Lower Abdominal Pain in Children

Lower Abdominal Pain in Children

Almost all children have abdominal pain at one time or another. Lower abdominal pain is pain in the stomach or belly area. It can be anywhere between the chest and groin.

“My tummy hurts,” is a cry most parents hear from their kids a lot. Abdominal pain in children is one of the most typical reasons for a parent to bring his/her child to the doctor’s office. Evaluation of a “lower stomach pains” can be a difficulty both to the moms and dads and the physician trying to identify the issue.

In most cases, stomach pain is not serious and improves with little or no treatment. Causes for a child’s hurting tummy can range from minor to dangerous, including infections, food poisoning, constipation or acid reflux. Nevertheless, when it’s recurrent and a particular cause has actually not been identified, treatment can be a challenge. The chronic pain can impact your kid’s capability to have a normal life, consisting of participating in school or sporting occasions.

The majority of the time, it is not brought on by a major medical problem. However often lower abdominal pain can be a sign of something major. Learn when you ought to seek medical care immediately for your child with abdominal pain.

Lower abdominal pain in children is typically frightening and frustrating for parents. Many times it is difficult to discover the exact cause of a child’s abdominal pain. Pain without other symptoms that disappears entirely in less than 3 hours is usually not serious.

Types of Lower Abdominal Pain in Children

When your child suffers lower abdominal pain, see if they can explain it to you. Here are various type of pain:

  • Mild pain or pain over more than half of the belly. Your child can have this sort of pain when they have a stomach virus, indigestion, gas, or when they become constipated.
  • Cramp-like pain is likely to be due to gas and bloating. It is frequently followed by diarrhea. It is usually not severe.
  • Colicky pain is pain that is available in waves, normally begins and ends all of a sudden, and is typically severe.
  • Localized pain is pain in only one area of the belly. Your child may be having issues with their appendix, gallbladder, a hernia (twisted bowel), ovary, testicles, or stomach (ulcers).

If you have a baby or toddler, your child depends on you seeing that they are in pain. Think lower abdominal pain if your child is:

  • More picky than normal
  • Drawing their upper hands toward the belly
  • Consuming inadequately

Stomach Pain at Night in Kids

Digestive issues are considered the most typical reason for stomach pain in the evening.

Consuming near to bedtime means digestion is most likely to happen while resting, making it easier for stomach acid to travel back up the digestive tract.

Sleeping problems and sleep conditions can make conditions like ulcer disease, irritable bowel syndrome (IBS), and inflammatory bowel disease (IBD) most likely or even worse.

Lying down can likewise greatly increase the pressure placed on some muscular, joint, or bone injuries. This can make associated pain and discomfort more extreme.

People who can not correctly absorb or process particular foods often experience pain, bloating, diarrhea, and gas.

Lactose intolerance is a common food intolerance that triggers extreme stomach cramping and pain.

In general, food allergic reactions and intolerance, specifically in kids, has actually been increasing dramatically over the previous 20 years.

What Causes Lower Abdominal Pain in Children

Your child might have lower abdominal pain for numerous factors. It can be hard to know what is going on when your child has abdominal pain. Most of the time, there is nothing seriously incorrect. But sometimes, it can be a sign that there is something serious and your child requires healthcare.

Your child most likely is having lower abdominal pain from something that is not life threatening. For example, your child might have:

  • Constipation
  • Gas
  • Food allergic reaction or intolerance
  • Heartburn or acid reflux
  • Stomach flu or gastrointestinal disorder
  • Strep throat or mononucleosis (” mono”)
  • Colic
  • Air swallowing
  • Abdominal migraine
  • Pain brought on by stress and anxiety or depression

Your child may have something more major if the pain does not get better in 24 hours, becomes worse or gets more frequent. Lower abdominal pain can be a sign of:

  • Appendicitis
  • Gallstones
  • Stomach ulcer
  • Hernia or other bowel twisting, clog or obstruction
  • Inflammatory bowel disease (Crohn’s disease or ulcerative colitis)
  • Intussusception, brought on by part of the intestinal tract being pulled inward into itself
  • Sickle cell disease crisis
  • Stomach ulcer
  • Torsion (twisting) of the testicle
  • Torsion (twisting) of the ovary
  • Growth or cancer
  • Urinary tract infection
Lower Abdominal Pain in Children

Repeat attacks of stomach pain

Some kids suffer repeat attacks of stomach pain, which can be stressing for parents. Frequently, no health issue can be discovered.

