Upset stomach for kids. Stomach Pain in Children: Causes, Symptoms, and Effective Home Remedies
What causes stomach pain in children. How can parents identify the location and severity of abdominal discomfort. When should you seek medical attention for a child’s stomach ache. What are trusted home remedies for alleviating stomach pain in kids.
Common Causes of Stomach Pain in Children
Stomach aches are a frequent complaint among children, often causing concern for parents. Understanding the potential causes can help determine the appropriate course of action. Here are some of the most common reasons children experience stomach pain:
- Indigestion
- Gastrointestinal infections or stomach bugs
- Constipation
- Stress or anxiety
- Irritable bowel syndrome (IBS) or functional abdominal pain
- Appendicitis (causing acute or sudden pain)
Accompanying symptoms may include cramping, diarrhea, gas, bloating, nausea, or vomiting. The location and characteristics of the pain can provide valuable insights into its underlying cause.
Identifying the Location of Abdominal Pain
Dr. Megha S. Mehta, a pediatric gastroenterologist at Children’s Health and Assistant Professor at UT Southwestern, emphasizes the importance of pinpointing the location of stomach pain in children. This information can help physicians determine the cause and appropriate treatment.
Pain Around the Belly Button
Stomach pain near or around the belly button is typically not a cause for serious concern. It’s one of the most common complaints and is often attributed to stress or dietary issues. If your child experiences this type of pain, consider the following steps:
- Encourage rest
- Check if they need to use the bathroom
- Offer water
- Try distracting them with a book or quiet game
Lower Right Abdominal Pain
Pain in the lower right part of the abdomen could indicate appendicitis, a serious medical emergency requiring immediate attention. Watch for additional symptoms such as:
- Fever
- Nausea and vomiting
- Difficulty passing gas
- Loss of appetite
- Changes in bowel movements
If you suspect appendicitis, contact your child’s pediatrician immediately to prevent complications like a ruptured appendix.
Left Side Abdominal Pain
Pain on the left side of the abdomen can range from mild conditions like constipation to more severe issues such as pancreatitis. While it’s essential not to panic, consulting with a pediatrician can help determine the underlying cause and appropriate treatment.
Upper Abdominal Pain
Discomfort in the upper abdomen may indicate indigestion. Common signs include:
- Pain in the middle of the upper belly
- Nausea
- Bloating
- Burping
- Heartburn
In some cases, pain in the upper right side of the abdomen could be a sign of gallstones. While less common in children, certain risk factors increase the likelihood, including obesity, specific health conditions, and family history.
Effective Home Remedies for Stomach Pain in Children
In many cases, stomach pain in children resolves on its own with rest, bowel movements, or recovery from a stomach virus. However, parents can help alleviate symptoms using trusted home remedies:
- Ensure proper hydration by offering clear liquids
- Administer age-appropriate doses of ibuprofen or acetaminophen for pain relief
- Apply a heating pad to ease cramps and discomfort
- Provide a bland diet consisting of crackers and soups
- Consider stool softeners like MiraLAX® for constipation relief
When to Seek Medical Attention for Stomach Pain
While many instances of stomach pain in children can be managed at home, certain situations warrant medical attention. Parents should contact a healthcare provider if:
- Pain is severe or persistent
- Abdominal pain is accompanied by high fever
- There are signs of dehydration
- The child experiences persistent vomiting or diarrhea
- There’s blood in the stool or vomit
- The child shows signs of appendicitis
Preventing Stomach Pain in Children
While it’s not always possible to prevent stomach pain, certain measures can reduce its frequency and severity:
- Encourage a balanced diet rich in fiber
- Ensure adequate hydration
- Promote regular physical activity
- Establish a consistent bathroom routine
- Manage stress and anxiety through relaxation techniques
- Teach proper hand hygiene to prevent infections
Understanding Functional Abdominal Pain in Children
Functional abdominal pain is a common condition in children where recurring stomach pain occurs without an identifiable physical cause. This type of pain can be just as real and distressing as pain with a visible organic cause. Key characteristics of functional abdominal pain include:
