Abdominal pain in children - Causes , Symptoms and Treatment .MF .
Abdominal pain can cause disease:
- Acute appendicitis
- Acute pancreatitis
- Acute gastritis
- Acute nephritis
- Diseases of the stomach and duodenum 12
- inflammation of the gallbladder
- Infection Ascaris
- Infection with tapeworms
- Psychogenic abdominal pain
- pain epilepsy
- Food allergies
- Ulcerative colitis
abdominal pain - this is the most frequent type of complaint.The reasons may be varied, ranging from digestive diseases, intestinal worms, appendicitis to pneumonia, kidney and bladder, tonsillitis and acute respiratory disease.Complaints of abdominal pain can be at the "school neurosis", when the child does not want to go to school because of the conflict with the teacher or classmates.
First, you need to find out the intensity of the pain and its localization capabilities.When severe pain the child prefers to lie, sometimes uncomfortable, forced posture.Turns firmly, gently.The pain can be piercing (dagger), in the form of colic, or dull aching.In localization it can be spilled or pr
stabbing pain in the abdomen - a dangerous sign.It can be a manifestation of the disaster in the abdomen - acute appendicitis or peritonitis (inflammation of the peritoneum).When dagger pains urgent need to call "ambulance"!Prior to her arrival does not give your child any medicine.On the stomach can put a plastic bag with ice.
SHARP sudden pain in the abdomen
features such as persistent abdominal pain, does not stop for 2 hours, abdominal pain when touched, accession to vomiting, diarrhea, increased body temperature should seriously alert parents.The following diseases require emergency medical care.
urgent call "emergency care".
Acute pancreatitis(inflammation of the pancreas): symptoms resemble acute appendicitis, but the pain can be severe.Typically, the child complains of persistent pain in the epigastric region, which, unlike acute appendicitis, gives to the shoulders, shoulder blades and has the nature of shingles.The pain is accompanied by nausea and vomiting.The child usually lies motionless on its side.Belly swollen and tense.Connection of jaundice.In severe cases, it may be a shock.Often acute pancreatitis develops as a complication of mumps (see. "Infectious Diseases" section).In this case, the disease occurs in the third or fourth day after the swelling of the parotid salivary glands.
urgent call "emergency care".
(inflammation of the stomach) for this disease is characterized by pain and a feeling of heaviness in the epigastric abdominal area ( "the stomach") after a meal.Other symptoms include nausea, vomiting, loss of appetite and belching.
the sudden development of these symptoms should call a doctor in the house.
acute infectious and allergic inflammationkidney (acute nephritis): in this disease except abdominal pain the child has pain with gentle sides of the body pat in the back in the lumbar region, swelling around the eyes, infrequent urination, and urine is dark in color, smalltemperature increase.For more information about nephritis described in section "Blood in the urine."
Sudden abdominal pain may be in acute inflammation peripharyngeal lymph nodes (tonsils) and other respiratory tract infections, as well as many kinds of drugs poisonings (antibiotics, hormonal and anti-anxiety drugs), iodine, iron, lead (see. Section "Vomiting").
recurring pain in the abdomen
Diseases of the stomach and duodenum
: inflammation of the mucous membrane of the stomach and directly off of it 12 duodenal ulcer called gastroduodenitis.This disease is long.It then escalates, then subsides.It is characterized by recurrent pain, varying in intensity and duration, which are located "in the stomach" and around the navel.They usually appear after meals.They are joined by a feeling of fullness and heaviness in the upper abdomen.Belching acid, less rotten.
At a stomach ulcer pain occur on an empty stomach and after eating subside.They come at night.In addition, the child may complain of heartburn, belching, bitter taste in the mouth.Often sick, especially in the morning.After the meal may be vomiting, which brings relief.It feels bad breath, tongue coated with white bloom.There is a tendency to constipation and the formation of gases in the stomach, because of what the child complains of bloating.
Help: If no vomiting, diarrhea, high temperature, calling a doctor is required.A child can be consulted in the clinic.In acute diseases recommended hospital treatment.The main importance of diet therapy.Eating should be 5-6 times a day in small portions.Excluded are fried and tough plant foods, any hot spices, fatty creams, cakes, canned, smoked, sour berries (currants, gooseberries) and fruits.In the first 1-2 weeks give the mucous soups, dairy products, pureed oatmeal, jelly, soft-boiled eggs.Sharply limit the salt content in food.Gradually expanding diet.With increased acidity of gastric juice due to boiled meat, fish, puree pureed raw vegetables and fruits, stale white bread, pastries, cheese, cereals with butter, vegetable and fruit juices, jams.You can give sour fruit: apples, pears, plums, etc.Such diets adhere to 2-3 months, then move on to normal food with the exception of acute dishes.Not recommended for black bread, pickles, sauerkraut, sour berries, oranges, soft drinks, fatty cakes.At an exacerbation can give your child an empty stomach 2-3 times a day for 1 / 2-1 glass of warm chamomile tea or bearberry (preparing such teas described in the section "The pain when urinating").At low acidity of gastric juice for children from the second week of the start of exacerbation of chronic gastritis can be given meat and vegetable soups, coffee, tea, yogurt, pureed vegetables, meat and fish cakes, sauces, herring, lean ham, mild cheese, eggs, butter, cheese.Exclude fresh bread, pastry, crude fiber, fatty meat.
