Chronic Abdominal Pain In Children

WHAT YOU SHOULD KNOW:

Children aged 4 to 17 may have chronic abdominal pain. Chronic abdominal pain is pain that occurs in your child's abdomen at least 3 times in 3 months.

INSTRUCTIONS:

Follow up with your child's primary healthcare provider (PHP) as directed:

Write down your questions so you remember to ask them during your visits.

Cognitive behavioral therapy:

This therapy is done to help your child learn to cope with stress. Your child will learn how to decrease or cope with his pain if it happens when he is scared or worried.

Help manage your child's chronic abdominal pain:

  • Apply heat on your child's abdomen for 20 to 30 minutes every 2 hours for as many days as directed. Heat helps decrease pain and muscle spasms.

  • Make changes to the foods you give to your child, if needed.

    • Give your child more fiber if he has constipation. High-fiber foods include fruits, vegetables, whole-grain foods, and legumes.

    • Do not give your child foods that cause gas, such as broccoli, cabbage, and cauliflower. Do not give him soda or carbonated drinks, because these may also cause gas.

    • Do not give your child foods or drinks that contain sorbitol or fructose if he has diarrhea and bloating. Some examples are fruit juices, candy, jelly, and sugar-free gum. Do not give him high-fat foods, such as fried foods, cheeseburgers, hot dogs, and desserts.

    • Your child should drink plenty of liquids and eat small meals more often. This may help decrease his abdominal pain.

  • Keep a diary of your child's pain. A diary may help your child's PHP learn what is causing your child's abdominal pain. Include when the pain happens, what your child is doing, how long it lasts, and how he says it feels.

  • Encourage your child to keep doing his usual activities. Encourage your child to talk about things that worry him. Find out if there are stressors at school by talking with your child's teachers. You may be able to help your child learn to cope better.

Contact your child's PHP if:

  • Your child has abdominal pain that wakes him up at night.

  • Your child has pain on his right side that does not go away.

  • Your child has a fever.

  • Your child has new mouth sores, trouble swallowing, or is losing weight without trying.

  • Your child is not drinking liquids, and he is not urinating.

  • You have questions or concerns about your child's condition or care.

Return to the emergency department if:

  • Your child's abdominal pain gets worse and spreads to his back.

  • Your child's bowel movement has a large amount of blood in it, or looks like black tar.

  • Your child cannot stop vomiting, or vomits blood.

  • Your child has diarrhea for 1 to 2 weeks.

  • Your child has trouble breathing, and his skin looks pale.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Chronic Abdominal Pain In Children (Aftercare Instructions)

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