- Recurring pain episodes lasting for at least two months
- Pain that interferes with daily activities
- No evidence of underlying physical conditions
- Often associated with stress or anxiety
Management of functional abdominal pain typically involves a multidisciplinary approach, including:
- Reassurance and education for both the child and parents
- Stress reduction techniques
- Dietary modifications
- Psychological interventions, such as cognitive-behavioral therapy
- In some cases, medication prescribed by a healthcare provider
The Role of Diet in Managing Stomach Pain
Diet plays a crucial role in both preventing and managing stomach pain in children. Consider the following dietary strategies:
Foods to Avoid
Certain foods may trigger or exacerbate stomach pain in some children. Common culprits include:
- Fatty or fried foods
- Spicy foods
- Carbonated beverages
- Caffeine
- Dairy products (for lactose-intolerant children)
- Highly processed foods
Beneficial Foods
Incorporating the following foods may help alleviate stomach discomfort:
- Bananas: Rich in potassium and easy to digest
- Rice: Provides easily digestible carbohydrates
- Applesauce: Offers gentle fiber and hydration
- Toast: Plain, toasted bread can be soothing for upset stomachs
- Ginger: Known for its anti-nausea properties
- Yogurt with probiotics: Can aid digestion and support gut health
Importance of Hydration
Proper hydration is crucial for maintaining digestive health and preventing issues like constipation. Encourage your child to drink water regularly throughout the day. For children experiencing diarrhea, oral rehydration solutions can help replace lost fluids and electrolytes.
Stress and Anxiety: Hidden Culprits of Stomach Pain
The connection between emotional well-being and physical health is particularly evident in children experiencing stomach pain. Stress and anxiety can manifest as physical symptoms, including abdominal discomfort. Understanding and addressing these emotional factors can be key to managing recurring stomach pain.
Identifying Stress-Related Stomach Pain
Signs that stomach pain may be related to stress or anxiety include:
- Pain that occurs before stressful events (e.g., exams, performances)
- Discomfort that improves during weekends or holidays
- Accompanying symptoms like headaches or trouble sleeping
- Pain that doesn’t follow a consistent pattern related to eating or bowel movements
Strategies for Managing Stress-Related Stomach Pain
- Encourage open communication about feelings and concerns
- Teach relaxation techniques such as deep breathing or mindfulness
- Ensure adequate sleep and establish a consistent bedtime routine
- Promote regular physical activity
- Consider consulting a mental health professional for persistent issues
By addressing both the physical and emotional aspects of stomach pain, parents can help their children find relief and improve their overall well-being.
When to Worry: Red Flags for Serious Abdominal Conditions
While most cases of stomach pain in children are benign, certain symptoms may indicate a more serious underlying condition. Parents should be vigilant for the following red flags:
- Persistent pain lasting more than 24 hours
- Pain that wakes the child from sleep
- Abdominal pain accompanied by back pain
- Painful or frequent urination
- Unexplained weight loss
- Jaundice (yellowing of the skin or eyes)
- Severe pain in the right lower quadrant (possible appendicitis)
- Pain associated with testicular swelling in boys
If any of these symptoms are present, it’s crucial to seek immediate medical attention. Early diagnosis and treatment can prevent complications and ensure the best possible outcome for your child.
Diagnostic Approaches for Persistent Stomach Pain
When stomach pain persists or recurs frequently, healthcare providers may employ various diagnostic tools to identify the underlying cause. These may include:
- Detailed medical history and physical examination
- Blood tests to check for infection, inflammation, or other abnormalities
- Stool tests to detect parasites or bacterial infections
- Imaging studies such as ultrasound, CT scan, or MRI
- Endoscopy or colonoscopy in specific cases
The choice of diagnostic approach depends on the child’s symptoms, medical history, and the suspected underlying condition. Your healthcare provider will determine the most appropriate tests for your child’s specific situation.
