Abdominal pain - children under age 12
Almost all children have abdominal pain at one time or another. Abdominal pain is pain in the stomach or belly area. It can be anywhere between the chest and groin.
Most of the time, it is not caused by a serious medical problem. But sometimes abdominal pain can be a sign of something serious. Learn when you should seek medical care right away for your child with abdominal pain.
Considerations
When your child complains of abdominal pain, see if s/he can describe it to you. Here are different kinds of pain:
Generalized pain or pain over more than half of the belly. Your child can have this kind of pain when they have a stomach virus, indigestion, or gas, or when they become constipated.
Cramp-like pain is likely to be due to gas and bloating. It is often followed by diarrhea. It is usually not serious.
Colicky pain is pain that comes in waves, usually starts and ends suddenly, and is often severe.
Localized pain is pain in only one area of the belly. Your child may be having problems with his/her appendix, gallbladder, or stomach (ulcers).
If you have an infant or toddler, s/he depends on your seeing that s/he is in pain. Suspect abdominal pain if s/he is:
More fussy than usual
Drawing his/her legs up toward the belly
Eating poorly
Causes
Your child could have abdominal pain for many reasons. It can be hard to know what is going on when your child has abdominal pain. Most of the time, there is nothing seriously wrong. But sometimes it can be a sign that there is something serious and your child needs medical care.
Your child mostly likely is having abdominal pain from something that is not life threatening. For example, your child may have:
Constipation
Gas
Food allergy or intolerance
Heartburn or acid reflux
Stomach flu or food poisoning
Strep throat or mononucleosis ("mono")
Colic
Air swallowing
Abdominal migraine
Pain caused by anxiety or depression
Your child may have something more serious if the pain does not get better in 24 hours, gets worse or gets more frequent. Abdominal pain can be a sign of:
Appendicitis
Gallstones
Stomach ulcers
Hernia or other bowel twisting, blockage or obstruction
Inflammatory bowel disease (Crohn's disease or ulcerative colitis)
Intussusception, caused by part of the intestine being pulled inward into itself
Tumors or cancers
Urinary tract infections
Sickle cell disease crisis
Home Care
Most of the time, you can wait for your child to get better and use home care remedies. If you are worried or your child’s pain is getting worse or lasts longer than 24 hours, call your health care provider.
Have your child lie quietly to see if the abdominal pain goes away.
Offer sips of water or other clear fluids.
Suggest that your child try to pass stool.
Avoid solid foods for a few hours. Then try small amounts of mild foods such as rice, applesauce, or crackers.
Do not give your child foods or drinks that are irritating to the stomach. Avoid:
Caffeine
Carbonated beverages
Citrus
Dairy products
Fried or greasy foods
High-fat foods
Tomato products
Do not give aspirin, ibuprofen, acetaminophen (Tylenol), or similar medicines without first asking your child's health care provider.
To prevent many types of abdominal pain:
Avoid fatty or greasy foods.
Drink plenty of water each day.
Eat
Alternative Names
Stomach pain in children; Pain - abdomen - children; Abdominal cramps in children; Belly ache in children