Kids may feel lower stomach pain when they are stressed over themselves or individuals around them. Think of whether there is anything that is disturbing your child at home, school or kindergarten, or with good friends. See your local medical professional for advice. A referral might be required to a paediatrician (a physician who specialises in kids).

How to Cure Lower Abdominal Pain in Children at Home?

Most of the time, you can use home care solutions and await your child to get much better. If you are worried or your child’s pain is becoming worse, or the pain lasts longer than 24 hours, call your health care supplier.

Have your child lie quietly to see if the lower abdominal pain disappears.

Offer sips of water or other clear fluids.

Suggest that your child attempt to pass stool.

Avoid solid foods for a few hours. Then try percentages of mild foods such as rice, applesauce, or crackers.

Do not provide your child foods or drinks that are annoying to the stomach. Prevent:

  • Caffeine
  • Carbonated beverages
  • Citrus
  • Dairy items
  • Fried or oily foods
  • High-fat foods
  • Tomato items

Do not offer aspirin, ibuprofen, acetaminophen (Tylenol), or similar medications without first asking your child’s supplier.

To prevent numerous types of lower abdominal pain:

  • Avoid fatty or greasy foods
  • Drink lots of water each day
  • Eat small meals regularly
  • Exercise routinely
  • Limit foods that produce gas
  • Ensure that meals are well-balanced and high in fiber. Eat a lot of fruits and vegetables

When to Contact a Physician

Call your health care service provider if the lower abdominal pain does not disappear in 24 Hr.

Look for medical help immediately or call your regional emergency number (such as 911) if your child:

  • Is a baby younger than 3 months and has diarrhea or vomiting
  • Is presently being treated for cancer
  • Is not able to pass stool, especially if the child is also vomiting
  • Is vomiting blood or has blood in the stool (specifically if the blood is maroon or a dark, tarry black color)
  • Has unexpected, sharp lower abdominal pain
  • Has a rigid, hard belly
  • Has had a recent injury to the abdominal area
  • Is having trouble breathing

Call your provider if your child has:

  • Abdominal pain that lasts 1 week or longer, even if it comes and goes
  • Abdominal pain that does not enhance in 24 Hr. Call if it is getting more severe and frequent, or if your child is nauseous and vomiting with it
  • A burning feeling during urination
  • Diarrhea for more than 2 days
  • Vomiting for more than 12 hours
  • Fever over 100.4 ° F( 38 ° C)
  • Poor cravings for more than 2 days
  • Inexplicable weight reduction

What Measures Should The Pediatrician Take

Talk with the supplier about the area of the pain and its time pattern. Let the company know if there are other symptoms like fever, fatigue, general ill feeling, modification in habits, nausea, vomiting, or modifications in stool.

Your service provider might ask the concerns about the lower abdominal pain:

  • What part of the stomach harms? All over? Lower or upper? Right, left, or middle? Around the navel?
  • Is the pain sharp or cramping, continuous or comes and goes, or modifications in intensity over minutes?
  • Does the pain wake your child up during the night?
  • Has your child had similar pain in the past? The length of time has each episode lasted? How typically has it happened?
  • Is the pain getting more severe?
  • Does the pain worsen after consuming or drinking? After eating greasy foods, milk products, or carbonated drinks? Has your child began eating something brand-new?
  • Does the pain improve after eating or having a bowel movement?
  • Does the pain get worse after stress?
  • Has there been a recent injury?
  • What other symptoms are taking place at the exact same time?

During the health examination, the doctor will test to see if the pain remains in a single area (point tenderness) or whether it is expanded.

