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The child has a sore right side under the ribs - possible diseases and accompanying symptoms. Why does the lower abdomen hurt in a child, the causes and symptoms of which diseases

Improper nutrition often causes hepatic colic

“Mom, my stomach hurts,” the child says, pointing to the area to the right of the navel. Adults will say: "Something is playing tricks on the liver." And take pills to help digest food. But the indiscriminate use of drugs can only worsen the situation. What is biliary (or hepatic) colic talking about, we asked the head of the gastroenterological department of the Kyiv Children's clinical hospital L 9, chief pediatric gastroenterologist of the Main Department of Health of the city of Kyiv, candidate medical sciences Svetlana Voronin.

Children often complain of pain in the right hypochondrium, but their causes can be very different. This is how diseases make themselves known. abdominal cavity, inflammatory processes, congenital anomalies. Often in children during ultrasound, doctors find stones in the bile ducts. In my practice, the smallest such child was only four years old. With a poor outflow of bile, it stagnates in the biliary tract and causes pain in the right hypochondrium. And if the "sand" is not removed in time, the child may develop calculous cholecystitis. At viral hepatitis the liver is affected, heaviness and pain occur. It happens that the child is in pain due to the fact that the appendix is ​​located under the liver itself. With right-sided pneumonia, such symptoms can also be observed. Therefore, it is better to immediately consult a doctor so that he puts correct diagnosis.

How can you describe the pain biliary colic?

Sometimes a child just feels heaviness with right side, but it happens, sharp as a dagger, the pain strikes in the side. The pain may be dull, aching, often repeated. Often it is accompanied by other manifestations, for example, bitterness in the mouth, belching, sometimes vomiting, bloating, constipation or diarrhea, and the temperature may rise.

With typical biliary colic, pain can radiate to the forearm, collarbone, back, and heart area. More often it occurs after eating, if a person has eaten spicy, fatty or smoked food, after active sports, when the blood flow in the body increases and bile is produced more intensively, in some - after taking choleretic drugs.

How to diagnose pain in the right hypochondrium?

First we assign ultrasonography abdominal cavity, as well as the so-called ultrasound with a choleretic breakfast. The child drinks sorbitol and the doctor watches how it functions gallbladder. For more complete examination a child may be prescribed gastroduodenoscopy - they examine the gastric mucosa using a Japanese probe. Of course, a sick child needs a strict diet. It is forbidden to eat sweet dough, fried pies, as well as sweets (except dry cookies), fatty varieties meat (pork, lamb) and poultry (goose, duck), fried fish, fish and mushroom soups as well as animal fats. From vegetables it is necessary to exclude spinach, onions, radishes, radishes, cranberries. From drinks - strong tea and coffee.

All parents have to deal with various diseases in their children. At the same time, many are lost when a child complains of pain in his right side at the age of 4-8 years. This symptom may indicate a very various diseases and in some cases this is normal. How to understand when, with pain in the right side of a child, you need to call a doctor, and when you can wait a bit for the situation to normalize?

Common causes of pain

Children under the age of 3-4 often cannot understand exactly where they have pain, so parents often have to turn to pediatricians. As for older children - 5-10 years old or more, it's a little easier with them. They can localize pain in the right side, but parents or doctors have to figure out the reasons.

If your baby is restless and capricious, often cries and refuses to eat, and at the same time lies with his legs tucked up to his stomach, something probably hurts him. If at the same time tension is felt in the abdominal muscles, the pain is probably localized in this area. In infancy, this may indicate ordinary colic, but in older children - at 6, 9 or 12-13 years old, the cause may be in more serious "adult" diseases.

Among them, appendicitis is distinguished - a common and rather dangerous cause of pain in the right side of the abdomen in children and adults. With loads, the pain worsens, and at times it can subside. At first, it is felt from above and closer to the navel, and then descends. Additionally, nausea and vomiting occur, the temperature rises and diarrhea begins. Due to the fact that the right side hurts, the child cannot lie quietly, and in sitting position the pain subsides a bit. Without medical care in such situations can not be avoided.

Another explanation for why the right side of a child or teenager hurts may be bile duct dyskinesia. In general, this disease of adults, but it sometimes affects children.

Factors that provoke pain in the right side in children include diseases of various internal organs. Many of them are localized on the right:

  • pancreatic;
  • bilious;
  • liver;
  • intestines;
  • diaphragm.

