Causes of abdominal pain in a child
If there were pains in the abdomen, then firstIt is necessary to exclude the need for surgeon intervention. It can only be done by a specialist - a doctor. There are many reasons for the appearance of abdominal pain, and some can have very serious consequences. If a child has a stomachache for more than an hour, then it is urgent to call a doctor.
The fact that the tummy hurts in the infant,Young mothers guess by crying and characteristic preload of the legs. But, nevertheless, not every time crying and crying speak about pains in the abdominal region. That's why, when the baby begins to cry, you need to find out if the pain is the cause, and if so, does the abdomen hurt?
In young children it is very difficult to determine, inWhere does the child have pain, and does it hurt at all. As a rule, children who have pain, behave anxiously, do not eat, cry and cry until the pain subsides. Children of more adult age can themselves explain what is hurting them, and in which place they are hurting. It often happens that children, afraid of drugs and treatment, refuse to talk about what and where they have pain.
The cause of pain in the abdomen of babies may beCongenital obstruction of the gastrointestinal tract. If the passage of food masses through the intestine is hampered by something, the area before this obstacle swells and, as a result, pain arises. Pain in the abdomen of a child may be accompanied by a delay in stool and vomiting. If the obstruction appeared in the intestines of the upper divisions, then after a couple of feedings, vomiting with bile immediately occurs. Each subsequent feeding leads to increased vomiting and an increase in its abundance. If the obstruction appeared in the lower intestinal parts, then vomiting develops by the evening of the second day. Vomit first contain what has recently entered the stomach, and then there is bile, later - the contents of the intestine.
Partial obstruction is characterized by timeThe appearance of vomiting, and vomiting, in turn, the level and degree of narrowing of the intestinal lumen. The narrower this gap is, and above there is an obstacle that caused obstruction, the sooner a person begins to tear.
A frequent cause of pain in the abdomen of infants areGases, and often acute pain occurs due to the curvature of the intestine. Quite often this happens at the age of four to ten months. Less often in the second year of life. The pain appears unexpectedly, when, it would seem, the child is completely healthy. Kids begin to cry violently, cry can last up to 10 minutes, then stop until a new attack.
When the attack begins, the child screams again,Refuses to eat, knits. Attacks, as a rule, are accompanied by vomiting. When it passes from 3 to 6 hours after the onset of the disease, blood streaks appear in the stool. The evolving pattern of intestinal obstruction is the cessation of the escape of gases and feces and bloating. It is necessary to take timely measures, because with every hour the state of the baby will deteriorate.
Another cause of pain in childrenMay be Hirschsprung's disease. This ailment is characterized by a hereditary anomaly of development of the small intestine. Girls get sick of this disease once in 5 less often than boys. The disease usually develops in the recto-sigmoid part of the intestine. When the disease occurs, the functioning of this department is disrupted, the small intestine ceases to relax, and the contents of the intestine can not move through the narrowed section. The department located above the narrowing begins to expand, the intestinal walls in this place are hypertrophied, and the so-called megacolon develops, that is, the pathological expansion of the entire gut or part of it.
Children under the age of three often sufferAttacks of appendicitis. The frequency of their occurrence in children of this age group is characterized by 8 percent. The peak of exacerbations of appendicitis falls on the age group from 10 to 15 years. Here the percentage of cases increases to 55%.
Symptomatic develops quite rapidly. Absolutely healthy child suddenly starts to be capricious, to refuse food. If the ailment develops at night, then the baby can not fall asleep. A clear sign of acute appendicitis is a dyspeptic disorder. The child begins to vomit, it breaks, often there is a loose stool. It should be noted that the baby can break many times. After 6 hours after the onset of the disease, the intoxication of the body begins to have a pronounced character. The facial expression becomes painful, the lips dry, the temperature rises. When examining the abdomen, children under 3 years of age behave restlessly, straining the muscles of the painful area, therefore the inspection of the toddlers is very difficult.
In older children, the anamnesis is much shorter - up toSeveral hours, sometimes one or two days. Ailment makes itself felt constant or colicky pains above the navel or in the epigastric department. After some time, the pain is localized on the right in the ileum or in the abdominal region. Children complain of nausea, there is a refusal, the temperature rises to 38 degrees, often children walk, crouching, because it alleviates the painful sensations.
With a disease such as diverticulitis,There are pains, as with appendicitis. This disease is characterized by protrusion of the intestinal wall, most often in the same place where the appendix is located. If the diverticulum is broken, a picture resembling peritonitis, characterized by pain in the entire abdominal region, appears. It can worsen when coughing or inhaling. The child is not allowed to examine himself and touch the abdomen. The face of the children pales, the pulse is made more often, the orbit falls.
The cause of acute pain in the abdomenTeenage girls can be torsion of the legs of the cyst on the ovary. Often the pain in the lower abdomen in adolescents is due to infringement of inguinal or scrotal hernia. In such cases, it is not difficult to feel the tumor formation, which does not fit into the peritoneal region. This happens most often in infants up to the age of two.
The mechanical type of intestinal obstruction is much more common in children of the older age group. The disease is accompanied by acute pain, having a cramping character, vomiting, bloating and constipation.
Much less often children develop acute pancreatitis or pancreatic disease and exacerbation of cholelithiasis.
If a child has acute pain in the abdomen, it is forbidden:
- Give painkillers, because the causes of pain can be incorrectly defined and diagnosed later.
- Give antibiotics and laxatives.
- Try to relieve the pain with a warmer