The child has a stomach ache, nausea and diarrhea. The child has a stomach ache, diarrhea and fever, what should I do? Diseases of the digestive system

The ailments that occur in children can cause real panic in parents. It makes you want to immediately call an ambulance or use the entire arsenal of medicines that came to hand. But in fact, when children feel unwell, you need to pull yourself together and try to concentrate. In some cases, there is no particular reason to panic. But if the child has a temperature, his stomach hurts, and diarrhea - what should I do?

Diarrhea in a child is a fairly common disorder of well-being that occurs when there are some malfunctions in activity. digestive system. With such symptoms, the volume of bowel movements increases, the consistency changes stool, pathological impurities may appear in the stool. Sometimes diarrhea in a child is accompanied by an increase in temperature and quite often it is accompanied by pain in the abdomen.

Diarrhea is usually referred to when the stool becomes very thin and is almost ninety percent water. In this case, the frequency of occurrence of such a chair can increase up to twenty times a day. But at the same time, doctors clarify that it is much easier to determine the presence of diarrhea in adult patients than in children. So, for example, in children of the neonatal period, the stool is characterized by unformedness and is really similar to diarrhea. The classic designed chair is normal for children from two years of age.

But in any case, if the number of liquid stools in children exceeds five times, you should be wary and seek medical care. And the presence associated pain in the abdomen and temperature makes calling an ambulance inevitable.

Why are these symptoms dangerous??

For children, diarrhea, which is combined with fever, is an extremely dangerous phenomenon. After all, such symptoms in themselves indicate some kind of disturbance in the functioning of the body, but in addition, they can lead to an instant deterioration. Indeed, with diarrhea, the body loses a significant amount of fluid, which is fraught with the occurrence of dehydration.

Pain, in turn, can signal the development of a variety of pathological processes that threaten health and even life. Correction of such conditions may require immediate medical intervention.

Even if the diarrhea is not too frequent, already by itself can disrupt blood circulation, provoke anemia and cause exhaustion.

What Causes Fever, Diarrhea, and Abdominal Pain in Children??

What to do with a child?

So, the answer is unequivocal: with diarrhea, abdominal pain in a child and temperature, you need to take into account high probability dehydration and the possibility of complications, and call a doctor. Perhaps the doctor will allow treatment on an outpatient basis, that is, at home, but only after determining the cause of the ailment.

Subsequence medical measures with such a violation of well-being in children should also be determined by a doctor. Of the drugs, adsorbent drugs can be used that absorb aggressive particles from the digestive tract, helping to reduce unpleasant symptoms. Such medicines are represented by Smecta, activated carbon, Enterosgel, Neosmectin.

With a significant increase in temperature, the doctor may prescribe antipyretic drugs. The drugs of choice in the treatment of children are drugs with paracetamol and ibuprofen (Nurofen).

To replenish the fluid lost by the body, you can use special solutions for drinking, for example, Regidron or Humana electrolyte, etc. If dehydration is severe, such drugs are administered intravenously under the constant supervision of a doctor. A slight loss of fluid can be dealt with by drinking compotes, tea, mineral water etc.

What can you do yourself before visiting the doctor? And what is better to refuse?

Before the arrival of doctors, you should not use any analgesics, so as not to lubricate the clinical picture. Also, do not use drugs that fix the stool. While waiting for the doctor, it is better not to put pressure on the baby’s stomach and not massage it in any way, it is also better to do without heating pads and hot compresses. You should not declare a child a complete hunger strike, if the baby asks for food, it is better to feed him diet food.

Before the doctor's visit, it is advisable to put the baby to bed and provide him with peace. After each act of defecation (the next trip to the toilet), give the baby water or a solution of Regidron in not in large numbers. Keep in mind that drinking large amounts of liquid at a time is fraught with vomiting. Before the arrival of doctors, you can use absorbent drugs, for example, Smecta or Enterosgel. It is extremely important to carefully monitor the condition of the baby and the nature of his bowel movements in order to inform the specialist about this.

Indigestion and epigastric pain are most common in childhood. Despite the various causes of occurrence, the consequences of the diseases that cause them can be quite severe - from rapid dehydration to the need for emergency medical care and hospitalization.
To quickly determine the cause of diarrhea and abdominal pain, you need to pay attention to the intensity, location of pain and associated symptoms. It is equally important to know safe ways alleviate the condition of the baby before being examined by a doctor.

Factors provoking stool disorders may be infectious or non-infectious in nature. Pediatricians classify these disorders in children as follows:

Infectious diseases

Infectious disease common in the autumn-summer period, which is explained by the presence of a large number of fruits that a child can eat unwashed, as well as favorable conditions bacterial growth on them. The maximum susceptibility in children to the disease in the first 3 years of life, and after past illness unstable immunity is developed, allowing re-infection.

Cause of illness- non-observance of hygiene rules, consumption of contaminated food / water and contact with a sick person, due to which bacteria that cause shigellosis or amoebiasis enter the digestive tract.

Severity of symptoms depends on the amount of infection. Incubation period lasts from 1 hour to several days, after which an acute onset occurs - cramping abdomen, elevated body temperature, in which stools are frequent (up to 25 times a day in severe cases), at first abundant, and then scanty, green, with mucus and streaks of blood. Often there are characteristic painful false urges, leading to gaping of the anus in a small child, and sometimes to a prolapse of the rectum. Further, intoxication with vomiting appears, headache and lethargy. The abdomen is painful on palpation, rumbling is noted.

Diagnosis dysentery is put by a pediatrician or a pediatric infectious disease specialist after receiving the results, a serological blood test, PCR, rectomanoscopy.

Features of treatment depend on the severity of the pathology. Treatment can be carried out at home or in the pediatric infectious diseases department and includes strict bed rest, mandatory rehydration to protect the child's body from dehydration, antibacterial and symptomatic therapy, diet food.

Rotavirus diarrhea or "intestinal flu"

This disease most often affects children aged 6 months. up to 2 years. In groups of children, infection can cause massive acute diarrhea, affecting the small intestine and causing gastroenteritis. As a result, digestion is disturbed, and severe diarrhea leads to dehydration.

Infection rotavirus comes from a sick person or a healthy virus carrier, the main transmission mechanism is food. After the incubation period (1-5 days), cramping pains in the abdomen, weakness begin. characteristic development disease the child begins with the fact that, waking up lethargic, he can vomit on an empty stomach, or vomiting begins after eating or drinking. At the same time, there is a lack of appetite, the temperature gradually rises, rising to 38 ° C, which is poorly controlled by medications. After that, there is profuse diarrhea, which has yellowish color and a sour unpleasant odor, the conjunctiva of the eyes, the mucous membrane of the pharynx and palatine arches reddens.

With characteristic symptoms, all dairy products are immediately excluded from the children's diet (does not apply to breast-fed children) and rehydration is started, taking Regidron's solution, 50 ml every 3 minutes.

Diagnoses disease pediatrician or infectious disease specialist, guided by clinical symptoms and epidemiological prerequisites, confirmation of the diagnosis is carried out using electron microscopy.

There is no specific therapy for rotavirus infection, symptomatic treatment with a decrease in temperature, active rehydration, taking enzyme preparations and sorbents, a special diet.

Infectious disease transmitted mainly from animals, including domestic animals. Infection occurs when the Salmonella microorganism enters the gastrointestinal tract. Children become infected from adult carriers (in kindergartens from attendants) or through animal products containing the infection. Preschool children are most susceptible to infection. Newborns "catch" the infection from hospital staff and care items.

The symptoms of the disease are:

• the presence of malodorous and particles undigested food,
• heat,
• nausea,
• severe intoxication,
• signs of dehydration.

There is also a moderate and rumbling on palpation, diarrhea lasts 2-3 weeks.

In newborns, the disease begins acutely, and its course depends on the immune system. With a favorable outcome, the manifestations are reduced to symptoms in the gastrointestinal tract, with an unfavorable outcome, it often ends in death.

Diagnostics the disease is carried out by a pediatrician: the doctor pays attention to the intensively lined tongue, pain and rumbling in the iliac region on the right, flatulence, enteric stools that have an unpleasant odor. To establish an accurate diagnosis, bacteriological culture of vomit, feces, washing water of the stomach and intestines is performed, blood and feces are taken, incl. on .

Treatment of children in case of salmonellosis, it is complex: antibacterial and diet therapy, correction of dehydration, removal of toxins from the body are provided. Hospitalization is required only for severe disease and for children under 1 year of age who are weakened by an underlying medical condition.

Gastroenteritis

In addition, it may result in:

• , unripe fruits or chemicals
• taking non-steroidal anti-inflammatory drugs,
• constant overeating
• frequent consumption of unusually spicy foods.