Accordingly, diseases such as gastritis or even an ulcer, pyelonephritis or glomerulonephritis can provoke pain in a child of 6-12 years old in the right side.

One more cannot be ruled out. common cause, along which the child's right side hurts and vomiting -. Violation can go unnoticed for a long time, causing significant discomfort. Enterobiasis and ascariasis provoke pain in different parts abdomen, but sometimes they are formed precisely on the right in the abdomen and under the ribs.

Thus, if your child at 4, 8, 12 or older has pain in the right side in the abdomen or above under the ribs, do not try to do nothing. not excluded dangerous diseases that cannot be ignored!

Intestinal intussusception

In more detail, we decided to consider this violation, which can lead to stabbing pain right in the abdomen in children different ages(on average up to 4-5 years). With this pathology, the intestine lower section penetrates the upper The resulting narrowing leads to pinching of blood vessels and circulatory disorders.

Danger similar condition lies in the risk of developing intestinal necrosis, in which tissues die. In babies, intussusception usually occurs as a result of improper feeding with fruits or vegetables that activate peristalsis. In boys, this happens a little more often. In older children at 5-6 years old, the cause may be hidden in the protrusion of the wall small intestine, the formation of polyps on its wall, tumors and other pathologies that impair normal motor skills.

Intestinal intussusception, in which the right side in the lower abdomen of a child hurts, can be identified by additional factors:

  • the first attack lasts 5-10 minutes, after which the child becomes lethargic and lethargic;
  • found in feces blood clots;
  • vomiting may begin with impurities of mucus and blood;
  • in the intestines there is a seal (bump on the tummy on the right);
  • increase in body temperature.

In this case, the pain when walking the child is exacerbated. Urgent hospitalization is needed - the sooner treatment is started, the higher the likelihood of preserving the strangulated area of ​​​​the intestine. An X-ray examination is required to make a diagnosis.

When do you need immediate help?

If a child of 4-7 years old or older complains of a sharp or aching pain in the right side, it is better not to try to identify the causes on your own, but to consult a doctor. It is important to describe to the doctor all the identified symptoms. Depending on the age of the baby, diagnosis may include different methods. Of course, it is easier for a child of 10-13 years old or a teenager to make a diagnosis, since he will more accurately describe his feelings.

Urgently call a doctor or even call an ambulance in the following situations:

  • pain in the side on the right cutting and strong;
  • the child has become inactive and constantly lies on its side, pulling its legs to the chest;
  • noticeable tension of the abdominal muscles;
  • there was nausea with vomiting;
  • diarrhea started;
  • the child is overexcited or too lethargic;
  • hyperthermia or hypothermia is detected;
  • the child turned pale.

If your child sometimes has pain in the right side during physical exertion, this is not a reason to worry. Probably, the matter is in the lack of endurance of the baby or excessive loads. They need to be reduced, and gradually the body will train and it will be better to cope with physical activity.

26-11-2008, 18:52

The child began to wake up at night and cry, holding his right side and stomach. What could it be? Liver?

26-11-2008, 19:06

Maybe Dysknesia, Giardia can give pain

26-11-2008, 19:12

Yes, it is necessary to pass on lamblia. Somehow I didn’t think about them ... I’ll send my husband tomorrow for a test tube with a preservative.

26-11-2008, 19:56

I don't want to scare you, but it looks like appendicitis. I suffered as a child myself. This is how my stomach hurt from time to time. The day hurts, the day doesn't hurt... Then everything is fine, then I bend over and cry from pain. How many times did my parents take me to the hospital at night ... But appendicitis is a tricky thing. While they take me to the hospital, the pain goes away. Of course, the overjoyed parents sign a waiver of hospitalization and take me home ... And in a day, two, a week, everything is new. The stomach hurts at night, below, near the navel, in general it hurts a lot. They took me ten times last time soon. One operation - appendicitis, the second - it will overthrow, a month in intensive care ... The doctor then told us that if the child was taken away with suspicion of appendicitis at least once, then they would be taken away again and again, we must immediately operate. The operation is trifling, now they do it with laparoscopy, even the trace is tiny ... In general, what I wanted to say: DO NOT JOKE WITH THE STOMACH, learn from my mistakes. Appendicitis is so insidious that it can become inflamed and subside after taking the pill. Well, if you get sick at home, but if in the kindergarten? My friend's daughter complained to the teacher, saying that her stomach hurts ... And she told her: at home, her mother's stomach would hurt ... In the evening they took her away in an ambulance. Barely had time .. You do not hesitate to call the ambulance once again. The matter is serious. I was also diagnosed with Giardia and biliary dyskanesia ...