They might do some tests to look at the pain. The tests might be:

  • Blood, urine, and stool tests
  • CT (computerized tomography) scan
  • Ultrasound of the abdomen
  • X-rays of the abdomen
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Question, answers ans parents' experience regarding lower abdominal pain in children:

  1. Jessy_Ka

    What are the signs of chronic abdominal pain in my kid?

    Reply
    1. Dr. Patricia Archer

      Chronic abdominal pain lasts for several months or longer. There are lots of causes of stomach pain. The associated symptoms are the most essential factor, in addition to where the pain is. Symptoms consist of waking from sleep, weight loss, or a strong family history of a specific GI disease.

  2. Ann

    I have a 8-year-old daughter who has complained of general stomach pain for practically a year now. We have brought her to the doctor 4 times. She has had an x-ray, urine culture, and blood test that returned with no issue. She has possible constipation. We give her Miralax® in water or juice once a day. She is an excellent fruit eater and drinks lots of liquids. We even took her to therapist to see if this is stress-related. She doesn’t have major stress factors in her life and the therapist confirmed she is well-adjusted and appears to deal with little bumps in the road fine. She tends to get cars and truck sick if driving for more than an hour, however that’s the just other stomach related issue. She had milk allergy as a newborn and we just recently had her allergy-tested. While she was favorable for “all things outdoors,” she did not have any food allergic reactions at this point. Any other thoughts for follow up that we should think about?

    Reply
    1. Dr. Patricia Archer

      This can be hard. If she is gaining weight well with no vomiting, no blood in stool, and an unfavorable workup she would fit more into an irritable bowel syndrome (IBS) category. However, I am unsure precisely what labs were done. Celiac disease is always something we look into, as that can look like IBS. We ‘d also normally ensure liver, kidney, pancreas and inflammatory markers were unfavorable. Sometimes we ‘d consider an ABD ultrasound if any focal pain (to one area) in her abdominal area. We ‘d likewise typically make certain there is no blood in the stool. If all that was unfavorable, we might think about endoscopy (taking a look inside), but with a negative workup and good growth, the possibility we would discover something would be small. It seems like she gets fiber in her diet. An objective of 14gm fiber/day, advancing gradually, can aid with stooling and IBS. Next thing would be to look at diet and see if there are any involved foods. Lactose or fructose intolerance would remain in my differential for what’s going on – and those are different than allergic reactions.

  3. Sintia

    How long should one wait before being concerned if a child’s lower stomach has been harming? A few days? A week? Longer?

    Reply
    1. Dr. Patricia Archer

      It’s not just stomach pain that is the main element. Lots of kids have stomach pain, however it’s the other concerns: changes in stool, blood in stool, weight loss, Nausea, reflux, vomiting, rashes, joint pain/swelling, fevers and family history all play a role in figuring out the concerns. Also, where the pain is at, what it seems like, for how long it lasts, and does it wake them from sleep. Generally if someone simply has stomach pain alone for a few days or a couple of weeks, it’s not much to go on, but longer than a couple of weeks and it would be worthy of to be seen. Likewise if there is a huge family history of a digestive issue (liver, gallbladder, Crohn’s disease, ulcerative colitis, or celiac) and if the symptoms imitate other family members’, sooner instead of later on might be prudent. Stomach pain with other associated symptoms that can not be discussed is constantly more worrying that just stomach pain alone.

  4. Amanda Richardson

    My child is 15 and experiences lower stomach pain set off by IBD. We have actually been seeing a gastroenterologist, but he does not appear to be getting better. What could we do next?

    Reply
    1. Dr. Patricia Archer

      If he is not getting better, normally a second look to make sure the initial diagnosis was correct remains in order. If confirmed, then taking a look at treatment would be next. The type of disease (Crohn’s or ulcerative colitis), as well as the location of the disease, contribute in selecting different therapy. Also, if it has actually been several years given that medical diagnosis, in some cases repeating an endoscopy/colonoscopy may be required to re-evaluate disease. Likewise, imaging with a CT scan or MRI may be utilized to help make an informed decision about changing to a new medication. There are lots of medications for IBD, and all those elements contribute in selecting the best medication to deal with the disease.