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Symptoms of disease - abdominal pain in children

Pain in the abdomen very often occur in any age of the child. The infant up to a year pains are most often caused by colic and the accumulation of gases in the intestines. Manifest pain piercing cry, cry, anxiety, tuck legs to his stomach. The main reason is dysbacteriosis of the intestine and the imperfection of enzymatic systems. When children begin to pronounce sounds, some of the pains you may have guessed, when a child says to "his" language ("bo-bo" , etc.), that it hurt, shows on his stomach in the navel (children up to school age do not know how to localize the pain in the abdomen). One of the most frequent causes of pain in the abdomen at the preschool age - parasitic infestation and connected with it the dysfunction of the intestine. In an older child can clearly articulate where he had a stomach ache, but the causes of abdominal pain is most often chronic disorders (dyskinesia, gastroduodenitis, etc.).

Abdominal pain in children is different. The most dangerous and unpleasant conditions are combined in the concept of "acute abdomen" (acute pancreatitis, peritonitis). The child may not get out of bed because of the severe pain in the abdomen, pain most often intense, taste, sense of well-being - bad, often the temperature rises, opens a severe vomiting, abdominal wall muscles are tense. In this situation it is impossible to give any pain medication prior to the medical examination, and urgently call an ambulance and hospitalized in a surgical hospital. Appendicitis in the early stages usually is not accompanied by great pain. On the contrary, the pain is dull, but rather the constant on the right side of the abdomen (though begin may top left), usually at the same time - a small rise in temperature, can be single vomiting. State of health may deteriorate with time, and as a result there are signs of "acute abdomen". In children aged 1 - 3 years appendicitis is extremely rare.

Another type of pain - chronic pain, which periodically disappear, then reappear. Such pain is usually accompanied by any of the following conditions (chronic disease or infection of the gastrointestinal tract). If there is such a pain, you should consult your doctor and be prepared to answer these questions: whether the pain with food (i.e. they appear always to or always after a meal, or only after some certain food); how often there is pain, as far as they are strong; whether the pain with physiological functions, and the older girls with monthly; where usually hurts, is there some specific localization of the pain, the pain somewhere spread; it is desirable to describe the nature of the pain, if a child can already do this ("pull", "burns", "colette", "cut" and etc.); what types of activities are usually help with pain (drugs, enema or venting tube, massage, calm, cold, heat, etc.). Best of all, if the doctor will you come, already having on hands the results of the analysis on disbacteriosis, ULTRASOUND examination of abdominal cavity organs.

There are such a pain in the abdomen, which are not associated with diseases of the intestines and other internal organs - neurotic pain. The child may complain of pain, when he was afraid of something or does not want to or after some psycho-emotional stress, turmoil. In this case, it is not necessary that it simulates, the stomach can really hurt, sometimes even pain - very strong, like "acute abdomen". But in the survey find nothing. In this case, you need to consult a psychologist or a neurologist. You can go and to see a cardiologist, if the pain in the abdomen are part of the vegetative-vascular dystonia, when the child has, in addition to the pain in the abdomen may be sweating, fatigue, palpitations.



Which diseases there is abdominal pain in children

The main causes of abdominal pain in children:

To clarify the causes of abdominal pain in children it is important to know when it has arisen (appeared for the first time or worried about earlier), the nature of the pain (short-term, long-lasting, recurrent, sharp, dull), location (epigastric or iliac area around the navel, hypochondrium, in the lower parts of the abdomen), irradiation of pain, communication with eating, urination, time of year and day, excessive physical activity and feelings of the child. Has the value of the age of the child: so, for example, intussusception, salmonellosis and stafilococ enteritis, usually found in children up to 1 year, and acute appendicitis, incarcerated hernia, peritonitis, diverticulitis - after 2-3 years.
Children, as a rule, can not specify the exact localization of the pain and often show on the area of the navel.

The nature of the pain can describe only children of older age. The pain appears pale skin, a child cries, bending, pinching the legs, is vomiting, decreased blood pressure.

Abdominal pain in children may be the first symptom of many diseases: mumps, measles, scarlet fever, meningitis, hemorrhagic vasculitis, hodgkin's disease, acute leukemia, rheumatism, periarteritis nodosa.
I. Pain in the abdomen in diseases of the abdominal cavity in children.

