The child stomach pain — is it dangerous?
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One of the most common health complaints in child stomach pain. This is one of the most frightening symptoms, as it may be a manifestation and relatively harmless problems (eg, overeating, or errors in the diet), and can be a sign of developing severe surgical or infectious disease.
Therefore, any claim on the child stomach pain if he could say or suspected problem with the tummy, if all else baby, can not be ignored. The best thing in this situation — is to call a doctor to determine the cause, and if severe pain, accompanied by diarrhea, vomiting, fever, or any other abnormal symptoms, — Immediately call the «ambulance.»
Types and causes of child stomach pain
All types of child stomach pain are divided into:
— Acute, recurrent and chronic. Acute pain occurs as a result of acute surgical pathology, trauma, or infectious diseases. They are usually limited to a short period of time, from a few hours up to 2-3 months. Pain lasting for longer than three months, is called chronic. Children often can occur recurrent child stomach pain that occur periodically, repeating for three months more than 2-3 times. Thickets often they are caused by the presence of chronic diseases of the digestive system and other organs.
— There are also child stomach pain that is associated with the digestive tract, either located in the abdominal organs and vneabdominalnye arising due to involvement of other organs, sometimes not even located in the abdominal cavity (pain just projected into the stomach, or the child can not clearly It localizes it, and it seems that it hurts the stomach).
By the nature of pain are constant when the pain for a long time (hours or days), paroxysmal (pain rolls and releases at regular intervals) and episodic, that is rapidly emerged and quickly passing.
The causes of stomach pain very much, so they are divided into two sections, of which we have already mentioned above (abdominal and vneabdominalnye) and each in turn is divided into certain groups, similar reasons, the tactics and methods of treatment.
Child stomach pain causes are distinguished:
— A spasm of smooth muscles or stretching the walls of hollow organs, the tension of ligaments, and the capsule body and the outlet duct (intestinal, biliary, pancreatic and other ways.)
— Stomach disease (inflammatory, neoplastic, and others.) — Acute appendicitis (signs of appendicitis in children), cholecystitis, peptic ulcers of the stomach, bowel, diverticulitis, gastroenteritis, regional enteritis, colitis (ulcerative, infection), hepatitis, mezoadenit, pancreatitis , inflammation of the pelvic organs, etc .;
— Ulcer perforation of a hollow organ with the transition of the inflammatory process in the peritoneum — peritonitis (primary, secondary);
— Hypoxia and ischemia of the abdomen and pelvic organs — stenosis of the branches of the abdominal aorta, thrombosis and embolism mesenteric vessels, strangulated hernia, intussusception, bowel infarcts, spleen, liver, gallbladder volvulus, ovary, etc .;
— Other diseases — irritable bowel syndrome, periodic disease, colic, and others.
A special group in the structure of diseases are children with child stomach pain syndrome, not directly related to abdominal pathology.
Among the manifestations of diseases associated with acute child stomach pain, it is necessary to highlight the most important signs — symptoms of «anxiety», the presence of which indicates a high probability of acute surgical pathology of abdominal organs and points to the need for urgent diagnostic and therapeutic measures:
— The occurrence of acute child stomach pain as the first symptom of the disease;
— Refusal to eat,
— Change the behavior of the child — crying loudly expressed concerns or inactivity, forced position (legs attracted to the tummy, lies on his stomach and rolled up);
— Revival of the pain or the inability to sleep;
— The appearance of vomiting on the background pain, constipation, gas, or diarrhea, flatulence;
— Sunken eyes, the nose is pointed;
— Paleness, cold sweat;
— Tachycardia (increased heart rate) does not correspond to body temperature;
— Severe general condition with a frightened look on his face;
— Protective muscle tension anterior abdominal wall (the baby does not touch the belly cries out in pain). The last is the most important symptom. Identification of passive muscle tension anterior abdominal wall, usually favors the acute surgical diseases of the abdominal cavity, requiring emergency hospitalization.
