When a child’s ache is below the belly button, Friesen said, the most common causes are irritable bowel syndrome (IBS), constipation, colitis, or an allergic reaction. Cramp-like pain is likely to be due to gas and bloating. The changes in the daily routine may affect the child’s mood and emotions, and in turn cause depression and anxiety. Signs and symptoms of abdominal pain In some cases, children previously suffering from anxiety, depression and other psychiatric disorders may show an exaggerated pain response. Extreme nausea has instantly followed. But with appendicitis, the pain usually gets worse and moves to the lower right side of the belly. What it feels like: In addition to general abdominal pain (which frequently … Common characteristics of pain around the belly button In addition to pain, associated symptoms may include: Symptoms that appear after the pain begins include loss of appetite, a low-grade fever, nausea and vomiting. But the tummy pain is the only symptom she has. the pain is an 8, no fever, no nausea or vomiting. Read the latest >, Información sobre el coronavirus 2019 (COVID-19). Instead, the pain is usually “functional”. These children tend to be sensitive and too serious. Gas. Updated December 2012. Distended abdomen. Abdominal migraine is severe abdominal pain with nausea, vomiting, or loss of appetite. Some psychological treatments that help children cope with functional abdominal pain and other stressors, include behavioral therapy, relaxation exercises and hypnosis. The pain may occur suddenly or slowly increase in severity. Generalized pain or pain over more than half of the belly. An abdominal migraine is a type of migraine that causes a dull or achy pain around the stomach, rather than in the head. The reason for these tests is to look for signs of any serious disease. If the child does not respond to any of these treatments, he or she may benefit from low doses of medicines called tricyclic antidepressants (used at much higher doses to treat depression). Indigestion may be a cause of belly button pain. Talk with your doctor if your child is still constipated after altering her diet. Pain found between the bottom of the rib cage and the groin crease The older child complains of stomach pain The younger child points to or holds the stomach Before 12 months of age, use the Crying care guides Apply for Advancement to Fellowship (FACG), Young Physician Leadership Scholars Program, “Smaller Programs” Clinical Research Award, International Foundation for Functional Gastrointestinal Disorders, National Institute of Diabetes, Digestive and Kidney Diseases. The most common sign of pancreatitis is severe abdominal pain, which usually occurs rapidly and is located above the belly button and on the left side of the abdomen. Possible causes for a child's abdominal pain range from trivial to life-threatening with little difference in the child's complaints and symptoms. They often are model children. Older children also may develop diarrhea and constipation. This can mean obstruction or other problems such as appendicitis. If no specific cause is found and functional abdominal pain is suspected, the child needs to be reassured that his or her abdominal pain is accepted as a real disorder and not something that is “just in the head”. Detailed information regarding the location of abdominal pain, the frequency (number of times per week) and duration of a typical episode, and association with other complaints will in most cases provide useful clues about the cause, and will guide further testing. Pain around belly button, lower, and above all on right side. Abdominal pain that cannot be explained by any visible or detectable abnormality, after a thorough physical examination and appropriate further testing if needed, is known as functional abdominal pain. No cold-like symptoms or nausea. Peptic ulcer. It is very important that the physician, parents, and school encourage the child resume a normal routine.  Â. Fortunately, the diagnosis of functional abdominal pain has a good outcome overall, with almost half of these children getting better on their own or with treatment within a few weeks to months. Appendicitis is an inflammation of the appendix, which is found in the lower right abdomen near the beginning of the colon (large intestine). Complaints of abdominal pain are more common in children younger than 11 years and are often caused by changes in eating and bowel habits. It is one of the most common reasons children see a doctor. If your child complains of stomach pain around the belly button or the left lower side of the abdomen, ask them when they last pooped, or if they’re having problems doing it. The pain may be constant or may increase and decrease in severity. Food poisoning has similar symptoms to gastroenteritis and also is common in children. These children tend to be sensitive and too serious. Bloating with belly button pain can also be caused by appendicitis. Nerve signals or chemicals secreted by the gut or brain, may cause the gut to be more sensitive to triggers that normally do not cause significant pain (such as stretching or gas bloating). No injury. Abdominal … Other causes may be constipation or diarrhea. Your child may have abdominal pain because of an injury or other serious health problem, such as appendicitis. "My tummy hurts!" Because of this change in bowel function, this type of abdominal pain is often referred to as “functional abdominal pain.”. Find an ACG member gastroenterologist with a specialized interest in liver disease. Parents and children need to be reassured that functional abdominal pain is not life threatening. In fact, almost a quarter of all children seen for stomach or intestinal complaints have functional abdominal pain. Some of those causes are not very serious while other causes require close and long term care. I'll be mentioning this to the GP though for his opinion. It is usually caused by a lack of water or fiber in the diet, although stress and other external factors can exacerbate it. The pain may interfere with school attendance, participation in sports and other extra-curricular activities. Others may experience abdominal pain … but not to … … A fearful, anxious, or depressed child however should be fully assessed by a psychiatrist or psychologist. A sore tummy is more likely to be a sign of something serious if it wakes your Others may experience abdominal pain with bowel movements. Overeating, gas pains, or food poisoning may cause abdominal pain. Here are good reasons to take a troubled tummy to the doctor at once: Pain that starts near the navel (bellybutton) and spreads to the lower right part of the stomach. It causes pain, burning, or discomfort in the upper abdomen, radiating to … A child under 3 with severe attacks of abdominal pain that makes child cry and draw knees toward chest, alternating with a normal happy child may be significant. The pain occurs in your child's abdomen at least 3 times in 3 months. Stomach pain associated with blood in either the vomit or stool. This can occur in conditions such as appendicitis. The goal of managing functional abdominal pain is to provide a satisfactory quality of life through support, education, medicines and better coping skills.  Reassurance about the good outcome of functional abdominal pain and the positive aspects of the child’s health are crucial. Indigestion is also called dyspepsia or upset stomach. The child may benefit from certain dietary changes depending on his/her history. Although the exact cause is not known, nerve signals or chemicals secreted by the gut or brain, may cause the gut to be more sensitive to triggers that normally do not cause significant pain (such as stretching or gas bloating). Abdominal pain is pain or cramping anywhere in the abdomen (tummy, belly or stomach). The pain is real. Usually, it's nothing to worry about. Seema Khan, MD, Children's National Medical Center, Washington, DC – Published August 2006. It is often followed by diarrhea. Some children with abdominal pain who also experience “gas” may improve by eating food slowly and by avoiding carbonated drinks, and gas forming foods such as cabbage, or beans. However, pain centered around the belly button could be due to a number of causes that should be considered when evaluating a child with chronic abdominal pain. This common childhood cry can mean almost anything, from anxiety about school to a serious illness. The results of screening tests often guide the doctor in deciding whether further tests are needed or whether a trial of diet changes, stress management or medication may be started. Testing should be limited if the history is typical for functional abdominal pain and the child’s physical examination is normal. In that case, many doctors prefer to treat without testing in order to avoid the discomfort of testing or the slight risk associated with testing. Maybe an inch all round the belly button. Functional abdominal pain is pain that has no known cause. If your child frequently complains of unexplained stomach pain and nausea lasting a few hours to a few days, abdominal migraines may be the culprit. The pain is in the pit of the stomach or near the belly button. 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