26-11-2008, 20:45

CAN A 3-YEAR-OLD CHILD HAVE APPENDICITIS?? I thought that such little ones do not happen ... And how is appendicitis detected? Only doctors on symptoms?

26-11-2008, 20:47

I read the information on the Internet. ((Scare. (((
There are many similarities, except for vomiting. The child didn't have it.

26-11-2008, 21:20

I'm sorry to scare you. Babies also get appendicitis. The ambulance checks like this: they press with three fingers on the right side, below. Keep your fingers pressed for three seconds and SHARPLY release. As a rule, a pain surge follows. But you know, if it was my baby, I would call an ambulance. For pain, of course. May be paid. I don’t know, maybe they are more attentive ... In the hospital, I know somehow by a blood test they now determine whether it is appendicitis or not. You see, doctors somehow probe the stomach ... In general, if you call an ambulance, and take them by the gills, let them work. Appendicitis can be without fever. If it hurts, then first an ambulance, and then an anesthetic. And while the ambulance is coming, the child's pain goes away. They ask him what and where it hurts, and he is already, as it were, healthy .... until the next attack. Just only experienced doctor, with symptoms not lubricated with tablets, it can distinguish appendicitis from banal intestinal colic. Don't worry, just carefully, carefully...And in kindergarten warn everyone a hundred times to be more attentive to the child. And leave their phones to them once again ... Do not get sick.

26-11-2008, 21:29

We do not go to kindergarten, we are completely at home.
Was t 37 weeks two ago, without any cold symptoms. The abdomen is strongly swollen. The child eats badly. Complains about the stomach, then on the right side. Mostly at night severe pain to the point of crying. And the stool - then constipation, then diarrhea.
As for evil, the symptoms are similar to both appendicitis and giardiasis.
If only Giardia... He still had strong gas formation.
Don't they do ultrasound when appendicitis is suspected??? I don’t really trust these pressing / probing, my child will squeak in any way when the stomach is crushed.

26-11-2008, 21:34

26-11-2008, 21:41

My son also often has a stomach ache (we have biliary dyskinesia). But, being afraid of appendicitis, we always call an ambulance, let it be better to have a doctor look first, and then you can give a no-shpu. With complaints of pain in the abdomen, the ambulance leaves without any conversation.
And I don't give No-shpu. It goes by very quickly. Sit down, cry, holding his side, a couple of minutes. I hug him and he, snuggling up to me, immediately falls asleep.
For the first time I hope that the child had giardia. :(
Is dyskinesia of the bile ducts related to giardiasis?
Our stomach and ear-throat-nose are sore spots.

26-11-2008, 21:52

I remembered! there is such a page ... in general, type in the search DISCUSSION CLUB OF THE RUSSIAN MEDICAL SERVER. There is a medical forum of doctors, you can ask a question in pediatrics pediatric surgeon. Maybe you can find the address of some good medical center there. I don't know how to post links yet. Do not be ill

26-11-2008, 23:30

Excuse me, have you ever called a doctor? What did the doctor say?

27-11-2008, 01:12

I called the doctor but didn't. She decided that it was dysbacteriosis due to antibiotics. Therefore, I decided to give everything necessary tests and call a paid doctor.

I called the emergency room. they said that it does not look like appendicitis, tk. The pain starts abruptly and ends just as abruptly.
I asked doctors on the forum, describing the symptoms. They said it looked like cystitis. Yes, the child began to write more often and strokes the lower back (kidneys).
And they said to take tests for dysbacteriosis, giardia, staph, etc.

27-11-2008, 10:34

Of course, you will excuse me, but I would have shown the child to the doctor a long time ago, and your symptoms are similar, all the more crying from pain. On the forum, no one will give an exact answer in absentia, only an inspection. I myself am only from the hospital about this. My right side hurt for 2 days It's a dull pain and pace 37, called an ambulance, the doctor examined and said that a suspicion of appendicitis must be taken to the hospital, but this does not mean that they will operate immediately, just the surgeon will observe in the hospital, unless of course they immediately determine that it is an pendix. It is impossible to determine the appendix by ultrasound, only by touch and take a blood test. An ultrasound of the entire abdomen will also be done to exclude other options.

