If there were pains in the abdomen, then firstly, it 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 the child has a stomach ache 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 the characteristic tightening of the legs. But, nevertheless, not every time a cry 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 it hurt the stomach?
In young children it is very difficult to determine where the child hurts, and whether it hurts 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 it hurts, and in which place they have pain. 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 be congenital 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 immediately occurs with the bile. 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 bile appears, and later - the contents of the intestine.
Partial obstruction is characterized by the time of vomiting, and vomiting, in turn, is the level and degree of narrowing of the intestinal lumen. The narrower this gap is, and above is the obstacle that caused the obstruction, the sooner the person begins to break.
Frequent causes of pain in the abdomen of babies are gases, 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. 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 children's pain may be Hirschsprung's disease. This disease 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 most often develops in the recto-sigmoid part of the intestine. When a disease occurs, the functioning of this department is broken, 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 three years of age often suffer from appendicitis attacks. 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 expression of the face 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, so the inspection of the toddlers is very difficult.
In older children, the anamnesis is much shorter - up to several hours, sometimes one or two days. The disease manifests itself by constant or colicky pains above the navel or in the epigastric department. After a while, the pain is localized on the right in the ileum or in the abdominal region. Children complain of nausea, there are refusals, the temperature rises to 38 degrees, often children walk, crouching, because this makes the painful.
With such a disease 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 ruptures, then there is a picture resembling peritonitis, characterized by pain throughout the abdominal region. 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 orbits flow.
The cause of acute pain in the abdomen of adolescent girls can be twisted legs of the cyst on the ovary. Often the pain in the lower abdomen in adolescents is due to the infringement of the inguinal or scrotal hernia. In such cases, it is easy 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 ease the pain with a warmer