteria:
• dependence of the pain of the child's age, some pains are characteristic precisely among certain age groups;
whether single abdominal pain (acute) or recurring (chronic) - recurring abdominal pain are likely to arise in connection with the emotional and psychological disorders;
• Does the pain accompanied by other physical symptoms (such as chronic diarrhea, vomiting).
The following are symptoms that should alert parents to the potentially dangerous diseases:
pain appears before a bowel movement;
pain at night, which can wake up the child;
• pain I observed during or immediat
• have recently had abdominal trauma;
• child dramatically lost weight;
results of recent blood and urine tests deviated from the norm, such as in the analysis revealed anemia, low total protein, elevated ESR (erythrocyte sedimentation rate) or the presence of urinary tract infections;
you press on the abdomen, and the child responds to your touch;
abdominal pain persists and lasts more than two hours;
• you can feel the presence of his abdominal tumor, or observe the undulations in the abdomen;
while walking the child bends and holds on to the stomach;
child is quiet and refuses to go;
blood in the stool or diarrhea accompanied by pain;
pain in the scrotum or testicle.
Before going into the diagnosis and treatment, it is necessary to determine the nature of pain.Abdominal pain is divided into two main categories: single or acute pain and pain of chronic or recurring.
Single (acute) pain
It is important that the doctor pinpointed severe abdominal pain, which is caused by a dangerous cause of poisoning or type of conditions requiring surgery.In general, the most dangerous ones pain, vomiting are associated with, accompanied by a slight release of bile or repeated vomiting.Severe abdominal pain may also be accompanied by swelling or expansion of the abdomen, pain when touching the abdomen.
a fever time, vomiting and diarrhea may help to determine the nature of the disease, can tell whether it should be treated with medications or by surgery.For example, when gastroenteritis (which can be treated with medications) Vomiting precedes pain stomach.On the contrary, in acute appendicitis (which is treated by surgery) pain often comes before vomiting.
Returning (chronic) abdominal pain
called Chronic pain when the year mark three or more episodes of its occurrence.Non-recurrent abdominal pain, as opposed to returning are usually cause any physical condition, and returning - often associated with emotional or psychological reasons.
Research in this area has shown that recurring abdominal pain most likely to occur during the school year.Moreover, those or other emotional problems are found in more than 50% of children with this complaint.
Common factors of recurring abdominal pain are: family problems and drama (parental divorce, constant fights, quarrels), the death of loved ones, or other stresses.Often, these pains are present in a nervous, shy child who is constantly worried about his performance or for another reason.
In principle and returning abdominal pain may be present organic or physical causes.For physical reasons, abdominal pain, accompanied by diarrhea include factors such as malabsorption of lactose (milk sugar), vegetable protein and fat.
In addition, abdominal pain can occur as a result of excessive consumption of caffeine or carbonated drinks.Other possible sources include ulcers, Crohn's disease (inflammation of the lower part of the small intestines) and ulcerative colitis (inflammation of the colon, with bloody diarrhea, ulcers of the intestinal wall, and weight loss | anemia).But if the physical causes are excluded, but the pain continued to come back, more attention should be paid is still at the child's emotional state.
In addition to defining the character I tera pain, you need to take into account the child's age characteristics.So, colic in infants aged 1-3 months - a common occurrence and are likely to be associated with a lack of enzymes and functional immaturity of the neuro-muscular apparatus of the intestine, whereas colic in younger students, for example, can have psychological causes, or be a symptom of serious illness.
Abdominal pain is often caused by colic (ingress of air into the stomach or intestine).The child may cry, pulling the legs to bend them to his stomach and in general feels bad for an hour or more.Weeping may temporarily calm down if the gas will be released.Typically colic disappear after the age of six months.
Infants may also suffer from blockage of the stomach or intestinal tract.This is evidenced by vomiting or bloating.
typical cause of stomach pain - inflammation of the stomach and intestines (gastroenteritis) against viral and bacterial infections, which may be accompanied by diarrhea, vomiting, fever, abdominal pain, nervous excitement and general excitement.Sometimes, a child decreased appetite and therefore food intake reduction.infection usually pass within two to ten days.
Older children may feel pain in the stomach and as a result of respiratory diseases such as influenza.In addition to pain in the abdominal area, there may be other symptoms: sore throat, fever, runny nose, headache and vomiting.
Another possible cause of abdominal pain in infants may be an inguinal hernia (swelling in the lower abdomen, exiting in the groin).A common symptom is vomiting, and pain in the lower abdomen.In this case, the required surgery.Swollen, painful, reddened egg can also cause abdominal pain, crying and vomiting.These symptoms are sometimes incorrectly diagnosed as an inguinal hernia.