Empowering Children to Manage Their Stomach Pain
Teaching children to understand and manage their stomach pain can be an empowering experience. Here are some strategies to help children take an active role in their digestive health:
Pain Diary
Encourage older children to keep a pain diary, noting:
- When the pain occurs
- What they ate before the pain started
- Activities or events preceding the pain
- Severity of the pain on a scale of 1-10
- Any other symptoms experienced
This information can help identify patterns and potential triggers, aiding both parents and healthcare providers in managing the pain effectively.
Teaching Body Awareness
Help children become more aware of their body’s signals by:
- Encouraging regular bathroom habits
- Teaching them to recognize hunger and fullness cues
- Helping them identify emotions and how they might affect their body
Coping Strategies
Equip children with tools to manage mild stomach discomfort:
- Simple breathing exercises
- Gentle self-massage techniques
- Visualization or distraction methods
- Knowledge of when to ask for help from an adult
By involving children in the management of their stomach pain, parents can help build resilience and self-efficacy, valuable skills that extend beyond digestive health.
The Impact of Lifestyle on Children’s Digestive Health
A child’s overall lifestyle can significantly influence their digestive health and susceptibility to stomach pain. Consider the following factors:
Sleep Patterns
Adequate sleep is crucial for maintaining a healthy digestive system. Poor sleep can exacerbate stress and anxiety, potentially leading to increased stomach discomfort. Establish a consistent sleep schedule and create a relaxing bedtime routine to promote restful sleep.
Physical Activity
Regular exercise can help regulate bowel movements, reduce stress, and improve overall digestive function. Encourage daily physical activity, whether it’s organized sports, playground time, or family walks.
Screen Time
Excessive screen time can lead to a sedentary lifestyle and potentially disrupt eating patterns. Set reasonable limits on screen time and encourage active play and social interaction.
Meal Environment
Creating a positive, relaxed environment during meals can promote better digestion. Encourage family meals when possible, avoid distractions like television during eating, and model healthy eating behaviors.
Stress Management
Teach and practice stress-reduction techniques as a family. This might include mindfulness exercises, yoga, or simply setting aside time for relaxation and fun activities.
By addressing these lifestyle factors, parents can create an environment that supports their child’s digestive health and overall well-being, potentially reducing the frequency and severity of stomach pain episodes.
Stomach Pain in Kids – Children’s Health
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As many parents know, children and stomach aches seem to go hand in hand. Stomach pain in kids can be caused by a variety of common reasons such as eating too much, needing to go to the bathroom, or anxiety or worry about an upcoming event. However, if your child complains of stomach pain frequently, it can be difficult to know the best ways to help and when to call the doctor.
Megha S. Mehta, M.D., a pediatric gastroenterologist at Children’s Health℠ and Assistant Professor at UT Southwestern, explains when parents should worry about stomach pain and when a little rest and hydration is all your child may need.
What can cause stomach pain in a child?
The most common causes of stomach pain in children include:
- Indigestion
- Infection or stomach bug
- Constipation
- Stress or anxiety
- Irritable bowel syndrome or functional abdominal pain
- Appendicitis (causes acute or sudden pain)
Additional stomach pain symptoms can vary based on what’s causing your child’s stomach to hurt, but may include cramping, diarrhea, gas, bloating, nausea or vomiting. One of the most important symptoms to note is where your child is feeling pain in their stomach.
“One of the first questions we ask children is where their stomach hurts,” explains Dr. Mehta. “Location of the pain can help physicians determine what is causing the pain, in addition to other characteristics such as severity of pain, when it occurs, what makes it better or worse and accompanying symptoms.”
Stomach pain around the belly button
Stomach pain around or near a child’s belly button is usually nothing to worry about. It’s one of the most common stomach pain complaints among kids.
“Children often rub their bellies when they hurt and complain about general pain around the belly button,” says Dr. Mehta. “This type of stomach pain is typically caused by stress or eating something that didn’t quite agree with them.”