Depending on the cause that caused gastroenteritis, the nature and severity of symptoms (severity of pain, type of stool, high temperature marks, etc.) and the unexpectedness of their appearance can vary greatly, but the set of symptoms is usually unchanged and consists of:

• stomach ache;
• nausea and vomiting;
• diarrhea
• muscle pain;
• temperature;
• weaknesses.

Sick children are subject to mandatory hospitalization. Treatment begins with gastric lavage, as well as rehydration and detoxification therapy, while the child is prescribed bed rest and a water-tea diet with easily digestible food. Gradually, there is a transition to regular food, and drugs are prescribed that compensate for the deficiency of vitamins and restore normal microflora intestines and its mucosa. Also, at this stage, positive results leads to the use of physiotherapy.

Diseases of the digestive system

Pancreatitis

This is an autocatalytic disease of the pancreas, in which the activity of its own pancreatic enzymes increases.. The prevalence among children with - 2-25%. The course of the disease in children differs from adults in its characteristic features and can develop against the background of a violation of the outflow of pancreatic secretions, gall and 12 duodenal ulcers, ascariasis, blunt abdominal trauma, and diseases in the gastrointestinal tract.

Cause is a pathological effect on the body of its own activated enzymes that damage tissues, glands and ducts. Self-destruction causes inflammation in the gland, and the formation of toxic decay products leads to severe general intoxication.

Symptoms pancreatitis in children are characterized by a milder course with rare cases severe development. acute form in older children, it is characterized by acute paroxysmal pain, encircling or radiating to the right hypochondrium. Dyspeptic disorders are characterized by nausea, repeated vomiting, diarrhea, often with a light gray tint, flatulence, pale skin, cyanosis and marbling of the extremities, white coating and dry mouth, increasing intoxication, peritoneal irritation. At chronic form decreased appetite, intermittent It's a dull pain in the epigastrium, which is aggravated by malnutrition, physical or emotional stress. At the same time, heartburn, nausea, alternating diarrhea and constipation, weight loss are observed.

Diagnostics diseases in children are carried out by a pediatrician on the basis of blood and urine tests, coprograms, ultrasound and CT of the peritoneum, and fluoroscopy.

Treatment includes a sparing diet, the use of enzyme preparations and antibiotics, antisecretory and antispasmodic drugs. IN last resort surgery may be required.

Cholecystitis

This is an inflammatory disease of the gallbladder. with lesions of the biliary tract, occurring in acute or chronic form. In children, it is one of the most common diseases, while acute and purulent forms are very rare.

Cause is an infection - rods, proteus, cocci, against the background of giardiasis or helminthic invasion bile ducts.

When an illness occurs the child complains of bitterness in the mouth, pain in the right side under the ribs, sometimes paroxysmal, pain when pressed in given area. Nausea, diarrhea, fever, bad breath are also observed. At the same time, in the older age category of children, the symptoms are more distinct, in the younger one they are practically not observed.

When diagnosing disease, the pediatrician draws attention to paroxysmal pain on the right under the ribs after eating spicy or fatty foods, nausea and vomiting, enlarged liver. The diagnosis is confirmed by duodenal sounding, cholecystography, blood test.

Treatment includes:

• mandatory bed rest
• taking antibiotics and biliary drugs,
• physiotherapy,
• diet adjustment.

Nutrition related (alimentary)

Dyspeptic diarrhea

Cause The disorder is the reaction of the body to an improperly selected diet of the child, as a result of which the food is not fully digested, because. there is a lack of pancreatic and liver enzymes.

Symptoms are rapid stools with a consistency from gruel to water with flakes, in which impurities of mucus, greenery, yellowish and whitish lumps are noticeable, the temperature is 37-37.5 ° C, at which the child is periodically naughty.

Diagnostics performed by a pediatrician or gastroenterologist on the basis of blood and fecal tests, gastrointestinal studies in order to exclude diseases that have similar symptoms.

Treatment includes:

• constant rehydration,
• the use of enzyme preparations and B vitamins, intestinal antiseptics are prescribed for microbial processes,
• observance of hygienic conditions and the regime of the day.

toxic diarrhea

Cause is kidney failure caused by mercury or arsenic poisoning.

Manifested a disease of severe intoxication, which results in diarrhea, nausea, vomiting, stomach cramps, increased salivation.

Diagnosis based on blood, urine and vomit tests. Treatment includes gastric lavage, the use of sorbents, rehydration, the use of antidotes.

Medical diarrhea

Arises as a result of ill-chosen medicines that suppress the work of the intestines and cause dysbacteriosis.

Symptoms, diagnosis and treatment similar to toxic poisoning.

food allergy

Cause is the high individual susceptibility of the immune system to individual components the food it contains. May occur as a result of malnutrition of a woman during pregnancy or complementary feeding of a child.

The disease appears:

• skin reaction (rash, skin spots, nodules, vesicles, itching),
• nausea,
• vomiting,
• intestinal colic,
• diarrhea.

The severity of the symptoms depends on the amount of the allergen, the time elapsed after it was taken, and the characteristics of the child's immunity.

Diagnostics consists in the study by an allergist of the factor of heredity, blood tests and skin tests.

Treatment includes adjustment of personal hygiene, diet and environment of the child, the use of anti-allergic drugs.

Food poisoning

May occur as a result of eating poisonous products(, berries, parts and seeds of plants) or toxic chemicals, as well as food containing toxins or pathogens.

Symptoms in a child, in most cases, they are manifested by sudden nausea, vomiting, diarrhea, abdominal pain from aching to acute, which manifests itself continuously or paroxysmal. In severe poisoning, vomiting occurs up to 15 times a day, and watery diarrhea may include mucus, blood and green impurities. In this case, the child becomes capricious and lethargic.

In addition, you may experience:

• increase in body temperature,
• skin pallor,
• dry mouth
• increased heart rate and respiration
• decrease in the amount of urine and the acquisition of a dark color.

In case of serious poisoning, an infectious-toxic shock may occur.

When nausea and vomiting occur, one of the points of first aid is gastric lavage, which prevents the absorption of poisons and toxins into the blood, preventing complications.

To do this, use the following solutions:

• (not applicable for severe poisoning). Should be filtered and pale pink in color.
• , prevents the movement of poisons into the intestines, causing spasm of the gastric sphincter. Prepared by dissolving 2 tbsp. l. salt in 5 liters of water. At the age of 3 years, the procedure is performed with an isotonic NaCl solution.

By identifying the reasons caused the above symptoms in a small patient, the pediatrician is engaged on the basis of a survey of him and his parents, a visual examination of the child and his secretions, as well as the results of laboratory tests of blood, feces and urine, bacteriological and toxicological studies of feces, vomit and washings.

Child treatment With food poisoning carried out in a hospital with the use of enterosorbents, antidotes, antibiotics and antidiarrheals, also includes gastric lavage, combating dehydration, restoring the water-salt regime and a special diet.

Provides a gentle diet for the child. The first 4-6 hours after the onset of symptoms, food is refused, but drinking is mandatory. Food should be liquid and mashed, taken in small portions up to 8 times a day. It is advisable to give up sweets, whole milk, fresh bread to prevent fermentation processes in the intestines, use a minimum of fat.

Until the moment of recovery, food is steamed, raw fruits and vegetables, fatty and fried foods, spices and black bread, freshly squeezed juices. It is advisable to use the following products:

1. Porridge based on water or diluted milk.
2. Vegetable soups and boiled meat in pureed form.
3. Rusks and yesterday's bread.
4. Dairy products.

Quite effective in poisoning folk methods, the use of which must be agreed with the doctor:

1. Ginger decoction. Prepared from 1 tsp. dry ginger, diluted in 25 ml of boiling water. After infusion for 3 minutes and cooling, take 1 tsp every hour.
2. A decoction of dill and honey. Prepared from fresh dill (1 tbsp), dry (1 tsp) or seeds (1/2 tsp) by boiling for 25 minutes in a glass of water. After cooling, the volume of water is brought to the original and 1 tbsp is dissolved in it. honey. It is consumed 50 g half an hour before meals 3 times a day.
3. Marshmallow root in the amount of 1 tsp poured with boiling water and infused for half an hour. After straining, add a little honey and give 4 times a day, 1 tsp.

Dysbacteriosis

The disease most often affects children under the age of 3 years.

The reasons are:

• malnutrition,
• lactose compatibility problems,
• taking antibiotics by a child or a nursing mother,
• late initiation of breastfeeding
• random selection of artificial mixtures,
• certain infectious diseases
• allergies to certain foods,
• weak immunity,
• difficult environmental situation.

