First aid for acute child stomach pain
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Stomach pain is one of the most common complaints that placing children. Almost every child up to 12 years at least once a year suffering from stomach pain. Acute child stomach pain needs serious attention because it can be a symptom of many diseases. Of course, she can talk about the overeating, indigestion, physical or emotional stress or overexertion small muscles in the abdomen. But acute child stomach pain can also be indicative of the disease, infection, injury, trauma, or accompanied by allergic reactions. It is important to remember that in some cases, on how quickly the parents recognize the symptoms of acute child stomach pain in the condition requiring immediate treatment to the doctor, may depend on a child’s life.
Anatomy of acute child stomach pain
Mechanism of acute child stomach pain occurring in the abdominal cavity, may be different: tension or spasm hollow organs (stomach, intestines); Inflammatory peritoneal injury; stretching of the capsule body (for example, a sharp increase in the liver, kidney), circulatory disorders, which leads to oxygen starvation at first, and then the damage to the body (for example, strangulated hernia, intussusception); the tension of the mesentery, etc.
The nature of acute child stomach pain can be different in the defeat of various organs, due to the unequal number of them available to sensory nerves. There are clear limits, pungent (rare stabbing) pain in the defeat of individual organs (acute child stomach pain, kidneys). If you change the position of the body the pain intensified. Reflex acute child stomach pain over the site there is tension of the abdominal muscles.
Many of the abdominal organs are equipped with a network of nerves that branch out and overlap. With the defeat of such bodies there is acute child stomach pain diffuse, without precise localization (visceral pain). For example, the expansion of the lumen of the appendix in the early stages of appendicitis pain occurs in the umbilical region. Visceral pain often accompanied by signs of irritation of the autonomic nervous system — nausea, vomiting, palpitations, pallor and profuse sweat.
Cramping recurring pain — cramps — point to the acceleration of peristaltic waves or a particularly strong reduction of body (for example, distension of the bowel due to flatulence, distension of ureters in passing kidney stones). In exceptional cases, the sudden expansion of the body can lead to persistent pain.
Also isolated diaphragmatic pain — in diseases of the liver, stomach, spleen pain is given in the shoulder, is also enhanced by coughing or breathing movements.
But there are certain characteristics of acute child stomach pain, which indicate the extreme severity of the «stomach problems.»
Signs pointing to the «catastrophe» acute child stomach pain
- acute child stomach pain;
- vomiting, not bringing relief;
- protective voltage abdominal muscles;
- poor condition of the child (sunken eyes, sharpen nose, a vague anxiety, and others.);
- blood in the stool, vomit;
- prolonged constipation or severe diarrhea.
If there is at least a few of these symptoms, you should immediately call the «ambulance»!
Also, do not forget to tell your doctor (or better record), whether the child has fever (if yes, give specific figures), nausea, vomiting (if yes, how many times), changes in stool and urination (again, inform about the nature of the changes), transactions in the past. Doctors also need to know whether a child is suffering from chronic diseases.
Acute child stomach pain: when the delay is dangerous
In some cases, on how quickly suffering from a stomach ache child will be given medical help, may depend not only his health, but also life. What ailments require urgent medical intervention?
Appendicitis — common disease in children. The younger the child, the greater the likelihood of complications and adverse outcome. This is due to the high velocity of inflammation and tissue damage as well as the difficulty of diagnosis in infants. Besides the use of antispasmodics and antipyretic agents, which have analgesic effect erases the clinical presentation and the development of complications. 80% of children under one year of appendicitis complicated by peritonitis. Therefore, all children up to 3 years with acute child stomach pain should be evaluated by the surgeon on the day of the onset of symptoms!
For appendicitis in young children is characterized by:
- undulating pain in the navel;
- repeated vomiting;
- diarrhea, often with mucus;
- high temperature (more than 38-39) o C.
- shortness of breath;
- one-third of children can be observed catarrhal phenomena.
For the older children is characterized by the movement of the umbilical region pain in the right iliac. The acute child stomach pain is worse when picked up right leg, accompanied by muscle tension in the abdomen. Diarrhea and vomiting are less common. Less pronounced temperature reaction.
A similar pattern is observed for diverticulitis — inflammation occasionally found «branch» of a cancer.
Gastroenteritis (inflammation of the stomach and small intestine) and gastroenterocolitis (inflammation of the stomach, small intestine and colon). There are children of all ages, often accompanied by a variety of infectious diseases. In newborn infants, infectious gastroenteritis may have a fulminant course, and even lead to sepsis.
These diseases are accompanied by acute child stomach pain, vomiting, nausea, lack of appetite, disturbance of the general condition, fever. Particularly severe gastroenteritis and gastroenterocolitis occur in early childhood. This is due to the fact that the younger the child, the greater the percentage of water containing his body. In diseases of the little kids quickly lose fluid, and it can not make up so quickly wilt and absolutely refuse to drink. This further aggravates the condition enhances toxicity and can lead to shock. Therefore, the gastro-intestinal infections, intestinal disorders, it is imperative to seek medical attention!
