19th June 2025

A child in a pink shirt and blue jeans with her arms around her stomach, sitting on a bed curled up against her mother; concept is stomach pain

The commonest explanation for power abdomen ache in youngsters is not something yow will discover on a check or remedy with a medication. And that may make it very difficult to diagnose — and deal with.

You might not have ever heard of practical stomach ache. But it ranks as the most typical explanation for abdomen ache lasting two months or extra in youngsters and youths.

What’s practical stomach ache?

The thoughts and the physique are tightly related in ways in which we’re nonetheless working to know, and that is significantly true of the thoughts and the gastrointestinal tract. Stress — significantly power stress, melancholy, and anxiousness — can result in ache that may be very actual. Typically the ache is the one symptom of stress, particularly in youngsters who’re high-achieving or have a tendency to cover their feelings.

Typically the ache does not begin from stress however from an an infection or different sickness, and stays as soon as the sickness is gone or provides further ache to the sickness whereas it’s being handled. Fear in regards to the ache and its attainable trigger could make issues worse. The nervous system of the intestine can go into overdrive.

What are frequent signs of practical stomach ache?

Youngsters with practical stomach ache can have delicate signs that simply present up often, or they’ll have extra extreme signs that intrude with every day life. Together with stomachaches, they’ll have nausea, vomiting, constipation, or diarrhea — or some mixture of all of them. They could have a poor urge for food or complain of feeling full in a short time.

When do you have to contact your kid’s physician?

It is essential to verify in along with your physician in case your youngster is having power stomachaches. They need to have a bodily examination, and your physician might need to do some testing, reminiscent of blood or stool exams, as there are various medical situations that may trigger power stomachaches.

It is significantly essential to name your physician in case your youngster

  • is shedding weight
  • has blood of their stool
  • has extreme ache
  • has fever, rashes, sore joints, or different indicators of sickness.

In case your physician finds that your kid’s examination and exams are regular, they usually aren’t shedding weight, chances are high that your youngster has practical stomach ache.

For some households, getting this prognosis sounds just like the medical doctors are saying that it’s all within the kid’s head. However nothing could possibly be farther from the reality. It is vitally actual ache — however it isn’t being brought on by one thing harmful, which is excellent information.

How will you assist a toddler identified with practical stomach ache?

There are a lot of methods to assist a toddler who has practical stomach ache as soon as the prognosis is made. They embody:

  • Understanding and managing stressors within the kid’s life, if there are any
  • Drugs beneficial by your well being care staff might help with signs, reminiscent of laxatives for constipation
  • Cognitive behavioral remedy, which is a form of remedy that teaches methods for managing ache, in addition to managing any stress or unhappiness that may be contributing
  • Meditation, yoga, and different methods for a kid to chill out and regulate how they react to their world
  • For some youngsters, a low-FODMAP weight-reduction plan might be useful
  • Probiotics, peppermint oil preparations, and another dietary supplements are typically used to assist soothe and stop ache.

Most youngsters with practical stomach ache can obtain care from their pediatrician. Common visits are a good suggestion, to verify in to see how issues are going and alter any therapies. If issues do not get higher, a referral to a gastroenterologist might be useful.

Comply with me on Twitter @drClaire

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