Symptoms diseases in children specific features do not have, mainly expressed by pain and seething in the abdomen, severe diarrhea, anxiety, weakness, pronounced dyspeptic disorders. At the same time, the consistency of the feces is watery, there may be remnants of undigested food, mucus and an unpleasant odor, which indicates infectious nature dysbacteriosis. The disease is often accompanied by dermatitis and diathesis.

Diagnostics diseases are carried out by a pediatrician or a children's infectious disease specialist on the basis of microbiological. Treatment children from dysbacteriosis is to correct nutrition and use probiotics.

Appendicitis

Arises as a result of inflammation of the process of the caecum. It can develop at any age, but most often occurs in children aged 5 to 14 years, while girls suffer from pathology 2 times more often.

At the beginning of inflammation, pain is not clearly localized, difficult to distinguish from other diseases, usually occurs under the pit of the stomach and spreads throughout the abdomen, can be felt in the upper part, after which the pain is localized to the right and becomes more pronounced. When coughing, moving or walking, the pain worsens, the child keeps his hands on the right side of the abdomen. The intensity of the pain is different, but is constant and incessant.

With a sharp increase, urgent hospitalization is needed, due to high probability gap appendix. Sharp pain with a restless state indicates the development of a purulent process.

In addition to pain, accompanied by crying, refusing food, bad dream, can appear:

• heat,
• bloating,
• urinary problems,
• tachycardia,
• stool disorders,
• sometimes vomiting.

Diarrhea with appendicitis is rare.

Diagnosis of appendicitis at children the pediatrician or the surgeon makes. Independent probing of the abdomen in a child is not allowed. Recognition is carried out using laboratory, physical, and, if necessary, instrumental examination, ultrasound, CT and fluoroscopy abdominal cavity.

Appendicitis in a child of any age, however, as in an adult, treated with surgery, with preliminary administration of antibiotics and infusion therapy.

If a child has a stomach ache and there is a suspicion of appendicitis, he is immediately hospitalized and examined. At the same time, it is forbidden to put a heating pad on the stomach, do an enema, use laxatives and painkillers.

neurological

Neurological diarrhea develops as a result nervous exhaustion organism under unfavorable home environment or at school infancy- during teething. Marked with epigastric pain different nature and intensity due to impaired motor function of the intestine.

Diagnosis this type of diarrhea is put by a pediatric neurologist, gastroenterologist or pediatrician after talking with the child and visually examining him. Treatment is carried out by the normalization of the mental state and the adjustment of the diet.

What else can abdominal pain and diarrhea indicate?

A different combination of diarrhea and abdominal pain in a child indicates the presence the following diseases or disorders:

• Severe abdominal pain and diarrhea are pronounced sign poisoning, dysbacteriosis, helminthic invasion or food allergies.
• Pain in the abdomen without diarrhea occurs with urinary tract infections (pyelonephritis, cystitis, inflammation of the uterine appendages in young girls), inflammation of the lymph nodes in the mesentery of the intestine.
• Abdominal pain after diarrhea often appears with ulcerative colitis, gastroenteritis, Crohn's disease and tumors in the gastrointestinal tract.
• Abdominal pain before stool - most common in children with constipation or difficulty moving feces through the intestines.

Possible and impossible

The lack of timely treatment of stool disorders, abdominal pain and dehydration threatens with a rapid loss of vitamins and microelements by the child's body.

When providing first aid, you cannot do the following:

1. Stop feeding during lactation.
2. Giving your child antibiotics and drugs that strengthen the stool without going through the necessary diagnostics.
3. Give painkillers before the doctor arrives, as they can "lubricate" the symptoms.
4. With indomitable pain, give alcohol compositions, a solution of potassium permanganate and strong tea.
5. With an increase in body temperature, actively massage the stomach, bathe, make hot compresses for the child.

If there are characteristic symptoms of diarrhea and abdominal pain, the child is isolated from other children and separate dishes are isolated, since possible reason their appearance is an intestinal infection, it can be contagious.

Before contacting a doctor or an ambulance, you can take the following actions:

1. Lay the child on his back and lightly massage the stomach in a circular motion, which will help the gas to escape. In the absence of serious disorders, the stomach will gradually stop hurting.
2. If the cause of the disorder is clear, and the condition is satisfactory, it is possible to take sorbents and agents that restore water balance.

When to call an ambulance?

If a child develops diarrhea, abdominal pain and fever up to 38.5 ° C, they turn to a pediatrician. If acute pain is added to the above symptoms, lack of urination for more than 4 hours, blood in the stool, an ambulance is urgently called for the doctor to prescribe hospitalization if necessary.

Vomiting and diarrhea contribute to a sharp dehydration of the child's body, which is dangerous metabolic processes in the body, and fluid loss of 20-22% of body weight is fatal.

To prevent dehydration, the child is given plenty of fluids, for which mineral non-carbonated water or electrolyte solutions are used. During lactation continue breastfeeding.

It is possible to determine the fact of dehydration by the following symptoms:

1. At mild degree thirst develops, but the mucous membranes retain moisture.
2. With an average degree, dry mucous membranes, anxiety, unstable and rapid pulse appear. Further loss of fluid is characterized by the viscosity of saliva, a decrease in skin elasticity, retraction of the anterior fontanelle and softening eyeball. Blueness of the skin appears, tissue circulation is disturbed and little urine is produced.
3. A severe degree is characterized by dry mucous membranes, lack of facial expressions, loss of skin elasticity, sunken eyes and anterior fontanel, marble skin, cold hands and feet, lagophthalmos, decreased blood pressure and rapid pulse, confused consciousness. The combination of all symptoms leads to shock due to a sharp decrease in the volume of circulating blood.

If a child has diarrhea and often has a stomach ache, then this may be a symptom of negative processes developing in the gastrointestinal tract. The cause of the disorder can be both fairly harmless and serious illness requiring immediate hospitalization and sometimes surgery. If a child has loose stools and abdominal pain, be sure to contact a pediatrician, and if there is acute condition call an ambulance.

From the moment a child is born, its microflora gastrointestinal tract sterile. Upon contact with the outside world, it is colonized by various types of bacteria. If a pathogen enters the body, the stomach and intestines react first.

Causes and manifestations

If the child has a stomach ache and diarrhea, then first you need to consult with your local doctor. Do not assume that the problem will solve itself. If parents ignore the child's complaints, the risk of bringing the situation to a stalemate increases. The age of the baby plays an important role: the smaller it is, the faster the infection and dehydration develop.

The causes of pain and diarrhea in a child under two years of age are:

1. Colic. They disturb children in the formation of the intestines. Most often, when the child reaches the age of three months, unpleasant manifestations disappear. The baby cries, presses the legs to the tummy, gas and feces may pass. To alleviate the condition of the baby, there are special preparations, a tummy massage is used.
2. Intestinal obstruction. The pain in this case becomes paroxysmal. It is most often diagnosed in children under two years of age. The condition is manifested by nausea, vomiting, diarrhea interspersed with blood. Palpation reveals a lump in the abdomen. As soon as the parents felt a hard lump, it is urgent to contact the surgeon.
3. Dysbacteriosis. In Russia, this diagnosis is popular. In world practice, it is practically not represented. In this condition, the child's tummy swells, the baby is restless, screaming in pain. If the microflora is severely disturbed, then diarrhea may occur after eating.

Treatment of babies should be prescribed by a doctor. Independent application drugs are not recommended. Complications may occur up to admission to the inpatient department of the hospital.

For a child under the age of two years, the reasons are more diverse. It becomes easier to identify them. The kid can show, tell about the localization of pain. Some of the causes of abdominal pain, diarrhea are:

1. Intestinal infection. Children actively explore the world. They are faced not only with interesting phenomena, but with viruses, bacteria, protozoa that can cause pain, loose stools. Feces may have a frothy texture, a sharp smell, be accompanied by fever, vomiting. Infection occurs by neglecting the rules of hygiene, through unwashed vegetables and fruits, contaminated water. The virus enters the body more often by airborne droplets. A variation is the intestinal flu.
2. Appendicitis. In addition to inflammation of the process itself, it is possible to attach an intestinal infection. In addition to the pain that is characteristic of appendicitis, symptomatic vomiting is possible, and defecation becomes frequent. The condition may be accompanied by abdominal pain.
3. Cholecystitis. Incorrect functioning of the gallbladder leads to bloating, there are characteristic sounds in the form of rumbling, the child feels pain in the abdomen, a bitter taste may appear in the mouth. It has to do with the secretion of bile. With cholecystitis, there is a temperature. There may be nausea and vomiting with bile.
4. Excessive consumption of fatty foods. With a sharp change in diet, it becomes difficult for the gastrointestinal tract to work in the usual mode. The secreted enzymes become insufficient. Dysfunction occurs in the work of the digestive system. The first sign is pain, heaviness in the stomach, diarrhea is added, and an increase in body temperature is possible. It is highly recommended that a child's body should not introduce fatty meats, foods fried in a large amount of oil into the diet.
5. Food poisoning. As a result of the use of food products that have become spoiled, severe intoxication of the body occurs. After two hours, signs of poisoning are recorded: diarrhea, abdominal pain in a child, nausea and vomiting with fever. Dehydration sets in quickly.

