It is another year when the season changes. In the fall, more and more children have come to see pediatric abdominal pain. As a parent, how much do you know about abdominal pain in children? After reading this expert's article, I believe you will have some insights and benefits.
Why does the child always say "abdominal pain"?
"Mom, my stomach hurts!" The five-year-old clutched his stomach and frowned and asked his mother for help. My mother walked past and stroking her head to comfort her and said: "Is there a 'smelly' (stool)? It's not painful to pull 'smelly'." Sometimes, if you pull the stool, you will not shout. Pain; Sometimes, even if you can't pull a bowel movement, your mother rubs your stomach, and after a while, you'll be fine. Your mother will not care too much. When she was not trying to pull a bowel movement and called "stomach pain" more and more frequently, her mother decided to bring her to a hospital.
In pediatric outpatient clinics, we often encounter abdominal pain patients like baboons: Their age is mostly between 3 and 14 years old. It is more prevalent among preschoolers and school-age children, and frequently occurs in the spring and fall seasons. Abdominal pain is mostly paroxysmal, that is, pain for a while, painless for a while, severe abdominal pain, pale or pale, or even nausea and vomiting. But most of the time the abdominal pain is not severe and can be tolerated. The site of abdominal pain is not fixed, and pain around the navel or upper abdomen is more common. After a few minutes, abdominal pain can often relieve itself and the child recovers as usual. But maybe it will not take a few days and it will happen again.
When parents come to the hospital with their children, they are often full of anxiety and questions: Why did the child suddenly suffer from abdominal pain? Is there a worm in my stomach? Is it appendicitis? Is it important? Some parents once took their children to see a doctor. After repeated visits, they also asked: Why does a child's abdominal pain repeatedly fail to eradicate it?
At this time, doctors are often very calm and comfort their parents. They calm down their anxiety and ask about the history of their abdominal pain. They also carefully examine the abdomen of the sick child, and if necessary, they also need blood tests and B-mode ultrasound or X. Line inspections can lead to preliminary conclusions. It is important to note that abdominal pain is just a symptom. Many causes and many diseases can cause abdominal pain. Just as many causes and many diseases can cause fever, slight negligence can lead to misdiagnosis and missed diagnosis. Serious cases can damage or even endanger life. Therefore, the recognition and proper treatment of abdominal pain are of great significance.
Two essentially different "bellyaches"
The cause of abdominal pain varies. From the age point of view, after birth a few days of neonatal abdominal pain to consider congenital malformations, 2 to 3 months baby may have pain due to flatulence, 6 months to 1 year old children should pay attention to intussusception, and then a little older school age Children should pay attention to appendicitis and mesenteric lymphadenitis.
Occasionally, organs outside the intestine may become inflamed or organs outside the abdomen may cause abdominal pain. Such as waist, urethra, limbs and hip joints and other pain, but also easily misdiagnosed as abdominal pain; as well as liver, gallbladder, pancreas and other organs lesions, can also cause abdominal pain. These kinds of abdominal pain seem complex, but in fact can be summed up in two categories: one for abdominal pain caused by organic diseases, the other for abdominal pain caused by functional lesions, which are two distinct types of abdominal pain.
Abdominal pain caused by organic lesions is commonly referred to in medicine as an anatomical change in the pathology of an organ, that is, the damage to organs in nature, such as appendicitis, intestinal obstruction, intussusception, peritonitis, and peptic ulcer. For example, if the human body is an old mechanical watch, then the clock of the watch is broken, or the important gear is broken. This is an organic disease; on the contrary, if the parts of the watch are not damaged, just this The functions of the watch are somewhat abnormal and go fast or slow. This is a functional lesion.
Organic lesions are usually much more severe than functional lesions and are also more difficult to handle. Such as appendicitis, intestinal obstruction, intussusception, etc., sometimes it is necessary to repair the "hardware" through surgery to make the lesion disappear and function recovery. Functional abdominal pain, because most of the anatomical lesions of the organ tissue, but the normal function of the gastrointestinal tract interfered, a temporary disorder occurred, which is easier to treat. Functional abdominal pain is mostly caused by simple gastrointestinal spasm. Compared to organic abdominal pain, functional abdominal pain does not have pathological anatomical changes, so the disease is mild and the prognosis is better.
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