If your child is complaining about stomach pain near the belly button, you can:
- Encourage them to lay down and rest
- Check to see if they need to poop
- Offer a glass of water
- Try distracting them by reading a book together or playing a quiet game
Stomach pain in the lower right part of the abdomen
Appendicitis is a serious medical emergency that can cause sudden, severe pain in the lower right part of your child’s stomach. If your child complains of stomach pain that moves to the lower right side of the belly, watch for other symptoms of appendicitis including:
- Fever
- Nausea
- Vomiting
- Difficulty passing gas
- Loss of appetite
- Constipation
- Diarrhea
You should contact your child’s pediatrician immediately if you suspect your child has appendicitis. Early diagnosis decreases risk of a ruptured appendix or serious complications.
Stomach pain on the left side of the abdomen
If your child is complaining about pain on the left side of their stomach, it could be caused by something as simple as constipation to a more severe condition like pancreatitis. Dr. Mehta reminds parents not to panic just because their child is experiencing pain.
“Most of the time, stomach pain on the left side is caused by something mild, like constipation. Rarely, it can be a sign of something more serious,” she says. “Your child’s pediatrician can work with you to better understand the pain and symptoms your child experiences to ensure they receive an accurate diagnosis – and more importantly, find relief.”
Stomach pain in the upper abdomen
If your child is complaining about pain in their upper abdomen, they may be experiencing indigestion. Telltale signs of indigestion include:
- Pain in the middle of the upper belly
- Nausea
- Bloating
- Burping
- Heartburn
“Indigestion may be the cause, if your child complains about pain in their upper belly, especially if it happens after eating certain foods,” says Dr. Mehta.
If your child has pain in the upper right side of their abdomen, this could also be a sign of gallstones. Gallstones are more common in adults than in children, but some children may be more at risk for developing gallstones including children with obesity, children with certain health conditions including sickle cell disease, and children with a family history of gallstone disease.
What can I give my child for stomach pain?
Stomach pain usually resolves itself after your child:
- Rests
- Has a bowel movement
- Passes gas
- Recovers from a stomach virus
There’s no specific treatment for an upset stomach, but you can help relieve your child’s symptoms. Trusted home remedies for stomach pain in kids include:
- Offering plenty of clear liquids to keep your child hydrated
- Offering ibuprofen or acetaminophen to relieve pain
- Using a heating pad to ease cramps and pain
- Offering a bland diet, like crackers and soups
- Giving your child stool softeners, like MiraLAX® to ease constipation (see other ways to prevent and treat constipation in kids)
- Mixing a probiotic in your child’s water, which may help stop diarrhea
When should I take my child to the doctor for stomach pain?
Stomach pain in children is usually nothing to worry about. But, if your child experiences any of the following symptoms, schedule an appointment with your child’s pediatrician to determine the cause of your child’s pain:
- Constipation that is becoming frequent
- Recurrent stomach pain with no clear cause
- Blood in stool
- Diarrhea
- Fever and cough
- Pain when urinating
- Unexplained weight loss
- Looks or acts sick
- Pain that is waking your child up from sleep or is starting to affect their daily lives
- Jaundice
Your child’s pediatrician can help you determine if you need to seek immediate medical attention.
When to go to the ER for stomach pain in kids
If your child experiences any of the following symptoms with stomach pain, call 911 immediately or take your child to the emergency room (ER):
- Severe pain in the stomach
- Loss of consciousness, fatigue or ill appearing
- Difficulty breathing
- Dehydration
- Blood in vomit or green-colored vomit
When kids have stomach aches, it can be hard to pinpoint a cause or if you should be concerned. A #pediatric GI expert from @Childrens addresses when to call the doctor.
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The Children’s Health Pediatric Gastroenterology program offers specialized, compassionate care to help treat, manage and improve your child’s digestive health. Our team offers minimally invasive diagnostic techniques and the latest advances in care to help your child and family feel their best. When stomach pain in kids becomes a chronic issue, our Chronic Abdominal Pain Clinic offers help and hope.