"I called the Emergency Room. They said that it doesn't look like appendicitis, because the pain starts abruptly and ends just as abruptly."
In the ambulance, they can give incorrect information, I had constant aching pain, this can also be a sign of appendicitis.
Go to the surgeon, it is better to find out earlier and calm down than to be late. Health to your child.

27-11-2008, 11:15

Yes, I did not say that I did not go to the doctors. Our doctor decided that it was dysbacteriosis and other troubles with the intestines.
Yesterday I called the Emergency Room, described the symptoms. They said it wasn't appendicitis. She asked if it makes sense to call them that night, if the situation repeats itself. They said no.
Everything was fine tonight.
From today we are handing over all kinds of tests.

27-11-2008, 12:07

From your post, I understood that you communicated with the doctor in absentia. In the ambulance, who sits on the bodies. they cannot answer competently, when I called, I was also not going to call an ambulance, I wanted to consult, they told me that they could not give an answer, only a doctor. As for the district police officer, they also said that it was not known whether he could accurately determine the appendix or not, only the surgeon. It is absolutely correct to take tests, but it seems to me that it would not hurt to turn to a surgeon now, especially since the child cannot accurately explain how it hurts.

Abdominal pain in a child is one of the most common complaints faced by mothers. They occur both in the infant period, and in the preschool or school age. The reasons for this trouble may be different. How to understand why the stomach hurts? To do this, you need to understand the nature of pain and the symptoms that accompany them - this will help to distinguish serious illness and orientate correctly.

Types of pain

A baby up to two years old shows pain by crying, refusing food, irritability and lethargy. With children older than 3 years, it is easier to diagnose the localization of pain. They can show the problem area on the body and even describe it well.

The nature of pain can be acute and chronic. Abdominal pain in a child different reasons, depending on which organic and functional pains are classified. Organic pain sensations arise in connection with the pathology or damage to the organs of the gastrointestinal tract. Functional pain disturbs the child in violation of functions digestive system(colic in infants, intolerance to a certain product, dysbacteriosis, and others).

When is medical attention urgently needed?

If a small patient has unbearable and cutting pain in the right side of the abdomen, this may be a sign of inflammation of the gallbladder or biliary tract, as well as hepatic colic. Sharp pain in the abdomen can be caused by appendicitis and pancreatitis in acute form, intestinal infection, severe poisoning and intestinal intussusception. Clinical picture, requiring emergency diagnosis and doctor's help

  • nausea and vomiting;
  • tension in the muscles of the abdominal wall;
  • forced position and inactivity;
  • diarrhea and flatulence;
  • tachycardia;
  • pallor and general serious condition;
  • lethargy or excessive agitation;
  • increased or low temperature body.

What should parents do?

While waiting for the emergency doctor, you need to put the little patient to bed and ensure peace.

Abdominal pain should not be treated on its own. There are cases when, under the usual malaise in the abdomen, pathologies are hidden that require immediate surgical intervention. Parents are prohibited from:

  • give the patient analgesics, antispasmodics, preparations with bacteria, laxatives and any other known medicines - this will make it difficult to diagnose the problem;
  • warm the tummy with a heating pad, put an enema without an appointment - inflammatory process may progress and lead to the formation purulent inflammation(peritonitis);
  • give any food and drink liquids until the doctor's examination - if anesthesia is necessary, if necessary surgical intervention, full stomach provoke vomiting;
  • press on the painful area or touch it - in the case of acute appendicitis, with careless actions, the appendix can burst, which is fraught with health problems.

Acute appendicitis

When they appear sharp pains in the abdomen, no doubt, one of the most serious pathologies - acute appendicitis. In infants, it is extremely rare. Basically, the disease develops in children 8-14 years old, although it also occurs in preschoolers. Doctors consider this disease in children dangerous, since the inflammatory process in them develops much faster than in an adult. This means that the risk of inflammation of the abdominal cavity (peritonitis) in children is much higher. Signs of the disease that should alarm parents:

  • It starts to hurt sharply near the navel, after a few hours pain appears in the right side of the abdomen, then it spreads to the entire tummy;
  • pain is given to the legs or arms;
  • pallor, constant dryness in the mouth and thirst;
  • irritability or lethargy;
  • anxiety and pain when changing positions, constant lying only on the right side;
  • when touching the stomach, pain appears;
  • nausea and vomiting occurred;
  • the temperature has risen (maybe normal);
  • the stool became loose.