inflammation of the gallbladder and biliary tract:
inflammation of the gallbladder (cholecystitis) or biliary tract (angiocholitis), as well as a violation of their functions (dyskinesias) often cause abdominal pain, more in the right hypochondrium.The disease usually develops gradually.The child becomes pale, complains of a headache, discomfort, and later to the gravity and dull pain in the liver area (right upper quadrant).Children prone to this ailment, cause exacerbation of poor nutrition, violations of the negative emotions.Pains arise in the use of fatty, heavily overcooked food, fatty sweets - halva, chocolate, ice cream, etc.Children suffer from belching, sensation of dryness and bitterness in the mouth, nausea.From time to time may be vomiting.Appetite is usually reduced.Pain repeated periodically, can be strong and give the right shoulder.They are most often caused by spasmodic contractions of the gallbladder and biliary tract.There are diarrhea, constipation, or vice versa.This chair has a characteristic bright clay color.Sometimes abdominal pain associated with a sluggish reduction of the biliary tract.Then prevails dull pain in the upper right abdomen, at the navel.The child complains of a feeling of heaviness in the abdomen, nausea, lack of appetite.
if the child's condition does not cause serious concern (no vomiting, diarrhea, abdominal distention, increased temperature), call a doctor to the house is not necessary.It should show the child to the district pediatrician.In this disease is of great importance diet.The main goal of treatment - to achieve the enhanced secretion of bile.bed rest for 1 week can be assigned in the event of a serious aggravation.In the early days of the diet should be a dairy and vegetable: pureed soups, vegetable purees, milk porridge, jelly.Then the diet can be made more diverse.Completely to exclude salty snacks, meats, spices, hot spices, mushrooms, fried foods, chocolate, cakes, cream cakes, ice cream, sorrel, organic coffee.Useful raw fruits and berries, lean meat (preferably poultry breast), lean fish, cottage cheese, yogurt, carrots, squash.You can give a warm drink a decoction of rose hips before meals 2 times a day 2 tablespoons or 1/4 cup of preschool students.To prepare the broth 1 tablespoon pounded dried fruits pour a glass of boiling water, boil for 10 minutes in an enamel pot, insist 24 hours, then filtered through cheesecloth.Well help mineral water: Slavyanovskaya, Borjomi, Essentuki N 17 and N 4, Truskavets.They can drink, heated to 40 ° C, daily, 3 times a day 40 minutes before meals one glass for 3-4 weeks.It is also recommended to give infusions of herbs with choleretic action.One of these herbs is a sandy everlasting (Everlasting).It is sold in the form of dry extract or pellets, as well as part of the Collection choleretic N2 and choleretic drug "Flamen".Take them for 3-4 weeks in the first year and then every 2 weeks for 2 months.Bile fees you can ask the pharmacy.
When severe pain and poor allocation of bile can make drainage 12- without probe intestine (tyubazh) as follows: the patient give to drink on an empty stomach 2 (children up to 7 years) or 4 (older children) teaspoons of 25% solution of magnesium sulfate (forcooking 1 tablespoon of Epsom salts dissolved in 1/2 cup of boiling water) or 1 (children up to 7 years old) or 2 (older children) tablespoons of 40% glucose solution (3 teaspoons with the top of the dry matter dissolved in 1/2 cup boilingwater).The child is then placed on the right side on a pillow made of a roller.In this position, the child must lie 1.5 hours.This drainage can be done at an exacerbation of 7-14 days in a row every day for 1-3 months.
INFECTION Intestinal parasites Worms
-.chastaya cause of recurrent pain in young children.They are accompanied by nausea, or bad, on the contrary, increased appetite, changes in regular bowel movements, weight loss.The baby is sleeping restlessly, cries in her sleep, grinding his teeth.The stool is sometimes possible to find worms.