If fever and vomiting are added to the diarrhea, and the symptoms do not go away within six hours, you should consult a doctor to prevent dehydration, severe consequences for the child's body.

In order to correctly assess the condition of a sick child, before the doctor arrives, it is not recommended to give painkillers, drugs to thicken the feces. Food should be fractional, in small portions. It is not necessary to deprive the child of food. Massage of the abdomen can lead to improper bowel function. No need to warm the sore spot, put various compresses.

To alleviate the condition of the baby, you need to provide him with peace, bed rest. Often, but in small portions, after each trip to the toilet, give children a small amount of water. Drinking liquids in large sips can provoke a gag reflex. To prevent violation of the water-salt balance, it is necessary to give any sorbent. When the temperature rises, it is allowed to give a remedy that will help reduce it. The drugs that are produced strong effect, should not be self-administered. Incorrectly calculating the dose, there is a chance to aggravate the situation.

Treatment

The above symptoms are various diseases. To prescribe the correct treatment, the disease is classified. Abdominal pain, diarrhea manifests itself when overeating, and become symptoms of a serious infectious disease.

In case of failures in the child's body that do not affect the activity of other organs, the condition usually stabilizes within a day.

At the first sign incorrect operation organs of the digestive system, it is necessary to wash the stomach, exclude fatty foods. Then give absorbents, water. This helps to detoxify the body. If the symptoms do not go away, and the situation only worsens, it is necessary to call a doctor. Will be appointed laboratory research- analysis of blood and feces. Based on the results, the doctor will determine the cause of the disease, prescribe a qualified treatment. The doctor may prescribe antibiotics. They don't need to resist. This determines the presence of a colony of pathogenic bacteria and viruses in the intestine. It is too large - the body itself can not cope with it. Antibiotics for diarrhea help the baby's body fight bacteria, stop pain. The child becomes active, the condition stabilizes.

Folk remedies do not always reach desired effect. Some components of alternative medicine can cause allergies.

Requires special attention alarm symptom when blotches of blood appear in the feces or vomit. Acute, in some cases unbearable, pain may be added to the listed symptoms. This may indicate damage to the mucous membrane of the organ of the digestive system. Such a state requires emergency care specialists. You can treat diarrhea on your own in mild forms of manifestation.

Prevention

In addition to taking the prescribed drugs, the child should follow a diet. Follow-up prevention plays important role. It reduces the risk of recurrence of the disease. Nutrition not only contributes to the elimination of unpleasant manifestations of the disease, but also to the restoration of organs damaged by microtraumas. During the period of exacerbation of the disease, the child should receive a nutritious low-fat broth, rice broth, steamed foods.

All products that promote gas formation, containing substances that irritate the intestines, should be excluded. This also applies to beans. bakery products and sweets.

When breastfeeding, the mother should eliminate these foods in order to help the baby.

From a very early age, the child must be taught to observe the rules of personal hygiene. If the age of the baby does not allow this, then all dishes and objects that will be in the mouth of a small person (nipples, teethers) should be thoroughly washed and disinfected after purchase. Older children need parental control of their diet. Frequent consumption of fried and fatty foods is not recommended. In the process of cooking, products must be subjected to heat treatment. It is advisable to carry it out for those types of vegetables and fruits that are supposed to be consumed raw.

With special care, you should treat your child with fast food and highly carbonated drinks. Fast carbohydrates are not beneficial, and the feeling of fullness comes later. This contributes to overeating and dysfunction in the digestive system.

Physical activity, an active lifestyle contribute not only to strengthening the body of the child, but also to the formation of immunity. Do not drink to neglect walks in the fresh air. The body of a growing person adapts to environment and parents should help him in this.

The information on our website is provided by qualified doctors and is for informational purposes only. Do not self-medicate! Be sure to contact a specialist!

Gastroenterologist, professor, doctor medical sciences. Prescribes diagnostics and conducts treatment. Study Group Expert inflammatory diseases. Author of more than 300 scientific papers.

Pain in the stomach and anterior abdominal wall often accompanied by stool disorder. Especially malfunctions in the digestive system are characteristic of childhood. When a child’s stomach hurts and there is diarrhea, it is necessary to determine the causes of the disease.

Important! Parents should carefully consider the prerequisites and factors that cause diarrhea and abdominal pain in a child. A timely call to the doctor will help determine the cause of the disease.

The disease can be caused by dangerous intestinal infections, dysbacteriosis, intolerance certain products. If the reason feeling unwell became an infection, then diarrhea may be accompanied elevated temperature. There are several dangerous diagnoses, in which the child has diarrhea, and the tummy hurts.

In infants, abdominal pain may occur due to a diet violated by the mother. Inflammation can develop in the walls of the digestive tract, which causes an upset stool. Often, loose stools are provoked by overeating and errors in the introduction of complementary foods. The stomach cannot withstand heavy loads when eating large amounts of food or low-quality foods.

Black stool indicates intestinal bleeding and requires an immediate call for an ambulance. In this condition, single or frequent vomiting may occur. So the body tries to cope with harmful toxins and cleanse itself of dangerous substances. It is important to know that vomiting in case of poisoning is a natural reaction of the child's body and its defense mechanism against the negative effects of infections.

On a note! Nausea, vomiting, and diarrhea can be caused by medication. Non-steroidal anti-inflammatory drugs especially have a negative effect on the gastrointestinal tract.

Dyspeptic diarrhea can occur with a lack of certain liver and pancreatic enzymes. In other cases, diarrhea is caused by infections and diseases of the digestive system.

Dysentery

The disease is especially common in the warm season. The reason for the entry of the infectious agent into the children's body is the use of unwashed products. Children are particularly susceptible to the influence harmful bacteria due to insufficient development of the immune system. If the baby ate a few unwashed fruits during the day, by the evening he may well feel sick. Babies under 3 years of age are most susceptible to pathogenic bacteria.

The cause of the disease can also be adverse conditions - poor personal hygiene, untimely hand washing, drinking contaminated water and dirt in the room. In such cases, pathogenic microbes enter the digestive tract and cause a breakdown of its functions. There is diarrhea and cramping pain in the abdomen. The incubation period of dysentery lasts from 1 to several days.

The main symptoms of the disease:

• elevated temperature;
• pain in the iliac region of the abdomen;
• feces with mucus and blood streaks;
• severe diarrhea;
• green liquid feces;
• rumbling in the stomach;
• vomit.

With dysentery, there is an acute onset of the disease, in which there is a very frequent liquid stool. With diarrhea and pain in the abdomen, the child may have a false urge to defecate, which leads to prolapse of the rectum. There is vomiting, severe intoxication of the body, general weakness is observed.

Know! Only a pediatrician or an infectious disease specialist will be able to determine the exact diagnosis. To identify the causative agent of the disease, blood and stool tests are taken, sigmoidoscopy is performed.

Therapy of the disease is reduced to strict adherence to bed rest and taking prescribed medications. Treatment with antibacterial drugs is carried out, measures are taken to eliminate dehydration in the child, special diet. Treatment can take place at home or on an outpatient basis.

Rotavirus infection

Babies under 2 years of age are more likely to be affected. Infection with rotavirus can cause frequent loose stools. The incubation period of the disease is 1-5 days. Then the disease manifests itself:

• Severe pain in the abdomen;
• weakness;
• lethargy;
• temperature up to 38 degrees;
• yellow liquid stools;
• unpleasant sour smell bowel movements;
• redness of the eye conjunctiva and pharynx;
• vomiting.

With diarrhea and abdominal pain in a child, it is important to ensure that the baby is calm. With rotavirus infection, it is necessary to stay in bed and exclude active games. Most often, the child feels weak and refuses to play. Compliance with the diet will help you quickly get on the path of recovery and normalize the disturbed microflora of the gastrointestinal tract. Completely excluded from daily diet sick kid eating dairy products.

