ASK THE EXPERTSWhat's causing mychild's stomach pain?Abdominal pain is one of the most common complaints inyoung children, and it can be particularly difficult for parentsto figure out what's causing it. The most common causeof abdominal pain in children changes with age. Consultyour physician if your child's stomach pain is persistent orworseningConstipation Functional Constipation normally develops inearly childhood as toilet training is introduced. Children areeither resistant to training or have a fear of using the toilet.Constipation is usually the cause when pain develops overtime, is generalized and develops around toilet training. Achange in diet, such as introducing solids at 6 months andforwhole milk at year, could also suggest constipation.Illness Vomiting and diarrhea, especially in an acute setting.are most likely associated with a viral illness. If your childdevelops vomiting without stools or diarrhea, this could besigns of an obstruction due to foreign body ingestion or pyloricstenosis. Ifthere are no signs of acute illness and your child isvomiting, I would suggest seeking a doctor's opinion.Appendicitis-In appendicitis, pain starts around the bellybutton and later moves into the right lower quadrant. It is alsoassociated with loss of appetite, fever and vomiting. Pain isnormally significant and progressively worsens over time. Ifyou are concerned your child has appendicitis, you should beevaluated by a doctor.Stress Stress and anxiety seem to play a significant role inabdominal pain in school-aged children. It may be caused frombullying, worrying about school performance or even changes totheir routine. A pain diary is normally helpful in diagnosing this,and other causes should be ruled out prior to making this diagnosis.Food allergyNausea with vomiting, abdominal cramping anddiarrhea or bloating can be a sign of food allergy. They are not verycommon, happening in 5 to 10 percent of young children. Mostallergies occur prior to age 2 and can be diagnosed with allergytesting, if necessary.Adam Linck, M.D.Board-certified family physicianStomach pain?Try Sage Primary Care's walk-in clinicOpen 8 a.m. to 4:30 p.m. weekdays at 1020 S. Conwell St.Sage Primary CareWyoming Medical Center(307) 265-8300WyomingMedicalCenter.org/Sage

Date: January 3, 2018

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ASK THE EX PERTS What's causing my child's stomach pain? Abdominal pain is one of the most common complaints in young children, and it can be particularly difficult for parents to figure out what's causing it. The most common cause of abdominal pain in children changes with age. Consult your physician if your child's stomach pain is persistent or worsening Constipation Functional Constipation normally develops in early childhood as toilet training is introduced. Children are either resistant to training or have a fear of using the toilet. Constipation is usually the cause when pain develops over time, is generalized and develops around toilet training. A change in diet, such as introducing solids at 6 months andfor whole milk at year, could also suggest constipation. Illness Vomiting and diarrhea, especially in an acute setting. are most likely associated with a viral illness. If your child develops vomiting without stools or diarrhea, this could be signs of an obstruction due to foreign body ingestion or pyloric stenosis. Ifthere are no signs of acute illness and your child is vomiting, I would suggest seeking a doctor's opinion. Appendicitis-In appendicitis, pain starts around the belly button and later moves into the right lower quadrant. It is also associated with loss of appetite, fever and vomiting. Pain is normally significant and progressively worsens over time. If you are concerned your child has appendicitis, you should be evaluated by a doctor. Stress Stress and anxiety seem to play a significant role in abdominal pain in school-aged children. It may be caused from bullying, worrying about school performance or even changes to their routine. A pain diary is normally helpful in diagnosing this, and other causes should be ruled out prior to making this diagnosis. Food allergy Nausea with vomiting, abdominal cramping and diarrhea or bloating can be a sign of food allergy. They are not very common, happening in 5 to 10 percent of young children. Most allergies occur prior to age 2 and can be diagnosed with allergy testing, if necessary. Adam Linck, M.D. Board-certified family physician Stomach pain? Try Sage Primary Care's walk-in clinic Open 8 a.m. to 4:30 p.m. weekdays at 1020 S. Conwell St. Sage Primary Care Wyoming Medical Center (307) 265-8300 WyomingMedicalCenter.org/Sage

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