In cases where parents have found at least a few of the symptoms described, an immediate consultation with a surgeon is needed. If the suspicion is confirmed, then surgery will be required. The younger the children, the more difficult it is to diagnose the disease.

Pancreatitis in acute form

With inflammation of the pancreas, children complain of constant and severe pain in the abdomen. It hurts in the epigastric region, giving at the same time to the region of the shoulder blades and shoulders. The pain is excruciating in nature and is accompanied by vomiting and nausea. The patient's abdomen swells and becomes tense. The child is characterized by constant lying on its side. Shock and jaundice may develop. The condition requires urgent hospitalization.

poisoning

Children can be poisoned by poor-quality foods, poisonous substances, or pills that they take into their mouths from an attractive jar.

They are poorly developed vomiting reflex, and due to the small body weight, rapid dehydration of the body occurs - this poses a threat to the life of a small patient. That's why the poisoning childhood much more severe than in adults. The symptoms and course of the disease depend on the number of gastrointestinal tract(GI) toxic substances or substandard products. Clinical picture of poisoning:

  • colic and abdominal pain;
  • the temperature is usually elevated;
  • diarrhea;
  • nausea accompanied by vomiting;
  • cyanosis of the skin;
  • increased salivation;
  • drop in blood pressure.

Symptoms of the disease appear 1-2 hours after toxins or pathogens enter the gastrointestinal tract. Poisoning in childhood is accompanied by rapid dehydration, which can cause kidney and heart failure, disorders of the central nervous system, hypovolemic shock and even to whom. Parents of a small patient should urgently call a doctor.

Intestinal obstruction

A pathology in which some segment of the intestine folds into itself is invagination (intestinal obstruction). The blood circulation of the intestinal wall is disturbed, edema appears, due to which sharp pain in a stomach. In boys, the disease is more common, with the main percentage of patients between the ages of six months and 2 years. Pathology develops suddenly and is accompanied by such signs:

  • fussiness and irritability;
  • bloating, with palpation in its upper half, a small formation is palpated;
  • vomit;
  • pain in the abdomen of an acute nature, appearing every 5-30 minutes;
  • diarrhea, the presence of mucus and blood in the feces.

At intestinal obstruction appoint surgery and enemas. Late visit to the doctor is fraught with dangerous situations: infection of the peritoneum or perforation in the intestinal wall.

Worms can cause pain in children. They enter the child's body when hygiene rules are not followed, contact with sick animals, infected meat, poorly washed fruits and vegetables.

When children complain of pain in the right side of the abdomen, this is usually a sign of cholecystitis (inflammation of the gallbladder), angiocholitis (inflammatory process in biliary tract) or dyskinesia (violation of their functionality). In addition, a small patient has the following symptoms: headache, pallor, decreased appetite, nausea, bitterness and dry mouth. In most cases, the disease progresses gradually. Exacerbation can cause sweet, overcooked or fatty food. The nature of the pain can be either dull or strong, radiating to the right shoulder. The stool is characterized by a light clay color. There are constipation or diarrhea. With a serious exacerbation, treatment takes place in a hospital. The patient is prescribed drainage duodenum without a probe bed rest and diet.

Why does it hurt in the lower abdomen?

Pain in the lower abdomen can cause problems with the functionality of the pelvic organs or inflammation in them. For example, they may indicate problems with the kidneys or bladder. Diagnosis of pathology is done on the basis of accompanying symptoms and the nature of pain in the lower abdomen. Causes that can become a source of pain in the lower abdomen in children: cystitis, intestinal colic, intestinal dysbacteriosis, the consequences of SARS or infectious diseases, and in some cases appendicitis.

Colic

In infants up to six months of age, colic is a fairly common occurrence. They occur in healthy babies when swallowing air during breast sucking or lactose intolerance contained in human milk. The cause of colic in a baby may be the consumption of foods by a nursing mother, causing gas, or switch to artificial nutrition. You can recognize colic by the following symptoms:

  • the pain is unstable - with the release of gases, it subsides;
  • the baby is crying loudly;
  • the baby twitches its legs and presses them to the tummy.