It is important to provide the sick baby with frequent plentiful drinking - take 30 ml of Regidron solution every 10 minutes. The doctor prescribes for rotavirus infection active rehydration (treatment of dehydration), the intake of sorbents and enzymes, as well as drugs to reduce high temperature.

salmonellosis

The infection is often transmitted through pets. Salmonella enters the gastrointestinal tract and causes loose stools in the child. Infection can also occur from infected adults, or after eating contaminated food. A newborn can get sick with salmonellosis from the hospital staff.

Symptoms of the disease:

• Fetid diarrhea with blood, with pieces of undigested food present;
• heat;
• poisoning the body with toxic substances;
• dehydration;
• nausea;
• bloating;
• rumbling on probing the abdomen.

The disease is diagnosed after research of a tank of crops of feces and vomit. If the child has a stomach ache and diarrhea, then it is necessary to pass all the prescribed tests. The examination will help prescribe the right treatment, which will quickly remove harmful toxins from the body. In case of illness, broad-spectrum antibiotics are taken, therapy is prescribed to eliminate dehydration medications.

Gastroenteritis

When there is diarrhea and abdominal pain, the cause of this condition may be gastroenteritis. At this disease there is an acute inflammation of the mucous membrane of the stomach and departments small intestine. With gastroenteritis, there are:

• Aching pain in the abdomen;
• vomiting and nausea;
• weakness;
• liquid feces "flakes" with an admixture of mucus.

First aid

1. When the stomach hurts, first of all, it is necessary to ensure bed rest.
2. In case of poisoning first aid It boils down to gastric lavage, which prevents the absorption of harmful toxins into the blood.
3. Applies weak solution manganese or saline solution. The liquid prepared for washing the stomach must be given to the child to drink. Up to 3 years, the procedure is best done using isotonic NaCl solution.
4. To remove toxins, such means are used - sorbents such as Enterosgel, Smecta.

If vomiting is observed, it is necessary to provide the baby with frequent drinking in small portions. To restore the water-salt balance in the body, Regidron and Hydrovit solutions are used. It is necessary to use weak tea, fruit drinks, compote.

In case of dysbacteriosis, probiotics are used that restore the microflora of the gastrointestinal tract - Bactistatin, Linex. With pain in the tummy, the use of infusion of chamomile helps well. Medications such as Imodium and Loperamide will help eliminate diarrhea and reduce intestinal motility.

Most young children often suffer from digestive difficulties. The child has malaise, indigestion. Small man can not always explain, show what worries him, where his stomach hurts.

The article highlights the main causes of abdominal pain in a baby, gives advice and recommendations to parents.

Why does the child have a stomachache

The appearance of discomfort in the abdomen indicates a malfunction in the digestive system. Pain in the abdominal cavity is acute, aching, spasmodic, the patient may feel burning, heartburn, intense pain in the navel.

By the nature and localization of pain, they speak of a disease associated with the digestive organs.

The abdominal cavity consists of the intestines, stomach, spleen, pancreas, liver, gallbladder and kidneys.

Pain, cramps in the abdomen occur due to a violation in the work of the digestive tract.

If the pain is accompanied by diarrhea, parents should show the baby to the pediatrician. The doctor will identify the exact cause, determine how to treat the child.

Diarrhea in children under one year old

From birth to one year, the baby's chair changes. At birth, the baby's feces are dark, then yellow, closer to the year of mustard color. The stool of the baby is not formed, but this is not diarrhea. If the color of the feces is green, mucus, blood blotches have appeared, the parents should show the child to the doctor. Diarrhea can be at 10 months, and at 4 years. Causes of loose stools:

• Colic. After birth, the baby begins to adapt to the world around him. For the first three months, the stomach is disturbed by colic. Mother month old baby may note increased gas formation, bloating, seething in the tummy. The kid is restless, capricious, pulls his legs up to his stomach when he lies. Loose stools (yellow or mustard colored) may appear. An attack of colic should pass in 20-30 minutes. You can help the baby by gently massaging the tummy, attach a warm towel to the stomach. If the child is breastfed, the mother should review her own menu.
• At six month old baby Diarrhea can be caused by teething. Loose stools without abdominal pain.
• Dysbacteriosis. Small children aged 1-2 years suffer from dysbacteriosis. In the intestine, there is a violation of microflora, insufficient enzymatic activity. The baby has diarrhea, fecal masses with mucus with the smell of rotten eggs. To confirm the diagnosis, parents must pass an analysis of the baby's feces - a coprogram. Based on the results, the pediatrician prescribes treatment. Preparations are prescribed that strengthen the stool (Smecta), probiotics (Biogaya, Normobact, Enterogermina) to restore the microflora of the stomach.
• Food poisoning. If the baby is artificially fed or complementary foods are introduced, the cause of diarrhea is poor-quality mixtures, complementary foods. The child's stool is offensive, smells like spoiled eggs. It is important to determine exactly which product became the source of loose stools, and to exclude from children's menu. Sorbents are used to cleanse the body.
• Intestinal obstruction. Periodic acute pain, nausea, vomiting, diarrhea are noted, blood clots are visible in the feces. A lump is felt in the abdomen. To confirm the diagnosis, it is necessary to show the patient to the surgeon, indicate the symptom.

Remember! Severe diarrhea in children requires surgical treatment. Big loss liquid quickly leads to dehydration. To remove a symptom, it is necessary to find out the cause. Treatment is exclusively qualified specialist, self-medication is prohibited.

Causes of diarrhea in children older than one year

The kid explores the world in an accessible way - he tastes the surrounding objects: new food, toys, sand, etc. Parents should watch what the child puts in his mouth. The causes of diarrhea are:

In young children, the digestive system is not fully formed, therefore it is more susceptible to diseases.

For proper treatment and quick recovery The child must be seen by a doctor. Don't ignore loose stools!

How to help a child with diarrhea

Before going to the doctor, the arrival of an ambulance, parents should be able to provide first aid to the child, alleviate the condition, know what is strictly forbidden to do.

Help Tips:

• The baby must comply with bed rest. With diarrhea, the state of health worsens, the body is weakened, dizziness is possible.
• Parents are required to provide a positive emotional environment in the home. Experiences and stress provoke nausea, vomiting, loose stools.
• Offer water at room temperature often. Don't get dehydrated. Even an eight-month-old baby can experience rapid fluid loss. It is acceptable to use rehydration solutions. At home, making a solution is easy by simply adding a little salt to the water. It retains fluid in the body.
• To remove toxic, harmful compounds from the body in case of intestinal infection, poisoning, give means with an adsorbing effect (Enterosgel, Polysorb, Activated charcoal).
• If the child is hot, the throat is red, give antipyretic drugs (Ibufen, Paracetamol), rinse the mouth with chamomile infusion. If the diarrhea is without fever, just keep track of the number of trips to the toilet.
• During illness, it is recommended to observe diet menu so as not to burden a weakened stomach. You don't need to eat the whole serving. There is a lack of appetite after diarrhea.
• You can record how much the baby poops, note the consistency of feces, what smell, odorless, temperature, what the child ate per day, what drugs were given, so that later you can accurately tell the doctor for anamnesis.

With diarrhea without a doctor, it is prohibited:

• Independently give drugs with analgesic effect, start treatment with medicines.
• Press on the stomach, massage.
• Apply warm compresses to the abdomen.
• Use antibiotics without prescription.

If loose stools are observed for the third day, do not stop, urgently seek medical help. Diarrhea is not a disease, but a symptom. In young children, loose stools are possible without diarrhea.

A sick baby should always be under the supervision of parents! Mom and dad are responsible for the health of the baby.

Treatment of diarrhea in children

After a medical examination, the pediatrician prescribes treatment according to the diagnosis and age. Medications are selected individually, taking into account the weight, age of the baby, the cause of the disease, individual intolerance medicines, the condition of the baby.

Usually, sorbents (Polysorb, Enterosgel), probiotics (Lactobacterin, Bifiform, Bifidumbacterin), strengthening drugs, painkillers, antiemetics, and, if necessary, vitamins are prescribed for the treatment of diarrhea.

If diarrhea is caused by infections (rotavirus, dysentery, salmonellosis), antibiotics are prescribed. With rotavirus, dysentery, hospitalization and treatment in a hospital under the supervision of medical workers is recommended.

The necessary drugs, dosage and how long the course of treatment lasts is determined by the doctor.

Folk ways to deal with diarrhea

Known folk methods that help in the fight against diarrhea in children. Parents are able to independently prepare decoctions, herbal teas.

Rice broth. An effective remedy for restoring stool. Suitable for children. The recipe for making a decoction is simple: rinse a tablespoon of rice, soak in cold water for 20 minutes. Put 200 ml of water on fire. Transfer the prepared rice to boiling water, cook over medium heat for 40 minutes. Strain, chill. Take a spoonful before meals. Helps in a day. The decoction strengthens the stool, normalizes digestion, is used for diarrhea.