: roundworms, parasites in the human small intestine.Female ascarids looks harness 25-40 cm long, spindle-shaped, white or pinkish color.Roundworm eggs are excreted in faeces and contaminate the soil.At an ambient temperature of 21-30
With the maturation of the eggs takes place for 2 weeks.Further, with dirty hands or unwashed fruit and vegetables eggs of Ascaris again reach the intestine turn into larva and start the ripening period.Larvae perforate the bowel wall, penetrates the blood circulatory system and carried to the lungs.From there it goes to the phlegm in his mouth, swallowed, and again in the intestine.These travel through the body host larva can be done several times.Finally, with hooks on the head, it is fixed in the small intestine and grows into an adult.A child infected with Ascaris, experiencing weakness, nausea, intermittent abdominal pain, loss of appetite, fatigue.During the selection of the larvae of the lung cough with sputum may appear.
: when suspected of being infected with worms needs to be done analysis of feces in the clinic and consult a physician.Traditional medicine offers the following recipe for getting rid of Ascaris: Mix 1 teaspoon of "tsitvarnaya seed" (flower buds of Artemisia Cina) with honey and eat on an empty stomach.After 2 chasa eat the same drug dose, but in between there is nothing.Then give the child a purgative (e.g., Glauber's salt, the rate of 1 g to 1 year of life or bitter salt, 1 g of 1 year of life).
most dangerous pig and bovine tapeworm, which reach lengths respectively 1.5-2 m and 4-10 m of chain are the intermediate host, a pig or a cow, which mature larvae in muscle tissue -.Finns.Infection of humans occurs when eating meat from infected animals.The larva is swallowed and begins to develop into the adult form in the human small intestine.The child is experiencing common symptoms of poisoning: fatigue, abdominal pain, indigestion, exhaustion, increased nervous excitability.Tsepnem infection can recognize from the appearance of the segments in the stool - his body segments which appear as yellowish-white rectangles having dimensions of 12.10 x 05.06 mm in the case of swine and 20-30 x 12 mm in the case of bovine tapeworm.Segments of bovine tapeworm able to independently crawl out of the anus is the act of defecation.
should consult the child at the doctor for medical treatment purpose.Traditional medicine offers the following recipes:
Eat about 100 grams of dried peeled pumpkin seeds on an empty stomach.After 1 hour, sip a glass of milk, which is welded head of garlic.Then, after 30 minutes a strong laxative drink (bitter salt or Glauber salt, 1 g to 1 year of life) and, through an enema 1.5-2 hours of warm water, which was cooked garlic head;
Take about 60 g of dry powdered peeled pumpkin seeds, as much cocoa powder, little sugar.Stir and add a few drops of boiled water.All components of the grind to form a dough, from which to make 20 cakes.Above you can sprinkle them with sugar.On the first day of treatment should be fast and try not to drink anything.On the second day in the morning to drink 1.5-2 tablespoons of castor oil and begin to have cakes, one every 10 minutes.When the tapeworm in a chair, make sure that came out of his head.If she did not come out, the treatment should be repeated after 2 to 3 months.
During treatment, you need to take measures to prevent vomiting to tapeworm eggs do not fall into the stomach.The child should be provided with rest.In the pit of the stomach stomach can put a warm heating pad.Parasites and their fragments, highlighting the treatment, it is necessary to disarm, Gulf boiling water in a closed vessel.
Psychogenic abdominal pain:
sometimes a child who was quite happy during the weekend, on Monday morning complaining of abdominal pain.The reason for this may be his unwillingness to go to school.It happens that the complaints of pain are used as a means to attract the attention of others.The child is a pleasure that the parents and all the household seek to please him, to ease his suffering.Children whose parents often talk about their illnesses, out of solidarity, or imitation, too, are beginning to complain of pain.
Some children have colic bouts of abdominal pain, nausea, vomiting, migrenepodobnaya headache, diarrhea or constipation, pale, or, conversely, redness of the face;fever or a full prostration.Any combination of these symptoms.To this may be joining the signs of the disorder, auditory hallucinations, strange behavior.It is noteworthy, however, that the child feels well between attacks.Usually these children increased emotional.They are characterized by an obsession with, the pursuit of superiority.Parents impose their excessive demands and expect too much from them.Quarrel in the family or failure in the exam can trigger the appearance of attack.
in the first case it is necessary to find out what kind of relationship the child has developed with teachers and with school mates.Does he have any reason not to want to go to school.If the child imitates the pain, it is useful to show the severity.In this last case, the requirements of ailments it is necessary, on the contrary, lower, allow the child to relax a little.If the child's behavior you are concerned, it is necessary to consult it from a child psychiatrist.
Pain in epilepsy:during an attack of epilepsy, pain in the abdomen, which lasts a few minutes, after which sleep comes.Epilepsy details refer to "Seizures".
Food allergy and intolerance to milk sugar:
some children have a genetic intolerance to milk sugar (lactose), a component of milk.Milk allergy can manifest abdominal pain, diarrhea, vomiting.
exclude food dairy foods that cause allergic reactions.