The majority of children with abdominal pain sent to hospital with diagnosis of acute appendicitis. Therefore, the differential diagnosis it is expedient to do it is in this aspect.

1. Appendicitis.
Common disease of childhood, the clinical course of which more severe than in adults, and the diagnosis is much more complicated. In infants disease is rare, then the frequency of it grows and becomes the largest in the age of 9-12 years. Acute appendicitis in children is characterized by low specificity of the clinical picture, the rapid development of the destruction of wales, early onset of complications (often spilled peritonitis).

Symptoms Of. Clinical manifestations of acute appendicitis older children in contrast to patients with 3-4 years of age are similar to those for adults. In small children, appendicitis begins with a common phenomena: the children are restless, capricious, disturbed sleep. Usually the child indicates the localization of pain in the area around the navel. Soon after the occurrence of pain appear nausea, vomiting (it happens a lot of times. More than 10% of the patients indicated loose stools, sometimes with mucus. The temperature usually rises (rarely above 30 C). Symptom differences pulse rate and temperature in children is rare and, as a rule, is observed in severe septic peritonitah. A child with acute appendicitis slow-moving, often occupies a position in the bed on the right side with those given to the stomach feet. During the examination revealed typical place of maximum tenderness, passive tense the muscles of the abdomen on the right, positive symptom Schetkina-Bloomberg. In severe intoxication, particularly when gangrenous appendicitis, the tension of the muscles of the abdomen may be absent. Determination of quantity of leukocytes has the same diagnostic meaning as in adults: often it happens within 1210 /l-1510 /l. Gangrenous appendicitis may leak and with leukopenia.

2. Pneumococcal peritonitis.
Observed primarily in children of preschool age, more often in girls. There is an opinion, that the infection penetrates into the abdominal cavity of the vagina, but the boys ways of receipt of pneumococcus in the abdominal cavity are hematogenous, lymphogenous and enterogenous. There are three classic forms of pneumococcal peritonitis: toxic and limited.
Symptoms Of. Characterized by a "symptom of the first hour" is an acute and rapid start. There are severe pain in the abdomen, usually in the lower parts of his or nonlocalized, the increase of temperature up to 39-40% . Vomiting may be multiple. Often appears liquid frequent stools (yellow-green fetid). There is considerable severity of the general condition, in spite of the short duration of the disease. The child suffers, restless, moaning. In severe cases, on the contrary, there are lethargy, apathy, and sometimes loss of consciousness and delirium. The skin is pale, his eyes brilliant. Language dry, beset with white patches. On the lips often appears herpes. The pulse speed up. Belly sharply painful in all departments, but especially at the bottom and longer on the right. It is noted spilled, moderately expressed rigidity of muscles, a few more below the navel and is on the right. Symptom Schetkina-Bloomberg positive. Sometimes you can find some of the swelling of the abdominal wall in the lower parts of the stomach and right iliac region. The presence of exudate is revealed rarely. The toxic form is extremely severe, leading to death within 2-3 days.

3. Coprostasia. The general state of the remains satisfactory. The temperature in the rare cases increases. At a palpation morbidity abdomen often is defined in the left iliac region. After enema noted bulky stools and pain disappears, the abdomen is soft and painless.

4. Tb mesenteric adenitis. The beginning of the disease is not such sharp, as if appendicitis. There is pain, often cramping, diarrhea. The temperature is subfebrile. Voltage of the abdominal muscles are not. Sometimes I can feel the increased mesenteric lymph nodes. Occasionally ruptured lymph node, with cheesy the collapse of may lead to the development of acute peritonitis with sudden onset. The suspicion of uncomplicated tb mesenteric adenitis serves as an indication for hospitalization of the child.