Potato decoction. The second method of folk treatment - the broth after boiling potatoes helps to stop diarrhea. Take 100 ml for children over 5 years before meals. The starch contained in the decoction envelops the walls of the gastric mucosa, prevents harmful compounds from penetrating into the blood, and allows you to stop diarrhea in case of poisoning. Improves the process of digestion. The course of treatment is 1 week.

Mint. Steam the washed leaves peppermint steep boiling water. Cool down. It can be taken by children as warm tea. Has a calming effect.

Folk methods are effective, have a beneficial effect on health, all the ingredients for the preparation of a remedy are natural. Before use, consult with your doctor. If Taken measures do not help, diarrhea does not go away, contact an ambulance. With rotavirus infection, hospitalization is mandatory.

Preventive measures

Disease can often be avoided if adhered to simple rules and precautions:

• Wash your hands before eating and after public places, walks.
• Follow the rules of hygiene: clean dishes, well-washed fruits and vegetables will help to avoid stomach problems.
• Do not allow contact of a sick person with a child (if an adult has a viral infection, diarrhea).
• Follow the proper nutrition of the baby, the menu should be selected according to age.
• Choose quality foods to eat, always check the expiration date.
• Maintain order in your home: ventilate the room several times a day, carry out wet cleaning.
• Keep medicines and household chemicals out of the reach of children.
• To strengthen overall immunity, walk more often in the fresh air with your baby.

Take care of your baby's health!

The most common cause of malaise in children is discomfort in the abdomen. They occur at any age and can be caused various factors therefore, only a qualified pediatrician can accurately determine the nature of the pain.

Why does my stomach hurt

Before trying to determine the cause of pain, it is necessary to find out how intense they are, where they are localized. With severe pain, babies, as a rule, prefer to lie down, taking not very comfortable postures. They turn and stand up, while the children are very careful, slowly. The symptom may be acute (dagger pain), dull aching or stabbing.

It is important to determine the cause of pain to track where their epicenter is located. So, left side peritoneum may indicate bowel obstruction/inflammation. In addition, the pancreas is located on the left, which is also capable of giving unpleasant symptoms. With pain on the right, this can also indicate problems with the intestines, but if the symptom is localized in this area, in addition, pathologies of the liver and gallbladder or tracts are possible (for example, dyskinesia, cholecystitis, etc.)

If the child has a fever and a stomach ache, then an intestinal infection or appendicitis is likely. In any case, if such signs occur, parents should immediately call a doctor who can determine the cause of the baby's ailment. If, in addition to the main symptoms, there is blood in the child’s stool or vomit, this is a good reason to urgently call an ambulance.

In the navel

The main causes of pain in the navel are overeating or incomplete / untimely bowel movements. The treatment in this case is simple: it is necessary to reduce the amount of food given to the child, stop snacking between main meals, remove from the diet fatty foods. If after that the baby still has pain around the navel, give him an enema (even if he often empties his intestines) - this will help alleviate the patient's condition. An alternative option is to give your son or daughter mild laxatives.

Other diseases sometimes indicated by pain below the navel are:

• intestinal hernia (it is provoked by constipation, diarrhea, dysbacteriosis, malfunctions of the digestive process);
• umbilical hernia (occurs in babies who often cry and thereby strain the tummy);
• intervertebral hernia (sometimes pinched nerves in the spine are given by soreness in the lower abdominal cavity);
• appendicitis (this is possible if the child complains that he has pain in the lower abdomen, which is accompanied by fever);
• gastroduodenitis (with prolonged pain below the navel, inflammation of the gastric mucosa can be assumed, the symptom often manifests itself after eating).

Cramping pains

If in the background normal state health, the child has bouts of pain in the abdomen, this may indicate intestinal intussusception (the introduction of one area of ​​\u200b\u200bthe intestine into another due to a violation of the peristalsis of the organ). Sometimes attacks are accompanied by vomiting, an increase in body temperature, while at the beginning of the disease the stool may not differ from normal. Acute cramping abdominal pain in children under 12 months of age is expressed by causeless crying / screaming, constant anxiety, poor sleep, pulling the legs to the chest.

With intussusception, the seizures subside as abruptly as they appear: the children calm down, they begin to eat and play normally again. The frequency of pain syndrome is the main symptom of this disease. In the course of the development of pathology, attacks become more frequent, becoming longer, pronounced. As a rule, the disease affects children 6-12 months old, the cause of which is the incorrect introduction of complementary foods containing fruit / vegetable components.

Vomiting and diarrhea in a child

If these symptoms are not accompanied by a temperature, then there can be a huge number of causes that caused them. When a baby has a stomach ache and diarrhea, this does not necessarily indicate the presence of any pathology (only a doctor can accurately diagnose). most common cause loose stools and nausea is E. coli, which more often manifests itself in the summer season. The reason for this is insufficient hand hygiene or the consumption of dirty fruits.

In addition to diarrhea and vomiting, the child sometimes has a fever, dehydration of the body begins, an admixture of blood or mucus is sometimes observed in the feces, and the general condition will be lethargic. When infected coli Each meal ends with a bowel movement. The cause of these symptoms can be poisoning with stale food, poisons or medicines (antibiotics). In this case, the symptoms appear within a couple of hours after the toxins enter the body.

Sharp pain

As a rule, colic or cramps in the stomach in children occur due to intestinal obstruction. The first pathology often occurs in children 6-12 months old and is accompanied by nausea / vomiting, the second, as a rule, is diagnosed in infants under one year old. If 2 hours after the appearance of pain, the child's condition has not improved and the tummy continues to hurt, the baby should be taken to the doctor for examination.

In the morning

If a child complains of abdominal pain that occurs in the morning, there may be several reasons for this. The most common among them are:

• allergy;
• intestinal infection;
• upset stomach;
• appendicitis;
• helminthic invasion.

Sometimes children have a stomach ache in the morning due to nervousness associated with unwillingness to attend kindergarten / school. The reasons for this are problems with teachers, peers, so parents should talk with the child and try to find out the causes, intensity, localization of pain. If it is very strong, while the baby lying down takes unnatural positions, slowly, carefully rises and turns over, you need to show it to the pediatrician. In some cases, these signs indicate appendicitis or peritonitis.

Persistent abdominal pain

The reasons that the baby often has a stomach ache can be as serious pathologies, and mild violation of the digestive process. The most common factors causing a symptom, are:

In small children, the stomach often hurts, while the symptom quickly disappears on its own, without bringing serious consequences. Even an unwashed apple can cause pain. However, if a child has a fever and a stomach ache, this indicates the presence of a chronic or acute illness. At the same time, children's activity decreases, constipation or diarrhea begins, vomiting, nausea, weakness occurs, the skin turns pale. With such symptoms, parents, as a rule, go to the doctor, they are typical for:

• appendicitis;
• pneumococcal or streptococcal peritonitis (inflammation of the abdominal mucosa);
• acute diverticulitis (protrusion of the wall of the large intestine due to abnormal development of the organ);
• acute cholecystitis (inflammation of the gallbladder, in which the abdomen hurts in the right upper quadrant);
• acute pancreatitis (inflammation of the pancreas, which is characterized by girdle pain and a slight fever);
• intestinal infection (severe diarrhea or constipation begins, the stomach hurts without ceasing, the temperature rises);
• various infectious diseases such as acute respiratory infections, tonsillitis, measles, whooping cough (with mesadenitis, the abdominal lymph nodes become inflamed and the tummy starts to hurt).

When walking

After excessive physical education, with vomiting, coughing, sometimes there is a stretching of the abdominal muscles, as a result of which there is pain in the abdomen when walking and running. In this case, the child's appetite remains normal and general well-being does not deviate from the norm. If the stomach starts to hurt after eating fatty / fried foods, the doctor suggests dysfunction of the biliary tract, in which children complain of pain in the right hypochondrium, which manifests itself while running or walking.

At night

If in the evening abdominal pain begins in a child, many pathologies can be assumed. Along with diseases of the digestive tract, pain syndrome can cause such factors:

It is not uncommon for a child to have a stomachache at night in adolescence and preschool age due to neuroses that arise from difficult relationships with peers. Conflicts with classmates or teachers serve as a strong stress factor of a neurotic nature, which provokes serious consequences type of acute pain at night or early in the morning (before the start of the school day).

After meal

In children, such pain sometimes indicates the presence of an infection or inflammatory processes in the gastrointestinal tract. In addition, the characteristic symptoms for this is a complete lack of appetite, a state of anxiety. If a child has a stomach ache after eating, it is necessary to show it to the doctor, since the disease itself will not go away. In an acute abdomen, this should be done immediately (the symptom is manifested by a constant, severe pain syndrome). This symptom is typical for appendicitis, pancreatitis, cholecystitis, and other dangerous pathologies.

