CLINIC NEWS

I can't tell you how many children I see each day with the complaint of a "Tummy ache". It is one of the most common complaints in the clinic.

Most of us would tend to dismiss those complaints as run of the mill. How do you know when to pay more attention when a child says they have a "Tummy ache"?

10% of 5-12 year olds have what is described as chronic non-specific abdominal pain. Abdominal pain that has no apparent cause.

Let's look at a few possible causes:

§ Lack of food/water

§ Junk food

§ Constipation

§ Food poisoning

§ Infections (strep, pneumonia, urinary tract)

§ Hormonal changes (ovulation, menses)

§ Stress

§ Diabetic ketoacidosis

§ Migraines

§ Lactose intolerance

§ Pathology (Sickle cell crisis, tumor, appendicitis, ulcers, parasites, etc.)

That's why we have to look at other factors, how often does it happen? Are there any other symptoms present such as diarrhea, vomiting, and fever? What do they look like? Are they pale, have they lost weight? Do you notice any swelling? Are they irritable? These are all questions to be asked.

Does food or drink relieve the pain? Rest or medication? Are they able to eat, drink, and void? All of these assessments are taken into account when I phone a parent/guardian. If a student is able to return to class, they do so. If the abdominal pain has not resolved, I will not hesitate to phone you.

What can we do as parents? We must ensure that proper nutrition; rest needs are being met. It is a good idea to make sure they have enough water daily. It is a good idea to stay abreast of their bowel and urinary habits.

A little prevention goes a long way!

This information has been adapted from Children's Healthcare of Atlanta, and is not intended to replace that of your primary care physician.