As a rule, by the fifth month, everything passes without intervention. You can alleviate the condition of the baby with a warm diaper, special medicines and stroking the tummy clockwise, aimed at improving bowel function. In older children, colic is rare, mainly in those who consume sweets excessively.

Dysbacteriosis in children

After infectious diseases, poisoning, a course of taking antibiotics, with malnutrition, nervous stress in young children, an imbalance of microflora occurs, in which the intestines are dominated by pathogenic microorganisms. Dysbacteriosis causes pain in the abdomen. Symptoms of microflora imbalance: diarrhea, constipation, severe gas formation, bad smell out of the mouth, fatigue, bad dream. In infants, the disease causes the immaturity of the digestive system. Also cause disease state pathologies such as rickets, anemia, artificial feeding. Children with this problem eat poorly and gain weight slowly. Allergic reactions are possible.

Cystitis

According to statistics, the disease occurs more often in female children. This is due to the difference in the physiological structure genitourinary system in girls and boys. Disease occurs when it enters bladder bacterial infection. Quite often, cystitis develops with hypothermia. child's body. Pain in the lower abdomen in a child is accompanied by a constant urge to urinate. A small patient often goes to the toilet, while the urine is cloudy or mixed with blood. The disease occurs in a chronic or acute form. The exacerbation of the disease appears suddenly and is accompanied by pronounced symptoms and pain. Chronic form formed with repeated repetitions of the disease. The pain may come and go for a while.

Constipation

If the child does not empty for two days, then this condition is called constipation. It causes discomfort and pain in the intestine. feces hard and dry, defecation difficult. In constipated children poor appetite, unpleasant taste sensations in the mouth, advanced education gas and sallow complexion.

In children, the frequency of bowel movements is determined by diet and lifestyle. The problem usually occurs when there is a lack of fiber in the diet. Stool retention in childhood can be caused by shyness, shyness, or lack of time to go to the toilet, for example, in the morning before school. Proper nutrition and instilling in children the habit of defecation every day at fixed times often helps resolve the problem.

Causes of Chronic Pain

Pain that lasts more than three months is called chronic pain. They are the most difficult to diagnose and are considered a treatment problem in pediatrics. IN medical practice most often there are recurrent abdominal pain in a child - they repeat more than three times in 3 months and interfere with the normal active life of the child. In this case, to identify potential causes, some experts suggest that parents keep a diary for two weeks in which they record symptoms, food consumed and medications taken. Chronic pain causes such diseases of the abdomen: ulcers, gastritis, gastroduodenitis, duodenitis.

Diseases of the duodenum and stomach

Chronic gastritis, gastroduodenitis, duodenitis are long-term diseases that cause inflammation in the mucous membrane of the stomach and duodenum. Diseases have moments of remission and exacerbation. Abdominal pain in a child is localized near the navel. They are different in strength and duration, as a rule, appear after eating and are accompanied by sour belching.

Cause diseases malnutrition dry food, excessive presence of spicy foods in the diet, some medications, bacterium Helicobacter pylori (H. pylori). If this infection is left untreated, gastritis can lead to peptic ulcer disease.

With an ulcer, pain occurs on an empty stomach or at night. In addition, the little patient feels nauseous in the morning and sometimes complains of heartburn, bitterness and belching. It appears on his tongue white coating possible bad breath. The child has a tendency to constipation and gas formation.

Psychological pain

Sometimes children experience pain in the abdomen of a psychogenic nature. Their cause may be stressful situations, the desire to attract the attention of adults, the use of pain to achieve the goal. Pain attacks arise and disappear spontaneously. Between them, the children feel great. A quarrel in the family, trouble with friends, reluctance to go to school - all this can cause a new attack of pain. Emotional children are subject to this condition. Discomfort can be managed by helping them solve problems and deal with the source of the anxiety. You can seek advice from a child psychiatrist.

Many parents are faced with a situation where suddenly there was pain in the side of the child. Often, attacks of pain can occur during physical exertion, when the baby runs after the ball, walks fast for a long time, or performs simple exercises. If a child rarely and occasionally has pain in his side, and the pain is short-lived, then the causes can be very harmless, but in other cases, diseases of various organs can also cause such pain. Therefore, the pain in the side of the child should not be ignored - let's figure it out.