Newborn

In infants, such phenomena are not uncommon and, as a rule, there is no reason to panic. If a newborn has a tummy ache, he tightens his legs and cries loudly. Often, babies are particularly uncomfortable with gases that are formed from breast milk carbohydrates (especially a lot of them in the initial portions). During breastfeeding mothers need to be especially careful when compiling their menu in order to prevent the development of colic or food allergies in a child. In addition, a woman must:

• reduce to a minimum the consumption of sweets, potatoes, pasta;
• give up coffee, chocolate, hot spices, cocoa;
• fill the menu with fresh fruits, herbs, while citrus fruits should be consumed to a minimum;
• carefully you should eat all red berries, vegetables, fruits;
• it is better to refuse for a while from beans, eggplants, bread, sauerkraut, grapes, sausages.

What to do if your stomach hurts

As a rule, parents are able to eliminate the pain syndrome on their own, but this is acceptable only in cases where the symptom is not accompanied by fever or incessant vomiting. Often, the child's tummy hurts with increased gas formation and the symptom disappears within a couple of hours after going to the toilet. At the same time, there is no need to call a doctor, you just need to feed the baby with liquid food and reassure.

What to do with abdominal pain to alleviate the condition of the child? It is impossible to give any pills to the baby without doctor's prescriptions. It is better to give a boy or girl an enema (this does not apply to babies - they should not perform the procedure without the permission of a doctor). If constipation has become the cause of the pain syndrome, supplement the child's menu with raw vegetables, apricots, and apples.

If you have diarrhea, give your baby more fluids in small amounts and often. Neurotic pains are perfectly removed with infusion of motherwort and valerian. In addition, the child before going to bed should be given a glass of warm milk with honey. To neutralize stress, walk with your baby in the fresh air more often, give him a contrast shower, reduce the time for watching TV, and forbid playing on the computer before bedtime.

What to give a child with stomach pain

The medicine for abdominal pain for children should definitely be in the first-aid kit of parents. Treatment of colic and bloating involves taking light medications for the baby. Their use must be agreed with the doctor. What helps with stomach pain:

• Disflatil;
• Espumizan;
• Festal;
• Enterosgel;
• Mezim;
• Laktovit;
• Linex;
• Activated carbon;
• No-shpa;
• Furazolidone.

First aid

If a child has a tummy ache against the background of impaired digestion, parents need to carefully monitor the diet of their child: exclude all gas-producing foods (milk, pickles, beans, bread, kvass, mushrooms) from the menu, supplement it with fiber. What to do with the onset of an acute abdomen? First aid for pain in the stomach is to call an ambulance. Only a doctor is able to determine the cause of acute pain and choose the appropriate treatment. Until the ambulance arrives, it is only allowed to apply an ice pack to the baby's stomach to alleviate his condition.

What can you eat when your stomach hurts

Each pathology has specific diet selected by a gastroenterologist. If the cause of pain in a child was a violation of digestion or mild poisoning you don't need to contact a specialist. What can you eat when your stomach hurts:

• vegetable soups;
• liquid cereals (semolina, oatmeal, rice, buckwheat);
• boiled, steam vegetables, except cabbage;
• some crackers;
• lean fish;
• scrambled eggs, boiled soft-boiled eggs;
• lean meat (a week after poisoning);
• herbal decoctions, teas;
• honey, jelly;
• baked fruit.

Video

Abdominal pain and diarrhea can occur for a variety of reasons. This indicates a violation of the stomach, digestive system. A symptom may appear unexpectedly, take a person by surprise. If you know what to do with diarrhea, how to properly treat, you will be able to quickly eliminate the unpleasant phenomenon.

Types of diarrhea, causes

An upset stomach may be accompanied by loose stools, discomfort in the abdominal cavity, and a person's stomach twists. Due to the occurrence of diarrhea is divided into infectious and non-infectious. According to the form of acute and chronic. Before treatment, it is necessary to determine the diagnosis, to establish the cause of diarrhea.

To make a diagnosis, to identify the source that provokes loose stools, it is recommended to undergo medical examination, do lab tests. CBC, fecal analysis, endoscopy, ultrasound, abdominal x-ray - these studies will help to accurately diagnose the disease, apply the appropriate treatment.

Factors that can provoke diarrhea:

• Viruses, pathogenic microorganisms;
• Allergy to medicines, food additives;
• Spoiled food, poor quality products;
• Psycho-emotional disorders;
• Hormonal failure, pregnancy;
• Gastritis;
• Ulcerative colitis;
• Appendicitis (acute pain in the lower abdomen);
• Inflammatory processes of the abdominal organs (cholecystitis, pancreatitis);
• Side effect on medications;
• Traveler's diarrhea, malfunction of the stomach provokes a change in climate, an unusual diet;
• Transferred operations on the digestive tract.

Common causes are food poisoning and intestinal infections. Each case requires individual approach to treatment. For example, in case of poisoning, diarrhea cannot be stopped. The body removes toxic compounds with the help of loose stools. With viral etymology, treatment with antibiotics is recommended.

Abdominal pain without diarrhea indicates a malfunction in the stomach. If the state of health does not improve, the pain becomes more intense, it is urgent to find out the cause.

The first rule of a quick recovery is to find out the cause and correct it correctly.

Symptoms

Diarrhea symptoms can occur at any time, in men, women, and children.

A person suffering from diarrhea may complain of sharp pains with contractions in the abdomen, general weakness. If the disease progresses, symptoms appear:

• Cutting in stomach;
• Nausea;
• Frequent urge to go to the toilet;
• Vomit;
• Heat;
• Pulls the lower abdomen;
• Dryness of the oral mucosa;
• Drowsiness, apathy;
• Severe dizziness, etc.

With diarrhea, monitor the state of health, the condition of the patient. If you suspect a sign of dehydration, it is recommended to contact an ambulance.

Methods of treatment

In order to get rid of the symptom in a short time, it is necessary to consult a doctor. Based on the diagnosis, a course of treatment is prescribed. As a rule, medications, alternative methods of treatment are used, a dietary table is recommended for the first time. In an adult and in a child, the list of drugs is different.

Medications used to treat stomach pain and diarrhea include:

Folk methods

After consulting with a doctor, it is permissible to try folk ways to deal with loose stools. A list of ways to help cope with the symptom at home:

• Rice. Rice porrige on water or a decoction is used to eliminate diarrhea in adults and children. Rice broth is prepared for children. The remedy is given to drink before meals. On the third day the diarrhea is gone.
• Starch. If your stomach is twisted, you can cook potato broth. Boil a couple of medium potatoes. The broth after cooking contains starch. Take a decoction during the day, 100 ml. The second way: dilute a teaspoon of starch in a glass of water, drink before meals.
• Pomegranate. pomegranate peel in folk medicine used to treat diarrhea. Peel the fruit, remove the peels white film dry a little. Steam in a thermos for several hours. Strain the decoction. Take before meals.
• Tea. Strong tea is used in therapy for indigestion. Brew 2 teaspoons in a glass of boiling water, drink three times a day.

If diarrhea is without fever, the stomach periodically seizes, decoctions from medicinal plants will help to cope with the symptom. Folk methods are effective when used correctly. natural ingredients harmless to health.

Diet for diarrhea

Proper nutrition and dietary table - required condition for quick recovery of the patient after diarrhea. If the stomach hurts, it is recommended to refrain from eating on the first day so as not to burden the stomach. Then eat small portions, 5-6 times a day.

It is allowed to include in the menu: cereals on the water, lean broths, vegetable soups, steamed cutlets, crackers, dried fruit compotes, herbal tea.

As the patient's condition improves, new products are added to the menu.

Do not use during diarrhea:

• carbonated water;
• Alcoholic drinks;
• Peas, beans, lentils;
• Dairy products;
• Fruits vegetables;
• Bakery products;
• Coffee drinks.

If you follow correct mode nutrition, the stomach will recover from diarrhea in a short time.

What not to do with diarrhea

Every person has experienced diarrhea. Both children and adults are prone to indigestion caused by certain factors. Many do not pay much attention liquid stool. But diarrhea can be a signal of serious health problems. If diarrhea occurs, do not:

• Start treatment on your own, especially with medications, if there is a case of poisoning, infection.
• Apply a warm towel or heating pad to your stomach. It is believed that heat helps to reduce pain in the abdomen, reduces cramping pain. Without knowing the exact cause of diarrhea, it is easy to aggravate the situation.
• Eat foods that have a laxative effect on the stomach.
• Do not eat food that irritates the intestines.