5. Intestinal intussusception.
The introduction of a department of the intestine into the lumen of the other occur primarily in infants (90%) and especially in the age from 4 to 9 months. Boys fall ill in 2 times more often than girls. Children over the age of years intussusception is rarely seen. The most often arises ileocecal intussusception and much less implementation of the small intestine in a thin and thick intestine in fat.
Symptoms of intussusception in most cases begin abruptly. The child becomes restless, cries, cries, pales, refuses to eat. Attack anxiety ends as abruptly as it begins, but after some time it is repeated. In the light period of the child calms down (the period of lull continues 310 min). Soon after, vomiting, first of food, then mixed with gall and, finally, intestinal content with fecal smell. The temperature of the more normal. In the first hours of the disease chair may be normal, after some time from the rectum instead of fecal masses departs blood mixed with mucus. Most often the blood will appear not earlier than six, and from the beginning of the first attack of pain in the abdomen. In some cases the allocation of blood can be absent during the whole period of illness (most often for blindly-colon form).

6. Volvulus.
Form strangulated obstruction caused by the rotating part of the small or large intestine, together with mesentery around the longitudinal axis, is more often observed in children of the first 6 months of life.
Symptoms Of. All of a sudden, the pain in the abdomen, the baby is crying, crying, restless, there is a delay of gas and chair of the asymmetry of the abdomen, has reduced the peristalsis of the bowel, may appear vomiting, HELL reduced. During x-ray examination loop of the small intestine are bloated with fluid levels, distal departments are free from the air. When twist colon dramatically expanded sigmoid division her.

7. Gastric volvulus.
Develops in children with paresis aperture and the creation of conditions for formation of diaphragmatic hernia. A child has a sharp prickly pain in the stomach, accompanied by a general concern, vomiting with some blood, is determined by the strong tension and swelling of the stomach, falling AD. The child's condition is deteriorating rapidly. Ray is determined by the high standing of the diaphragm, the image of the stomach cannot be obtained.
Hospitalization is urgent, requiring emergency surgery.

8. Incarcerated inguinal hernia.
Develops mainly in infancy and up to the 2nd year of life. There are general concerns, "unmotivated" cry, pallor, sweating, is vomiting. During examination of the child is determined by the presence of a hernia, the contents of the hernial sac becomes dense, sensitive at a palpation, not reduce. In advanced cases, there are signs of bowel obstruction: abdominal distension, vomiting repeatedly, the delay of the chair and gases. Gangrene of the intestinal wall - the phenomenon rare, more often takes place venous stasis disadvantaged bodies.
Hospitalization in all cases, the aggrieved hernia emergency in the surgical department.

9. Acute diverticulitis.
Inflammation of the preserved of the yolk sac of the water flow of the blind process, the exhaust from the iliac colon (Meckel's diverticulum). Gives the clinical picture of appendicitis: the patient is vomiting, the temperature increases, there is the delay of the chair, the general anxiety. When palpation abdominal pain localized mainly closer to the navel or in the suprapubic region.
Hospitalization in all cases of suspicion for diverticulitis emergency in the surgical department.

10. Coprostasia.
Accumulation of fecal masses (often in the terminal areas thin or thick intestine) is accompanied by prickly or sharp cramping in the abdomen. Often suffers from general state of health: there is weakness, nausea, vomiting, pallor, the temperature increases. At a palpation are determined by dense or fecal conglomerates in the intestine.
Emergency assistance. Siphon enema, spasmolytic drugs: no-shpa, papaverine.
Hospitalization is not required.

11. Mesenterial lymphadenitis. Permanent symptom is pain in the lower abdomen or around the navel, sometimes accompanied by tension of the muscles of the front abdominal wall. The body temperature may be normal or slightly elevated, is determined by leukocytosis (15-30,10 /l). The diagnosis put by the exclusion of acute appendicitis, the tuberculosis mesadenit, intestinal infections.
Hospitalization to the surgical department under the suspicion of acute appendicitis, in the infectious diseases unit at suspicion on presence of intestinal infections.

12. Crohn's disease.
Granulomatous the defeat of the gastrointestinal tract occurs more often in one or more segments of a fine or colon, less frequently in the esophagus and the stomach. Occurs in children of any age. The symptoms depend on the predominance of the syndromes of malabsorption intestinal occlusion, ulceration ulcers, loss of blood and protein. The child complains of pain in the abdomen, diarrhea. There are weight loss, growth retardation, the periodical increase of body temperature, and anemia. Pain is recurrent in nature, often marked in the right part of the stomach.
Hospitalization in all cases. In cases of suspected perforation of the bowel patient hospitalized in the surgery department and carry out operative treatment.