The child has pain in the left side

Let's talk first about harmless, more precisely, about physiological reasons occurrence of pain.

Spasms of the abdominal muscles. Discomfort in the left side can occur when the muscular septum, called the diaphragm, which helps us breathe, does not receive enough oxygen, which leads to disorders in its functioning. This causes the child to experience sharp pain in the side during physical exertion. That is, if the diaphragm or the muscles on the abdomen begin to tighten and relax in short convulsive jerks (spasms occur), pain occurs in the side. Therefore, if a child has a sore left side when playing sports, then perhaps this is simply a consequence active work abdominal muscles that put pressure on the internal organs. In that case, no special treatment not required. But you still need to take some steps. Before starting physical activity, be sure to warm up with your child, which will help prepare his muscles for stress. It is also useful to do exercises aimed at stretching the muscles, this will strengthen them and make them more elastic. Also, try to physical activity become a daily habit for your child, and not a rare episode that causes bouts of pain. And of course, you should not allow the child to overwork, everything physical exercise must be appropriate for his age and ability.

But the reason that the child has a sore left side may be various diseases internal organs. On the left side are vital important organs, in particular the pancreas, spleen, bowel loops and left lobe diaphragm. Identify the problematic organ painful in the side of the child, the doctor will be able to, after palpation, examination and the necessary tests.

Diseases of the spleen. If there are problems with the spleen, then with a slight pressure of the fingers on the area of ​​\u200b\u200bits placement, the pain will intensify. The cause of pain may be hidden in the enlargement of the spleen or in the stretching of the splenic capsule.

Intestinal diseases. Pain in the side can also give the intestines, for example, with the accumulation of gases or inflammation. Pain in the side is especially noticeable when an inflammatory process develops in the intestines. In this case, diarrhea or constipation may also occur, impurities of mucus and blood in the stools are found, and the temperature rises.

Diseases of the stomach. The stomach is located in the zone of the left side, and if there are problems with it, the child will feel pain. If a child’s side hurts precisely because of problems with the stomach, then the cause may be overeating, overuse sweets, carbonated drinks and other "harmful" foods. In some cases, pain in the side is a harbinger of developing gastritis.

Therefore, if the pain in the side is not caused by strenuous physical activity or the pain in the side does not go away after a couple of weeks of training, then you should definitely consult a doctor for an examination of the child. You should also contact immediately medical care If:

  • pain does not stop after defecation;
  • the child has a fever;
  • sharp pain;
  • the pain does not go away for more than three hours.

In these situations, self-medication should not be attempted, as this can only harm the child. It is especially dangerous to give a child laxatives when his side hurts. Since if the cause of pain lies not in the accumulation of gases in the stomach, but in appendicitis, then a laxative can lead to a rupture of the appendix.

Why does the child's right side hurt?

Often, children in the first years of life cannot determine exactly where they hurt. With pain in the abdomen, the child is restless, capricious, refuses food and cries. In this case, often the baby lies in a position with legs tucked up to the stomach. The baby pushes and may spit up or even vomit. The abdominal muscles of the child are tense. If the cause of this condition is not acute surgical diseases, then it is the child, most likely, infantile colic.

Appendicitis. Quite common and dangerous cause what hurts the right side of a child is appendicitis. In this case, the pain is first felt from above or in the navel area, after which it moves down. There is vomiting and nausea, the temperature is slightly elevated, diarrhea occurs. In this state, the child cannot lie on its side.

Dyskinesia of the bile ducts. This disease is also common in children.

Diseases of the internal organs. On the right side of a person are located various bodies, in particular the gallbladder, liver, pancreas, part of the intestine, the right lobe of the diaphragm. Therefore, in fact, there can be quite a few causes of pain in the right side: pyelonephritis, glomerulonephritis, peptic ulcer, gastritis, etc.

Helminthiases. This serious problem often goes unnoticed and for a long time cause anxiety to the child. Diseases such as enterobiasis (pinworm infection) and ascariasis (ascaris infection) cause pain in various areas of the abdomen, in particular in the right side.

Therefore, in case of repeated cases of pain in the side of the child, it is necessary to seek the advice of a doctor and undergo additional examination to find out the exact reason.