Chronic abdominal pain in children and adolescents gas in texas


Chronic and recurrent abdominal pain is common in children, and the term functional pain disorder refers to pain for which a specific cause (by history, physical examination, or laboratory tests) has not been found. It occurs in 9 to 15 percent of all children. In boys, pain is most common between ages five and six years bp gas prices columbus ohio. Girls have pain most commonly between five and six years and 9 and 10 years.

In most cases, abdominal pain is not serious and gets better without treatment. However, when it is lasts a long time or happens over and over again and a specific cause has not been found, treatment can be difficult. The pain can affect the child’s ability to have a normal life, including attending school. This topic reviews treatment approaches that can help your child cope with the pain and/or help the pain go away.

Organic causes of abdominal pain include stomach and intestinal problems (eg, heartburn, ulcers, lactose intolerance, parasitic infections, inflammation of the esophagus) and abdominal muscle pain. Less common causes include urinary tract infection and inflammatory bowel diseases (eg, Crohn disease, ulcerative colitis). For girls, problems with the uterus and ovaries, including infections, can also cause pain. Based on the symptoms, the doctor may perform appropriate tests to make sure your child does not have an organic cause for pain.

Abdominal migraine — Abdominal migraines cause similar episodes of intense abdominal pain, centered in the mid-abdomen, lasting one hour or more. Between episodes the child is completely well for weeks to months. The child might also have loss of appetite, nausea, vomiting, headache, or sensitivity to light. Many, but not all, children with abdominal migraine have a family youtube gas pedal history of migraine. (See Patient education: Headache in children (Beyond the Basics).)

Functional abdominal pain is often triggered by stress or anxiety. This can happen during periods of change or stress in families (such as the birth of a new sibling, family member’s illness), when the parent(s) has limited time to spend with their child. Starting school may also trigger recurrent abdominal pain. In some cases, a child can develop chronic abdominal pain related to his or her need for attention.

Functional abdominal pain does not mean that the child does not have pain or that it is all in their head. How a caregiver responds to the child’s pain can support continuation of pain. For example, if the caregiver shows that he or she is constantly worried about the child’s pain, instead of relieving the child’s pain, the child may become more anxious, and the pain may worsen. If instead the caregiver pays attention to the child’s normal activities, the child’s need for attention may static electricity vocabulary words be satisfied and his or her abdominal pain reduced. (See ‘Positive attention’ below.)

However, chronic abdominal pain in children is most often caused by a functional pain disorder. There are a variety of treatments that can be helpful, but no single treatment is best. Most experts recommend trying several treatments. This may require several visits with the doctor or nurse, especially if pain has been a problem for a long time.

The first goal of treatment is to help the child return to normal activities such as school and playing with friends. A second goal is to improve the child’s pain. However, it may take some time to figure out what is causing the pain and find the best treatment. It is also important for the child’s doctor or nurse to help the child cope with pain. Finally, a functional pain disorder does not mean that the child does not have gas up yr hearse pain or that it’s all in their head.

Positive attention — During periods of change or stress in families, it can be hard for caregivers to spend enough time with their child. In some cases, the child will develop chronic or recurrent abdominal pain related to his or her need for attention. It may be helpful to schedule time every day that is devoted solely to the child. Scheduled time (positive attention) is preferable to time spent together when the child complains of pain, which rewards negative behavior (complaining of pain).

Relaxation techniques — Older children and adolescents with functional abdominal pain can learn brief muscle relaxation techniques such as deep breathing exercises. These techniques should be performed for 10 minutes at least twice every day and can also be used during times of pain ( table 2). A family member gasbuddy nj can act as coach if necessary (provided this attention does not provide positive reinforcement for the pain, as described above).

Behavioral therapies — Behavioral therapies may be recommended for children or adolescents with functional abdominal pain that keeps the child from going about his or her daily activities. Behavioral therapies may help to reduce the child’s anxiety, help them to participate in normal activities, be involved in their treatment, or better tolerate the pain. Some common types of behavioral therapies are cognitive-behavioral therapy, hypnosis, biofeedback, and psychotherapy.

Return to school is an important part of helping a child with functional pain get better. The goal of treatment is return to normal activities rather than removal of pain. Caregivers can work with their child’s doctor or nurse to develop a plan for returning to school. The plan may involve being allowed to go to the nurse’s office for short periods of time until the pain electricity vs magnetism venn diagram subsides but limiting the number of visits each week. The child’s doctor or nurse can help the caregiver understand when the child is too sick to go to school and provide guidelines for electricity 101 video activity restrictions when the child stays home (eg, bedrest without television or other entertainment).

Dietary changes — Studies have not shown that making changes in the diet are helpful for children with chronic abdominal pain. However, the following changes might be helpful in selected children. In general, a two-week dietary trial is sufficient to show some beneficial effect. If no beneficial effect is seen after two weeks, a regular diet should be resumed.

A lactose-free diet can help to ease these symptoms; this is done by eliminating milk and milk products or by using lactase enzyme replacements (eg, Lactaid milk or Lactaid drops). If abdominal pain does not get better after two weeks, the child can restart milk and milk product. There also are tests for lactose intolerance, which can be used if the diagnosis remains uncertain.

Fiber — Eating high-fiber diet (increased fruits and vegetables or foods with added fiber) might improve symptoms in children who have constipation or constipation-predominant irritable bowel syndrome (IBS). In children who are afraid of moving their bowels (stool withholding), a clean out treatment is often recommended before adding fiber to the diet. (See Patient education: Constipation in infants and children (Beyond the Basics).)

Fermentable sugars — Carbohydrate malabsorption from fermentable sugars can lead to abdominal pain and bloating. Food products high in fermentable sugars can trigger IBS. Examples include corn syrup, certain fruits (eg, apples, grapes, watermelon) and vegetables (eg, peas, asparagus gas city indiana car show, zucchini), and natural sweeteners (eg, honey, agave, maple syrup, molasses).

Probiotics — Probiotics are what many people call friendly bacteria or good bacteria. They are bacteria that live in the body and help it work well. Often, probiotics help defend the body from infections caused by unfriendly bacteria or other germs. Probiotics get into the body on their own, so people can benefit from probiotics without doing or taking anything extra. But some people take pills that contain probiotics because they think the pills will help keep them healthy.

Patient education: Upset stomach (functional dyspepsia) in adults (Beyond the Basics) Patient education: Constipation in infants and children (Beyond the Basics) Patient education: Irritable bowel syndrome (Beyond the Basics) Patient education: Headache in children (Beyond the Basics) Patient education electricity electricity schoolhouse rock: Gas and bloating (Beyond the Basics)

Professional level information — Professional level articles are designed to keep doctors and other health professionals up-to-date on the latest medical findings. These articles are thorough, long, and complex, and they contain multiple references to the research on which they are based. Professional level articles are best for people who are comfortable with a lot of medical terminology and who want to read the same materials their doctors are reading.