13. Umbilical colic.
Occur in the sensory and autonomic-labile children in pre-school and school-age children. Characterized by periodic prickly pain around the navel often during meals or after nervous stress. There are pale skin, red dermographism, high humidity of the skin.
Hospitalization is not required.

14. Anomalies of development of the gall bladder and bile ducts.
Biliary atresia, double gall bladder, the absence of a gall bladder, the options are atypical of a confluence of bile ducts in children can cause pain in the abdomen. Bouts of pain in the abdomen are repeated and are sometimes the reason for the hospitalization of children in the surgical branch with suspected appendicitis. Usually the pain of moderate intensity, is localized in the upper right part of the stomach, often changes in the shoulder, neck, shoulder, may be accompanied by nausea, vomiting.

15. Dyskinesia of the gall bladder and biliary tract.
Violation of the evacuation function of the - the most frequent pathology in children with the diseases of gall bladder system. For hypertensive psoriasis is characterized by paroxysmal pain (cramping, stitching, cutting), as a rule, short-term. The pain at hypotonic dyskinesia is of a permanent nature (dull, gloomy, n), pain periodically increases, accompanied by a sense of bursting open in the right hypochondrium, increases during palpation. Bother nausea, bitterness in the mouth, loss of appetite, sometimes vomiting. The diagnosis is confirmed by contrast cholecystography.
Hospitalization is shown in the gastroenterology department.

16. Acute cholecystitis, acute angiocholitis is characterized by sudden onset, high fever (up to 38-40 C), acute abdominal pain in the right upper quadrant, sometimes radiating in the right arm, the right side of the waist. Nausea and vomiting, with some of the bile, language dry, beset with grayish-white bloom, belly moderately bump, is determined by the tension of the muscles of the front abdominal wall. Part of the abdomen, especially in the right half, the breath is limited, there are symptoms of irritation of the peritoneum, a deep palpation is not possible. It is noted leucocytosis with a shift to the left. The children are restless, often change the situation. In children of the first years of life is dominated by general of the disease symptoms: chills, denial of food, constipation or diarrhea in conjunction with painful on palpation of the abdomen in the right hypochondrium.
Hospitalization to the surgical department.


II. Acute gastro-intestinal diseases (gastroenteritis and dysentery).

1. Acute enterocolitis.
In infants occurs frequent pappy, slimy, watery stool, which is accompanied by pain in the abdomen. The most common cause of diarrhea in infants - intestinal infection. When staphylococcal enteritis note severe general condition, bloating, fever, vomiting, signs of exsicosis with intoxication. When the virus enteritis on the background of a fever, catarrhal phenomena in the nasopharynx appears tenderness for the navel or the bottom of the abdomen.
Hospitalization in all cases, enterocolitis in infants in the infectious diseases unit.

2. Acute gastritis.
Occurs in children of any, but more often of school age. Predisposing factors: dietary error (violation of diet and nutrition, obesity, poor food), infections, reception of certain drugs (bromides, iodine preparations), intolerance of individual products.
Symptoms Of. A child presents with vomiting, sometimes repeated, cramping pain in the area epigastralna, feeling of heaviness, completeness, or expanding the abdomen, nausea, weakness, dry mouth. In the survey are topped with language, pale skin with cold sticky then sometimes, liquid stool, rise in temperature. Belly bump, is defined by pain in epigastria, irritation symptoms peritoneum are not available. The diagnosis is based on the data of an anamnesis and clinical picture.

3. Dysentery.
Typical acute onset of the disease. Fever, vomiting, diarrhea mixed with blood and mucus. At a palpation are soreness and rumbling in the course of the large intestine, sigmoid colon heavy and painful. Pain in the abdomen moderate, is not accompanied by the tension of the muscles of the front abdominal wall. Difficulties in diagnostics are rare (about 2% of cases), mainly with dysentery Sonne, when struck by a blind and rising segment of the large intestine with the signs of irritation of the peritoneum, the people who are pretending to acute appendicitis. The diagnosis is confirmed by bacteriological research.