Intussusception — a type of bowel obstruction due to the fact that the intestinal loop is inverted and the other begins to penetrate the gut (the people it is known as «volvulus»). It may develop at any age, but in 80% of cases of intussusception in infants observed on the background of infectious diseases, disorders of the chair, violation diet, with the introduction of complementary foods, etc.
For «volvulus» characterized by acute onset, recurrent cramping acute child stomach pain, which do not depend on food intake, clinical manifestations of undulation. After 6-8 hours, the stool can appear as raspberry jelly. With timely treatment, in most cases you can do without surgery. Late treatment (18 hours or more) or the development of complications of the operation is shown.
Pancreatitis — inflammation of the pancreas. It arises from the allocation of a large number of enzymes that encourage «self-digestion» cancer. It may be the result of viral diseases: mumps, hepatitis, gallbladder disease, and liver, or develop as a result of poisoning (food, medication, alcohol substitutes) and injuries.
Acute child stomach pain occurs in the upper abdomen, above the navel, under the left edge, can be girdled. Do not decrease after vomiting, increased at applying heating pads, accompanied by severe intoxication, decreased blood pressure. In young children, pancreatitis is often accompanied atsetonemicheskim syndrome. Because the disease can result in serious complications required medical consultation, laboratory tests.
It is important not to feed the child in the acute period, adhere to drinking regime. After improving to follow a strict diet.
Pyloric stenosis — a malformation of the stomach, which causes obstruction of food. Appears 4-6 weeks of life, accompanied by bouts of acute child stomach pain, vomiting fountain curds after each feeding. Consultation of the surgeon. Treatment only operative.
When there is an acute ulcer perforation knife-pain, stomach doskoobrazny, pulse speeded up. Child pale, covered with cold sweat, may lose consciousness. It is urgent to call an ambulance! Prior to her arrival, the child must be placed with slightly raised legs warm, turn the head to one side when vomiting. Monitor the pulse and breathing rate.
Injuries of abdominal organs. The most common among schoolchildren. When expressed acute child stomach pain syndrome or symptoms persist shows a surgical consultation in the first days after the injury. Also required holding ultrasound of the abdominal cavity, blood, urine, etc. Investigation. For children characterized by a ruptured spleen, kidney hematoma, traumatic pancreatitis.
Strangulated hernia. Usually parents are aware of the presence of a child hernia and should be warned of the possibility of its infringement. Characteristic signs of this disease: a hernia when you do not reduce a, a sharp pain around the abdomen or in the hernia, tension hernia sac.
It should also be borne in mind that in some diseases may be referred pain (eg, testicular trauma, testicular torsion, or in the epididymis). All this acute condition requiring surgery. When poor circulation, irreversible changes that could «affect» and a healthy egg, and eventually lead to infertility.
It should also be remembered that the girls acute child stomach pain may have a «gynecological motivated» and evidence of severe diseases of internal genital organs: acute inflammatory processes, rupture of ovarian cysts and even ectopic pregnancies. When fast enough assistance provided all of these conditions may be complicated by peritonitis.
Acute child stomach pain: when the delay is dangerous
Peritonitis (inflammation of the peritoneum) — the most dangerous of conditions whose symptoms are acute child stomach pain: the total mortality from diffuse inflammation of peritoneum is 15%. The vast majority of acute peritonitis develops quickly, and in the absence of medical care for 2-3 days can result in death.
In most peritonitis is a complication of any of the above diseases. Peritonitis peritonitis caused usually bacteria trapped in the abdominal cavity due to rupture or perforation of the hollow organs (stomach, intestines, uterus, fallopian tubes, and the gall bladder or). However, the cause of the inflammation may be chemical irritation (for example, perforation of stomach ulcers), as well as pathogens, listed in penetrating wounds or blood, etc.
Characteristic signs of peritonitis are:
- sharp, constantly increasing acute child stomach pain;
- «Symptom of the board» — a strong stress, hardening, muscle soreness the anterior abdominal wall;
- rapidly increasing fever, accompanied by chills and sweating;
- increased heart rate, drop in blood pressure;
- dyspeptic symptoms — nausea, vomiting.
- Typically the development of dehydration, sepsis (blood infection).
Acute child stomach pain: the rules for all
Of course, there are other causes of acute child stomach pain. But in all cases there are the same rules: productions for the timely and correct diagnosis to avoid the development of severe complications, you should seek immediate medical attention if any acute child stomach pain, continuing Bole half an hour, accompanied by diarrhea or vomiting.
Remember to consult a doctor should not be used antispasmodics, antipyretics and analgesics. Fear that the child put in the hospital, should not encourage parents to attempt self-medication, as they often lead to the development of complications and sometimes death. We should not feed and water the baby — if it is an operation, it can complicate the work of doctors, and in case of violation of the integrity of the walls of the stomach or intestines directly life threatening.
Abdominal pain is a broad subject, but if someone is concerned about a specific disease such as diverticulitis, the pain usually is acute…
Determining the cause of acute acute child stomach pain is one of the most difficult tasks that have to solve the doctor. As is often the treatment should be started immediately, slowness in this matter is unacceptable! Most mild acute child stomach pain may serve as an indication for the urgent surgery, so any sick child for an accurate diagnosis requires early and thorough examination.