Abdominal Pain in Children
Medically reviewed by Drugs.com. Last updated on May 4, 2025.
Abdominal pain can be dull, achy, or sharp. Your child may have pain in one area or in his or her whole abdomen. Your child's pain may be caused by a condition such as constipation, food sensitivity, food poisoning, infection, or a blockage. Abdominal pain can also be from a hernia or appendicitis. The cause of your child's abdominal pain may not be known.
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DISCHARGE INSTRUCTIONS:
Return to the emergency department if:
- Your child's abdominal pain gets worse.
- Your child vomits blood, or you see blood in his or her bowel movement.
- Your child's pain gets worse when he or she moves or walks.
- Your child has vomiting that does not stop.
- Your male child's pain moves into his genital area.
- Your child's abdomen becomes swollen or tender to the touch.
- Your child has trouble urinating.
Call your child's doctor if:
- Your child's abdominal pain does not get better after a few hours.
- Your child has a fever.
- You have questions or concerns about your child's condition or care.
Medicines:
Your child may need any of the following:
- Medicines may be given to calm your child's stomach or prevent vomiting.
- Prescription pain medicine may be given. Ask your child's healthcare provider how to give this medicine safely. Some prescription pain medicines contain acetaminophen. Do not give your child other medicines that contain acetaminophen without talking to a healthcare provider. Too much acetaminophen may cause liver damage. Prescription pain medicine may cause constipation. Ask your child's provider how to prevent or treat constipation.
- Do not give aspirin to children younger than 18 years. Your child could develop Reye syndrome if he or she has the flu or a fever and takes aspirin. Reye syndrome can cause life-threatening brain and liver damage. Check your child's medicine labels for aspirin or salicylates.
- Give your child's medicine as directed. Contact your child's healthcare provider if you think the medicine is not working as expected. Tell the provider if your child is allergic to any medicine. Keep a current list of the medicines, vitamins, and herbs your child takes. Include the amounts, and when, how, and why they are taken. Bring the list or the medicines in their containers to follow-up visits. Carry your child's medicine list with you in case of an emergency.
Ways you can help manage your child's abdominal pain:
- Take your child's temperature every 4 hours, or as directed. A fever may be a sign of a condition that needs to be treated.
- Have your child rest until he or she feels better. He or she may need to take more naps than usual during the day. Do not let your child play with other children if he or she has a contagious illness, such as the flu.
- Ask when your older child can eat solid foods. You may be told not to feed your child solid foods for 24 hours.
- Give your child an oral rehydration solution (ORS), as directed. ORS is liquid that contains water, salts, and sugar to help prevent dehydration. Ask what kind of ORS to use and how much to give your child.
- Apply heat on your child's abdomen to help with pain or muscle spasms. You can apply heat with an electric heating pad set on low, a hot water bottle, or a warm compress. Heat should be applied for about 20 to 30 minutes or as long and as often as directed. Always put a cloth between your child's skin and the heat pack to prevent burns.
- Keep track of your child's abdominal pain. This may help your child's healthcare provider learn what is causing the pain. Track when the pain happens, how long it lasts, and how your child describes the pain. Include any other symptoms he or she has with abdominal pain. Also include what your child eats and drinks, and any symptoms that develop after he or she eats.
Help your child prevent abdominal pain:
Your child's healthcare provider may give you specific instructions based on your child's age. The following are general guidelines:
- Make changes to the foods you give your child, if needed. Do not give your child foods that cause abdominal pain or other symptoms. Have him or her eat small meals more often. The following changes may also help:
- Give more high-fiber foods if your child is constipated. High-fiber foods include fruits, vegetables, whole-grain foods, and legumes such as pinto beans.
- Do not give foods that cause gas if your child has bloating. Examples include broccoli, cabbage, beans, and carbonated drinks.
- Do not give foods or drinks that contain sorbitol or fructose if your child has diarrhea. Some examples are fruit juices, candy, jelly, and sugar-free gum.
- Do not give high-fat foods. Examples include fried foods, cheeseburgers, hot dogs, and desserts.
- Give more high-fiber foods if your child is constipated. High-fiber foods include fruits, vegetables, whole-grain foods, and legumes such as pinto beans.
- Make changes to the liquids your child drinks, if needed. Do not give liquids that cause pain or make it worse, such as orange juice. The following changes may also help:
- Give your child more liquid, as directed. Give your child liquids throughout the day to help him or her stay hydrated. Ask how much liquid your child should drink each day and which liquids are best for him or her. Give your baby extra breast milk or formula to prevent dehydration. If you feed your baby formula, give him or her lactose-free formula.
- Do not give your child liquid that contains caffeine. Caffeine may make symptoms such as heartburn or nausea worse.
- Help your child manage stress. Stress may cause abdominal pain. Your child's healthcare provider may recommend relaxation techniques and deep breathing exercises to help decrease stress. The provider may recommend your child talk to someone about stress or anxiety, such as a counselor or a trusted friend. Help your child get plenty of sleep and physical activity.
Follow up with your child's doctor as directed:
Write down your questions so you remember to ask them during your visits.
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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.
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