4. Parasitic infestation.
Accumulation of helminths (especially ascaris) in the lumen of intestine may manifest abdominal syndrome (paroxysmal intense pain in the area of the navel, vomiting, signs of intestinal obstruction). The child concerned about excessive salivation, nausea, loss of appetite. There are been charged language, liquid stool. As a result of intestinal obstruction, appendicitis, and peritonitis - emergency hospitalization to the surgical department.

5. Typhoid fever.
Pain in the abdomen with typhoid fever is the leading symptom. More pain are of the nature or are localized in the area of the intestines. Symptoms of peritoneal irritation, as a rule, does not happen, at a palpation in the right iliac region noted purr, blunting percussion sound. The diagnosis is put on the basis of the data of the epidemiological anamnesis, signs of intoxication, changes of cardio-vascular system (bradycardia, hypotension), the nature of the chair (the delay of the chair is replaced by the frequent loose stool green color), lethargy (on a typhoid status).
Hospitalized to the infectious diseases unit. When the signs of perforation of the colon is shown emergency surgery.

III. Urological pathology (often inflammatory phenomenon against the background of congenital or acquired diseases of the urinary tract). In contrast to the acute appendicitis pain in these cases cramping, the child is restless, changes the position of the body. The pain often changes in the lumbar region or in the inner surface of the thigh and groin area. Urination frequent, painful. There is often a chill. The tension in the muscles of the abdomen on the right side is more diffuse character, than with appendicitis, and disappears in the "light of the gap". Zone pain is projected in the course of the ureter. Pasternatskyi Symptom positive. In cases of doubt, you need an urgent neurological study.

1. Acute pyelonephritis.
The disease often develops in children with congenital abnormalities of the urinary tract. Pain in the abdomen and lumbar region is combined with phenomena, high temperature, signs of intoxication; in small children is possible violation of the functions of the gastro-intestinal tract. Symptoms of peritoneal irritation, as a rule, no. The diagnosis is confirmed by the presence of pyuria, bacteriuria and radiological data.
Hospitalization is required in the therapeutic hospital.

2. Nephroptosis.
The position of the anomalies of the kidneys in children are rare, the adynamic, rapidly growing children. Renal colic is developing due to the significant displacement of the kidney down in the vertical position of the patient and a sharp inflection urethra, violation of the outflow of urine. Abdominal pain accompanied by nausea, vomiting, may be the rise of HELL, is determined by the positive sign Pasternatskyi. The diagnosis is made according to the X-ray of Urology surveys, analyses of urine (proteinuria, Pyuria, eritrotsituriya), palpation survey in a vertical position.
Hospitalization in the urological department under the recurrent and severe pain in the abdomen.

3. The stones of kidneys.
Kidneys disease can occur in children renal colic in any age. In children of early age are more expressed general symptoms, patients are anxious, try to sit huddled in bed. Belly bump, tense, may be signs of peritoneal irritation. Older children complain of pain in the course of the ureter, concerned about the frequent and painful urination. The diagnosis is confirmed by the data of x-ray studies and analyses of urine (eritrotsituriya, Pyuria, proteinurija).
Hospitalization emergency in urological or a surgical hospital.

V. Pain in the abdomen when the disease bodies) located outside the abdominal cavity.

Children's infectious diseases (measles, scarlet fever, chicken pox, rubella), infectious hepatitis, and the children of early age - otitis media is often accompanied by pain in the abdomen. It is always important to remember this, and thoroughly explore the skin. In the children's infectious diseases of the stomach by palpation painful closer to the navel, the true muscle of la defense, as a rule, does not happen. Acute appendicitis may occur immediately after a bout of measles. The "measles appendicitis" flows is extremely difficult.
Emergency care and hospitalization. All patients with acute appendicitis and with suspected he should be hospitalized in the surgery department. The presence of acute appendicitis from a child at any age is an absolute indication for appendectomy. When appendicular peritonitis to remove the child from the dire condition of conducting a complex of preoperative preparation within 2-4 hours.

1. Sore Throat.
For sore throats, especially in young children, is often complicated by pain in the abdomen prickly nature. Pain in the abdomen due to a friendly reaction of lymphoid of the apparatus of the abdominal cavity, especially appendix. Perhaps a combination of angina and acute appendicitis.