Diseases accompanied by child stomach pain.
Intestinal colic occurs in 10-20% of infants in the neonatal period more often. There may be up to 3-4 months. At the time of the attack the baby screams of pain and urges the legs to the abdomen. There are infrequent regurgitation. At the same time children are well gain weight, retain overall positive emotional mood, have a good appetite and normal stool. Therapy colic is reduced to the warming of the tummy body heat or hot water bottle, warm diapers, receiving medication relieves (incision about Plantex).
Infantile — functional disorder of the large intestine, notes, usually in children during the first 6 months of life and is expressed in a short time (10-15 minutes) straining and crying child before discharge of mushy stool. Diagnosis is suggested on the basis of clinical data and the age of the child. It does not require treatment.
Coprostasis (chronic constipation) occurs when errors in the diet. A child can not empty the bowel. Overall condition while normally not impaired. Either marked anxiety. The temperature is not above 37-37.5 degrees, child stomach pain generally is on the left side of the abdomen, near the groin. After the enema and stool discharge of pain disappear. A stomach becomes soft and painless.
Acute appendicitis is the most frequent surgical disease that causes acute child stomach pain of middle and advanced age. Typical symptoms of acute appendicitis develop mainly in children older than 4 years, usually between the ages of 8-14 years. The first and the main complaint of the child stomach pain . This initially holds the pain of uncertain location, mainly in the umbilical or epigastric. After 5-6 hours, or more pain becomes dull, stupid, stubborn localized in the right iliac region, increased coughing, walking. It may be nausea, vomiting, constipation or diarrhea, mild fever.
«Acute abdomen» with peritonitis, acute pancreatitis — a condition characterized by strong intensity, diffuse child stomach pain, due to which the baby can not get up, violation of general condition, fever, vomiting, confusion, strong tension of abdominal muscles.
Various types of intestinal obstruction (intussusception, volvulus) occurs usually in infants usually occurs rapidly. The child becomes restless, screams, cries, refuses to eat, plenty of regurgitation or vomiting occurs fountain, there is a discharge of stool and gas, stomach swollen and painful. Rectal possible discharge of mucus with blood, but the chair is missing. It requires immediate surgery.
DZHVP (biliary dyskinesia) occur due to errors in nutrition, abuse of the structure and operation of the biliary system, inflammation of the small intestine and other reasons. Exhibit various types of pain in the right hypochondrium — can be sharp, cramping, stabbing, cutting or permanent — a dull, pressing, aching. Enhanced by a fatty or sugary foods, rare meals. Join nausea, bitter taste in the mouth, decreased appetite or disturbances, the diagnosis is confirmed by ultrasound and study of feces.
OCI (acute intestinal infections — gastritis, enteritis, enterocolitis) arise as a result of contact with the digestive system of pathogenic bacteria, viruses or protozoa. Usually characterized by varying the intensity of stomach pain (acute, cramping, localization around the navel, epigastric or around the abdomen, in the area of the rectum), accompanied by a violation of stool (diarrhea) nausea and vomiting, fever, general state violation, dehydration.
Helminthiasis (defeat worms) often give child stomach pain especially in ascariasis and enterobioze. This is usually transient pain in the navel, disturbances of appetite, increased salivation, trouble sleeping, coated tongue, itching in the anus, skin rashes.
In addition, children up to three years, even SARS, sore throat, pneumonia, and childhood infections can produce child stomach pain. In addition, separately isolated psychogenic child stomach pain with stress (Bear’s disease), especially in children older than 4-6 years. They usually occur when a child is afraid of something — the control school, travel or trying to attract attention.
Thus, child stomach pain — it is a serious sign that you should not ignore. In addition, it is not necessary in case of child stomach pain to self-medicate. You can lubricate the picture of the disease and lose precious time, and thus worsen the condition of the baby. Therefore, in the event of complaints of pain always seek medical attention!