Common causes abdominal pain - constipation, urinary tract infections, pneumonia.If the cause is constipation, the pain almost
always disappears after a bowel movement.Urinary tract infection is often accompanied by fever and some discomfort when urinating.
If your child has pneumonia, it can be observed a cough, fever and chest pain.Anemia, sickle 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 a food poisoning (convulsive pain in the stomach, very loose stools and vomiting).
Most food poisoning and all surgical problems require medical intervention.
common cause of surgical intervention on
abdomen in children 5 to 15 years is acute appendicitis.
Appendicitis usually begins cramps and pain in the center of the stomach, just above the navel.Then a few hours later the pain moves to the lower abdomen (the area of the colon, which is usually an appendix).The child prefers to remain immobile, because motion, such as jumping, walking, causing sharp pain.When walking, the child can not stand up straight, he clings to the lower abdomen and often cries in pain.There may also be diarrhea and fever.
If the appendix bursts, the temperature rises, the pain increases and often begin vomiting because infected tissue lining the abdomen (peritonitis).This condition is extremely dangerous.It is important that parents who suspect their child have appendicitis, immediately inform your doctor.
Parents can often cope with abdominal pain at home, if the pain is accompanied by other symptoms.Child need to soothe and feed the liquid food.
Do not give your child painkillers or means to I struggle with indigestion, and laxatives.All these drugs can complicate the work of the doctor for diagnosis.Oobenno
is dangerous if you need surgery.
Sometimes a child may need a change of diet.For example, it is necessary to give more fruit juice (apricot, plum, pear, apple), crude fiber (raw fruits and vegetables, green salad) and whole grain oats or wheat for the prevention of constipation.Ask your doctor and a nutritionist to give recommendations.
Check again to see if the child has other symptoms such as vomiting or fever, which can indicate a more serious condition.
And finally, if recurring abdominal pain can be explained by emotional factors, parents should discuss with your doctor the appropriate way to reduce the influence of such factors.
doctor is likely to ask your child the following questions: * when the pain started;• where does it hurt;
whether the pain is moving (if so, show me where it moves);
Parents can fully cope with pain in the abdomen child alone, if there is no alarm symptoms such as vomiting, fever, or if the pain disappear within two hours.
should consult a doctor, if regularly repeated minor, self-regulating pain in the abdomen.No hurry in this situation is not, but there could be emotional or other considerations that should be addressed.
immediate presence doctor is required if abdominal pain accompanied by symptoms such as vomiting, diarrhea, swelling or bloating, pain when touching the abdomen or past medical case associated with the unusual result of a blood test that can indicate a specific hazard.
immediately call a doctor and hospitalized child necessary if there are signs of appendicitis.These include pain in the lower abdomen, fever and diarrhea.In the case of rupture of the appendix may be a high fever, vomiting, and a stronger common pain.
how long it lasts pain;
what type of pain - sharp, dull, or what (the child is not always easy to answer this question, sometimes the doctor should ask whether the child has such a pain before, and if so, to describe in detail);
causing pain increases;
why the pain is reduced;
the pain goes away and then comes back;
you only have this pain and nothing else bothering you?
After the doctor will ask these questions, perhaps he will make a few general conclusions.
If pain in the navel, and concentrated in any particular place (usually on the periphery of the abdomen), the application is likely to be associated with serious physical cause.This may be a burst appendix, abdomen inflammation.
doctor will examine all of the symptoms such as vomiting, high temperature, "acute" abdomen and conduct a thorough physical examination.
If the symptoms seem to him particularly alarming and serious, and the results of the physical examination will be different from the norm, the doctor will prescribe additional tests including various blood tests, urine tests, checking blood in stool, protein analysis (albumin and total protein) and other laboratorystudy.In addition, the doctor ordered a test scan of the gastrointestinal tract such as sonography, barium studies and endoscopy.
In some cases, the child may be sent to the |surgeon for consultation.It may be hospitalized for observation of physical changes and undergo intravenous therapy.Sometimes it will take some time to observe, to understand whether surgery is required to treat the disease.
pain of appendicitis
signs of appendicitis in children is very unstable.However, in typical cases, abdominal pain begins in the center around the navel, then moves to the lower right region.
removal of the appendix (or appendectomy) is performed at an appendicitis - inflammation of the appendix, which is an appendix extending from the colon near its junction with the small intestine.
operation should be done as soon as there are typical symptoms for appendicitis, as there is a danger that the inflamed appendix will burst and cause the spread of infection in the abdominal cavity (peritonitis).
By itself, the operation is simple.The child will be given general anesthesia and abdominal incision is made, and then remove the appendix.In most cases, recovery takes place quickly and without any complications.