2. Measles, scarlet fever, diphtheria, influenza, epidemic myalgia.
These diseases among children in the initial period may be accompanied by pain in the abdomen, often to the right, the simulation of appendicitis. The most intense pain is observed when the epidemic myalgia disease (Bornholm) due to failure of the muscles of the anterior abdominal wall.
Hospitalized to the infectious diseases unit in difficult period.

3. Whooping cough, acute tracheobronchitis.
Pain in the abdomen whooping cough and tracheobronchitis due to excessive stress and fatigue abdominal muscles, developing in a fit of coughing. When examining the symptoms of irritation of the peritoneum is not revealed.

4. Acute respiratory viral infections.
Pain in the abdomen is linked with a friendly response lymphatic of the apparatus of the abdominal cavity, or the defeat of the vegetative gangliev; as a rule, the pain of cramping nature, uncertain localization, oez signs of irritation of the peritoneum. The need for hospitalization in the infectious diseases unit determined by the severity of the disease.

5. Acute pancreatitis.
Pancreatitis - frequent complication of the flow of a number of diseases such as mumps, measles, chicken pox, as well as injuries of the abdomen, disease psoriasis ways, the result of the intolerance of some drugs and manifestation of allergic conditions. Pain in the abdomen occurs acutely, the first is of a diffuse character, then is localized in the upper abdomen or acquires genital character, often changes in the back, shoulders, often accompanied by vomiting, nausea, abundant salivation. Child takes forced situation, is more often on the left side. The duration of pain - from a few minutes the type of colic up to a few days. Temperature is normal or subfebrile. Abdomen soft, painless. When a necrosis of pancreatic the child's condition becomes critical, develop exsicosis, intoxication, bowel paresis. It is necessary to differentiate from acute appendicitis, food infections.
Admission only in the surgical department.
When the signs of purulent pancreatitis or peritonitis operative treatment is shown.

6. Pneumonia.
Acute pain in the abdomen, especially in children of early age, often makes it difficult for pneumonia. The distinctive feature of pain - increase in breathing. The most intense pain in the abdomen observed in the lobar pneumonia, simulating in cases of right-sided localization of acute appendicitis. Recognition of pneumonia helps identify other signs, such as shortness of breath, auscultatory changes in the lungs, cough, as well as x-ray examination.
Hospitalization is necessary in severe cases.

7. Abdominal syndrome with rheumatism.
Abdominal syndrome is the result of serous inflammation of the peritoneum for rheumatism. In acute rheumatism children over the age of 4-5 years of age may disturb the pain in the abdomen of an indefinite nature and localization. Typical paroxysmal pain in the abdomen, signs of abdominal irritation. Recognize disease helps the availability of other forms of rheumatism - the defeat of joints, the heart.
Hospitalization in all cases in cardiorheumatological office.

8. Disease of the heart.
Pain in the abdomen in diseases of the heart (carditis, heart defects) is explained by the development of right heart failure, circulation, congestive phenomena in the liver and the development of thromboembolic syndrome. Sometimes the pain in the abdomen accompanied by vomiting. Recognition helps to identify other signs of heart disease, such as changes in the configuration of the heart, violations of heart rhythm, a cardiac murmur.
Hospitalization in children's cardiology or the therapeutic department.

9. Hemorrhagic vasculitis.
Paroxysmal pain in the abdomen may be the leading and the only sign of the disease; appear frequent and loose stools, vomiting, signs of peritoneal irritation and dynamic intestinal obstruction. Abdominal pain caused by the defeat of the small arteries of the gastro-intestinal tract, the mesentery. In the presence of skin rash with haemorrhagic component, joint syndrome, positive tests for occult blood in the feces or signs of gastrointestinal bleeding, as well as hematuria diagnosis does not cause doubts.
Hospitalization in the therapeutic department. Keep in mind the possibility of the development of intussusception and gangrene of the bowel with hemorrhagic vasculitis. In such cases need urgent hospitalization to the surgical department.

10. Diabetes mellitus.
Decompensation diabetes is accompanied by abdominal syndrome. Belly in this tense, painful on palpation, possible symptoms of irritation of the peritoneum, there is repeated vomiting (sometimes with an admixture of blood), which simulates a surgical emergency. Contributes to the proper diagnosis of the smell of acetone breath, glukozuria, ketonuria, hyperglycemia.
Sometimes the pain in the abdomen observed in the hypoglycemia states.
Hospitalization in endocrinology or therapeutic department.