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10 signs that a child’s stomachache could be something serious
Stomachaches are incredibly common in children. Most of the time they are nothing serious at all. Most are just from a mild stomach bug, or some constipation, or hunger — or are a child’s way of getting out of something they don’t want to do. But a stomach pain can sometimes be a sign of a more serious problem.
A stomachache worries doctors when…
1. The pain is severe. By severe, I mean that the child cannot be distracted from it and is crying or otherwise showing that they are extremely uncomfortable. Any severe pain warrants a trip to the doctor, whether it’s unrelenting or it comes and goes.
2. There is blood in the stool. Most of the time, we see blood in the stool with constipation, which is usually not serious and can be easily treated. But a bad stomachache with blood in the stool can be a sign of a serious infection, inflammatory bowel disease, or another intestinal problem. So, any time your child has a stomachache and blood in the stool, give your doctor a call to be on the safe side.
3. The child vomits blood. As with blood in the stool, this isn’t always a sign of something serious. Children who have been vomiting a lot can sometimes vomit some blood, and children who have nosebleeds, or bleeding from a lost tooth or some other problem of the mouth, may vomit that blood back up. But as with blood in the stool, any stomach pain with vomiting blood requires a call to the doctor.
4. There is green vomit. Green vomit can be a sign of a blockage in the intestine. Sometimes people vomit some yellow-green material when they have vomited up everything else, but stomach pain and green vomit should never be ignored.
5. The child has hives, looks pale, complains of dizziness, or has swelling of the face. Anaphylaxis, the most serious kind of allergic reaction, can cause stomach pain, often with vomiting. For this one, you should call 911. If your child has a known allergy and you have epinephrine at home, give it while you wait for the ambulance to arrive.
6. The stomach pain is in the right lower side of the belly. That’s where the appendix is. Early on, the stomachache of appendicitis is usually around the belly button, but then it moves to what we doctors call “the right lower quadrant.” Constipation can cause pain there, and girls who get periods can have pain there when they ovulate, but we don’t like to miss appendicitis. So, any pain in that part of the belly should get checked out.
7. The child has a fever and a bad cough. Pneumonia can sometimes cause a stomachache. Now, many viruses can cause a stomachache along with a cough, but if the cough is particularly bad, or the stomachache is getting worse, or the child seems to be breathing quickly or otherwise differently, call the doctor.
8. The child says it hurts to urinate. Sometimes a stomachache can be a sign of a urinary tract infection.
9. The child has a high fever or seems much sleepier than usual. Stomachaches can be seen in serious infections — and being very sleepy when you are in pain can be a sign not just of infection but of low blood pressure or blood loss. High fevers and extra sleepiness should always be checked out, but especially if there is a stomachache too.
10. The child is losing weight. It’s not uncommon for a child to lose a little weight from vomiting or diarrhea. Usually, they gain it back once they feel better. But if a child who gets stomachaches is steadily losing weight — for example, their clothes no longer fit — they should be thoroughly checked out by the doctor.
What to do if none of the above is true
This doesn’t mean that every other stomachache is fine — but if none of the above is true, it’s less likely to be something serious. Try rest, fluids, and a bland diet (or extra fiber in the diet if your child is constipated). If your child isn’t getting better, especially if your child has vomiting or diarrhea that isn’t getting better, call your doctor. If your child has recurrent stomachaches, it’s incredibly helpful when parents keep a diary of the stomachaches, along with details of things like what they ate that day, what their stool was like, how they acted, etc. This information can go a long way toward helping the doctor figure out what is going on, and how to help.
Image: Liderina/Getty Images
Diseases – blog of pediatricians of the children’s clinic “RebenOK”
Diseases – blog of pediatricians of the children’s clinic “RebenOK”
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Diseases – blog of pediatricians of the children’s clinic “RebenOK”
Diseases – blog of pediatricians of the children’s clinic “RebenOK”