How to help a child when his tummy hurt?

When the stomach hurts, the child is crying, has no appetite or desire to play. It also raises a lot of concerns for parents who are worried about their child and would like to alleviate the unpleasant ailment. What methods are indicated here?

Why does the child have a stomach ache? When a baby is born, its digestive system is able to perform its basic function – digestion and absorption, but its motor function still needs to be improved.

In the first years of life, the immune system develops, in which over 70% of of cells (lymphocytes) are associated with the digestive tract (GALT – gut-associated lymphoid tissue). The microbiota of the gastrointestinal tract is also differentiated, and the type, species and strain of bacteria inhabiting the intestines are influenced by many factors, e.g. childbirth (natural or caesarean section) or method of feeding (mother’s milk or formula). It should also be remembered that in the first years of a child’s life, the barrier of the intestinal mucosa is sealed and the number of epithelial layers that lines the walls of the small intestine gradually multiplies. All this makes the digestive system of a small child sensitive to external factors, such as stress, change in diet or certain medications (especially antibiotics and iron preparations). They can cause functional disorders of the gastrointestinal tract, which since 2016 have been classified as disorders within the brain-gut axis. Their causes are seen in the bacterial imbalance in the intestine.

Functional disorders of the digestive system include regurgitation (most common in infancy), infantile colic, functional constipation and diarrhea, and cyclical vomiting syndrome . The good news is that they are mild and usually go away on their own. Abdominal pain, however, causes the child to cry, and this affects the functioning of the whole family (generates stress and increases the level of fatigue).

How to relieve a child’s stomach pain?

Education is very important to reduce parental anxiety. It has been proven that functional disorders of the digestive system may have an emotional background. And it must be remembered that newborns and infants perfectly sense the fear and nervousness of their loved ones, which has an impact on their developing organism.

Painful ailments can also be relieved by a gentle tummy massage and the use of warm compresses (e.g. with a hot water bottle). It is also recommended to put the baby on the tummy as often as possible, but always under the watchful eye of an adult.

Hugging your baby (skin to skin) and wearing it, e.g. in a sling, will also bring relief. Probiotics will also help. And although there are a lot of them in pharmacies, choosing the right preparation is extremely important. In the case of functional disorders, the strain of Lactiplantibacillus (previously Lactobacillus) plantarum 299v.

The Lactiplantibacillus plantarum 299v strain binds to epithelial receptors in the gastrointestinal tract, thanks to which it can form beneficial biofilms and take the place of potentially pathogenic bacteria. It also strengthens the intestinal barrier, which prevents the movement of unwanted substances from the intestines into the bloodstream. It also contributes to the production of short-chain fatty acids (SCFA), which lower the pH in the intestinal lumen, which inhibits the growth of pathogens

It is also worth composing the child’s menu in such a way that it contains sources of valuable macro- and micronutrients. Most of them are provided by vegetables and fruits (especially raw), pickled products (cucumbers, cabbage, beets), good quality dairy products (e.g. kefir, cottage cheese), fatty sea fish and lean meat.

What gives you a stomachache?

Everyone has experienced abdominal pain at one time or another. Organs that have to do with your digestion often cause problems. For example, your intestines or your stomach. It usually goes away on its own, but sometimes more research is needed to determine the cause of abdominal pain.

If you eat products that cause a lot of gas, such as beans, onions, cabbage and spicy dishes, you can experience flatulence, cramps and rumbling in your stomach. Stress also makes your gut go crazy. Stress hormones affect the production of stomach acid and intestinal peristalsis, causing your intestines to work too quickly. If your stool passes through the large intestine too quickly, you get diarrhea.

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Due to incorrect nutrition, too little exercise, medicines, and stress, the intestinal contents sometimes pass through your intestine too slowly, making the stool hard. Such a blockage manifests itself in abdominal pain and bloating. Eating a lot of fiber, drinking water and exercising can help prevent constipation.