11. Acute hemolytic anemia.
Crises in gemoliticakih anemiah (hereditary and acquired) are accompanied by pain in the abdomen due to the fast-developing of splenomegaly. Is enlarged and painful spleen. Acute abdominal pain occurs in the development of myocardial spleen.
Diagnosis is confirmed by the data of laboratory researches: anaemia, the increase of indirect bilirubin, serum iron, reticulocytosis, polychromatophilia,urobilinuria, hemoglobinuria, and the presence of jaundice.

12. Periarteritis nodosa.
More frequently suffer from children of school age. Abdominal syndrome (paroxysmal pain in the abdomen, sometimes symptoms enterocolitis) may be the first and leading manifestation of disease. Pain in the abdomen has no precise localization, accompanied by vomiting, nausea. In the process involves, as a rule, small intestine, and develop bowel necrosis, ulcers, aseptic peritonitis. Helps the diagnosis of identification of other syndromes - skin, bone, kidney, with arterial hypertension, pulmonary.
Hospitalization in the therapeutic department, with the development of complications transfer to the ward of intensive observation.

13. Periodic disease.
The disease is characterized by seizures occurring with the certain periodicity, in the form of pain in the abdomen, fever with chills. Pain in the abdomen cramping, lasts from several hours to several days. The abdominal wall is tense, palpation of the abdomen is painful. At the height of attack develop signs of partial intestinal obstruction and peritonitis, which simulates an acute surgical pathology. A distinctive feature of the disease is the spontaneous disappearance of pain in the abdomen.
In the collection of anamnesis often similar disease is detected with relatives: is characteristic of belonging to a particular ethnic group (armenians, jews and arabs).
Hospitalization in the therapeutic department.

14. Trauma to the abdominal wall.
Pain in the abdomen - permanent symptom of injury of the anterior abdominal wall. The pain may be a local or spilled, conditioned by the formation of bruises or damage of parenchymatous organs. When severe pain are possible syncope. The main complications of injuries are shock, bleeding, peritonitis.
Urgent hospitalization to the surgical hospital.

15. Abdominal migraine syndrome (moore). For this disease is characterized by the taste of paroxysmal pain in the abdomen, combined with clonic spasms of the muscles of the front abdominal wall. It is possible appearance of vegetative crises (paleness of skin, increased sweating, nausea, vomiting, increased peristalsis). The diagnosis is confirmed by detection of changes in the EEG, characteristic for the temporal lobe epilepsy.
Hospitalization in the neurology department.

16. Psychogenic pain in the abdomen in children. Sometimes the child, which is felt during the weekend, Monday morning complaining of stomach pain. This may be because of his reluctance to go to school. It happens that a complaint of pain are used as a means to attract the attention of others. The child is a pleasure, that the parents and all the household seek to please him, to ease his suffering. Children whose parents often talk about their illness, a sense of solidarity, or imitation, too, begin to complain of pain.
Have some children are bouts of abdominal cramps, nausea, vomiting, migraine headache, diarrhea or constipation, pallor or, on the contrary, the redness of the face; a feverish state or a full prostration. Any combination of these symptoms. To this can join signs of disorders of view, auditory hallucinations, the strangeness of conduct. It is noteworthy, however, that between bouts of child feels well. As a rule such children overly emotional. They are characterized by the possession, the desire for supremacy. Parents make them too big requirements and expect from them too much. Quarrel in the family or failure in the exam may trigger the appearance of attack.



Which doctor should I contact if there is a abdominal pain in children

  • Gastroenterologist
  • Pediatrician
  • Rheumatologist
  • Pulmonologist
  • Surgeon
  • Hematologist
  • Cardiologist
  • Infectious Disease Physician
  • An Otholaryngologist
  • Urologist
  • Psychiatrist


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Map of the symptoms and the types of pain is intended solely for educational purposes. We strongly recommend do NOT self-medicate; on all matters relating to the definition of the disease and ways of its treatment, contact your doctor. Md-tips is not responsible for the consequences of use information posted on the site.