Prevention

The disease is better to prevent than to cure. Some tips for preventing diarrhea:

• Observe the rules of personal hygiene, wash your hands before eating.
• Wash vegetables and fruits thoroughly.
• Avoid contact with sick people. If a family member is ill, prepare separate dishes.
• Spend more time outdoors.
• Always stick to proper nutrition.
• Lead an active lifestyle.

When the first symptoms appear, do not let the disease take its course, consult a doctor. This will help reduce treatment time and restore health.

The well-being of a child for parents is the most important thing in the world. When a son or daughter falls ill, loses interest in life, the mother's heart breaks. Children lie in wait for viruses, bacteria that give rise to symptoms of diseases of various etiologies. Often, concern for the health of the baby can cause abdominal pain, nausea, and vomiting. The signs are interrelated, inherent in diseases of the gastrointestinal tract, toxic infections, sunstroke. It is important to monitor the appearance of changes in the habitual behavior of the offspring. If you experience pain, vomiting, measure the temperature, call the clinic, an ambulance (depending on the severity of the manifestations).

Causes of vomiting and abdominal pain in a child

When a baby has a stomach ache, feels sick, vomits, there is an infection in the body, a food toxin. Factors in the development of common signs of diseases are:

• Acute respiratory viral infection (including intestinal flu);
• Acute intestinal infection;
• Gastritis;
• Cholecystitis;
• Inflammation of the appendix;
• an ulcer in the stomach;
• Intestinal obstruction.

An experienced medical worker will help to understand what causes discomfort to the child, provokes vomiting, pain in the stomach. It is impossible to delay the diagnosis and treatment.

SARS

A respiratory viral infection enters the body orally (through kissing), airborne droplets or after touching infected objects, followed by the transfer of the virus to the mucous membrane. The susceptibility of children to SARS is higher than in adults against the background of reduced immunity. The disease starts in an acute form with an intense runny nose, cough. Rising temperature and headache aggravate the condition. The kid complains that his stomach hurts, he is nauseous. Single vomiting is provoked by temperature.

The pediatrician will prescribe an antipyretic, an immunomodulator, antiviral agent. The cause of the gag reflex is leveled by antiemetic drugs. At respiratory infections plentiful drinking, restriction of food and complete rest are shown.

Rotavirus infection

Intestinal flu is common in children. The causative agents of rotavirus infection are brought by a daughter or son from a kindergarten, school, section. How younger age sick, the more difficult the tolerance of the symptoms of the disease. pathogenic microorganisms immediately affect the intestinal mucosa. The amount of the pathogen and the state of immunity affect the rate of development of the disease in the child.

It starts like a typical flu - runny nose, sore throat, cough. Symptoms of a cold disappear, dyspepsia (bloating) occurs. This distinguishes intestinal flu from diseases of the gastrointestinal tract, periodically accompanied by diarrhea. Specific infection factors:

• Throat hyperemia;
• Weak rhinitis, cough;
• Rumbling and stomach ache;
• Diarrhea with copious discharge of clay-like masses pungent odor up to ten times a day;
• Nausea, repeated vomiting;
• Subfebrile or elevated temperature;
• Decreased mood, weakness.

Younger age and a weakened immune system delay recovery. In severe cases, babies develop kidney failure, dehydration, and hemodynamic changes. A parent can avoid negative consequences after a pathology with strict adherence to the doctor's recommendations. Manifestations of the disease are similar to salmonellosis, dysentery, food poisoning. To exclude serious illnesses, the doctor prescribes additional tests. Early treatment can help avoid complications.

Acute intestinal infection

This disease is treated as food poisoning or food poisoning. Food contaminated with pathogenic microflora disrupts the functionality of digestion and provokes the development of the following symptoms:

• Nausea, vomiting;
• Increase in body temperature;
• Diarrhea;
• Colic in the abdomen;
• Loss of moisture from the body, leading to dry skin.

The course of the disease

The discharge of vomit brings relief to a small person for a short time. Diarrhea is accompanied by repeated urges. Frequent bowel movements exacerbate severe pain in the abdominal cavity. The loss of a significant amount of fluid dehydrates the body. The temperature rises, lethargy and apathetic state of the baby occur. Appetite disappears.

Washing will save in case of poisoning if toxins have entered the stomach. A solution of salt (a tablespoon per liter of boiled water at room temperature) will help with gastric lavage in older children. Easy degree Poisoning is relieved by inducing vomiting by pressure on the root of the tongue.

Rehydron solution in small sips will help save the child from dehydration. Sorbent preparations are taken after vomiting for the speedy removal of toxins from the body. The doctor prescribes intestinal bactericidal agents, probiotic preparations.

Intestinal obstruction

Obstruction occurs in any part of the small or large intestine as a violation prenatal development. Difficulty in moving digested food, as well as complete blockade is acquired after a strong blockage of the intestinal lumen or inflammation of the mucous wall.

Signs of intestinal obstruction:

• Prolonged absence or delay in emptying;
• Painful tight abdomen;
• Persistent nausea, vomiting without improvement;
• Nervous excitement causing insomnia;
• Slime and bleeding during defecation.

Pathology proceeds without temperature. Eliminated by operation, if the case conservative treatment(lavage, administration of hypertonic fluids) did not work.

Inflammatory diseases of the digestive tract

Among the inflammatory processes of the digestive tract in children, there may be acute inflammation of the appendix, stomach or gallbladder, peptic ulcer stomach.

Acute appendicitis

Inflammation of the vermiform branch of the caecum occurs at any age. The younger the child, the more difficult it is for him to describe the sensations. The pain first appears in the gastric region, then migrates to the right side to ilium. Painful feeling on a permanent basis increases as the disease progresses and causes anxiety when moving, coughing, turning the body.

The main signs of acute appendicitis:

• Subfebrile fever, temperature rise up to 37-38 degrees;
• Pain in the abdomen radiating to the back;
• Dryness of the mucosa in the oral cavity;
• Nausea, without relief from vomiting;
• Liquid stool. Children have trouble passing urine due to irritation of the bladder by the appendix.

The lower abdomen is tense on palpation. Muscle tone increases with external compression of the sigmoid colon and with deep breath. In acute appendicitis, the child is sent to emergency operation. Pain medication cannot be given.

Acute cholecystitis

Signs of pathology:

• Cutting pain radiating to the lower back, under the scapula;
• Decreased appetite;
• An attack of nausea, vomiting;
• constipation, diarrhea;
• Bitterness in the mouth.

The abdomen is painful on palpation. The little man needs urgent hospitalization. Bed rest, a sparing diet and therapeutic therapy with antibiotics are prescribed. The child is shown to do special exercises.

Gastritis in the acute stage

Poor diet and nervous environment provoke inflammation of the gastric mucosa. The situation is exacerbated by reduced immunity. The kid complains of pain after eating sour food. Hunger causes no less pain. What symptom should parents pay attention to:

• Weakness;
• stomach cramp after vomiting;
• nausea;
• The body freezes when the temperature rises;
• The tongue is coated skin bluish;
• Feeling of heaviness in the stomach, severe pain in the epigastrium.

Doctors prescribe a diet with abundant fractional fluid intake, medicinal products from pain.

Ulcer

Chronic pathology develops in a short time, often can be the cause of complications. Protective functions mucous membranes are weakened by the bacterium Helicobacter pylori. Stress and genetic predisposition contribute to the progress of the disease.

Ulcer symptoms:

• Cutting in stomach after eating. Are projected on the spinal region.
• Heartburn during fasting and at night.
• Nausea, vomiting with temporary relief.

Therapeutic measures are based on diet. The child will be helped antibacterial drugs, antispasmodics.

Help before the doctor arrives

There are many factors for the development of pain in the abdomen in children up to a year and older - nervous shocks, viruses, bacteria. Self-treatment is not welcome. It is important to provide first aid before the ambulance arrives or visits the pediatrician.

When the above signs of disease are detected, a ambulance. The operator is told the root of the complaints, the localization of pain, the presence of temperature, nausea with or without vomiting. Usually children hold the sore spot with their hands. It will be easier for the doctor to perform manipulations if he knows about the presence of chronic pathologies.

What is prohibited and allowed:

• Self-treatment.
• Warming or cooling of the abdomen.
• Gastric lavage.
• Intake of food and medicines.

With unbearable pain, it is allowed to take a no-shpy pill. The child is laid horizontally with a raised headboard. high fever eliminated with antipyretic. You can maintain the water balance in the body by fractional intake of water, rehydron, rice water. It is important to support the offspring before the arrival of the doctor, without destroying the symptoms of the disease.