Food hypersensitivity
If you are allergic to certain foods, you will suffer from skin, breathing or stomach complaints if you eat them anyway. Your immune system mistakes certain proteins in the food in question for invaders and therefore makes antibodies. These antibodies in turn cause the production of other substances, such as histamine, that cause the allergic symptoms.

If you experience bloating, flatulence or diarrhea after consuming dairy products, you may have lactose intolerance. Lactose is a sugar found in milk. Not everyone can digest it well, resulting in abdominal pain.

Appendicitis
In the lower right corner of your abdomen is the cecum, a small, finger-shaped tissue pouch. If this appendage becomes inflamed, you often get a sudden, severe pain around the navel that later spreads to the lower right. Touching or letting go of the abdomen is painful and laughing and coughing also hurt. With appendicitis you can also suffer from fever and nausea. An inflamed appendix must be surgically removed.

Stomach flu
Gastrointestinal
infection is also popularly referred to as stomach flu. A bacteria, virus or parasite attacks the intestinal wall, causing diarrhea and abdominal cramps. If the infection is caused by eating spoiled food, we speak of food poisoning. Often you are also nauseous and you have to vomit. Drink enough small amounts so that you don’t become dehydrated. If you get hungry again, you can eat normally. The symptoms disappear on their own.

Chronic intestinal inflammation
Crohn’s disease and ulcerative colitis both cause abdominal pain that is often accompanied by diarrhea and blood and mucus in the stool. In both conditions you have inflammation in the digestive tract. They are also called Inflammatory Bowel Diseases (IBD). In Crohn’s disease, inflammation occurs throughout the gastrointestinal tract: from mouth to anus. In ulcerative colitis, only the lining of the colon or rectum becomes inflamed.

The course differs greatly per patient, some people have occasional complaints, others have severe attacks. If you suffer from chronic intestinal inflammation, you run a slightly higher risk of developing colon cancer . Colon cancer also causes abdominal pain.

Stomach ulcer
An ulcer is a type of wound in the protective layer of the stomach or duodenum, which causes you to feel severe pain in the top of your abdomen. Usually a bacterium, Helicobacter pylori, is the cause of an ulcer , but you can also get one if you take certain pain relievers, such as NSAIDs and aspirin. It used to be thought that stress gives you an ulcer, but that is not the case. A stomach ulcer is treated with antacids and possibly antibiotics if the Helicobacter pylori is present in your stomach.

Irritable bowel syndrome
If you have abdominal complaints, but nothing abnormal is discovered, your doctor can diagnose irritable bowel syndrome (IBS). IBS is common, about twice as common in women as in men. It is not medically serious, but it is very difficult. With IBS you have diarrhea or constipation or it varies. Stress worsens the symptoms.

Gallstones
The liver produces bile, a fluid you need to burn fats. It enters the small intestine via the common bile duct and bile duct. It consists of water, cholesterol, fats, bile salts and bilirubin. If the bile becomes too thick or the mixture becomes out of balance, for example because your cholesterol is too high, hard crystals form: gallstones . Larger specimens can become trapped in the passageway between the gallbladder and small intestine. Gallstones give a severe pain in the upper abdomen, where you can not sit still.

Other bodies
Not only your digestive system can cause abdominal pain, but also the liver, bladder, kidneys and in women the uterus and fallopian tubes. Inflammation can occur in various organs, such as liver inflammation or fallopian tube inflammation. In addition, your abdominal pain can be a sign of kidney stones, endometriosis or an (ectopic) pregnancy.

To the doctor
Abdominal pain usually goes away on its own, but if that does not happen, it is wise to contact your doctor. Do the same if the stomach pain gets worse, if the pain worsens when you move, or if you can’t sit still because of the pain. If the abdominal pain is accompanied by fever, weight loss, blood and mucus in the stool , blood in the urine or black stools, go to the doctor.

Sources: Stomach Liver Bowel Foundation, WebMD