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Introduction
Recurrent abdominal pain is a common pediatric issue that affects not just the child but also disturbs the entire family. It is important to differentiate between normal tummy aches and signs of a more serious condition.
Case 1: Infant with Continuous Crying – Is It Always Stomach Pain?
At our OPD, we often see infants around 2–3 months old brought in by parents because of continuous crying, usually suspected to be due to stomach pain.
However, stomach pain is not the only reason for persistent crying. Other causes may include:
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Hunger
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Discomfort due to hot or cold temperature
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Wet nappies
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Ear pain
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General discomfort
In such cases, it is advisable to consult a pediatrician to rule out any serious medical condition.
If your infant cries unpredictably in the evenings, pulls both legs toward the stomach, clenches fists, and does not calm down even after rocking or oil massage, it could be Infantile Colic.
Infantile Colic:
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Common in infants under 3 months
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No exact cause or definitive treatment
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Avoid home remedies like gripe water or strong teas
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Generally resolves by itself after 3 months
Case 2: Recurrent Stomach Pain in School-going Children
Older children, especially those going to school, may experience repeated abdominal pain. The most common causehere is constipation.
Managing Constipation:
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Ensure proper hydration
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Include more fiber-rich foods in the diet
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Encourage toilet training and regular toilet habits
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Sometimes, pediatricians may recommend mild laxatives
When to Suspect a Serious Issue
You should consult a doctor immediately if abdominal pain is associated with:
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Greenish or yellowish vomiting
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Inability to carry out daily activities
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Fever
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Weight loss
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Persistent pain in the periumbilical (around the navel) area
Doctors may recommend investigations like ultrasound (sonography). A common finding in such cases is mesenteric lymph node swelling, often due to viral infections. These usually resolve on their own within 6 weeks.
Functional Abdominal Pain – A Growing Concern
In many cases, all tests including blood work, sonography, and even CT scans may come out normal. Yet, the child continues to have pain, particularly in the periumbilical area.
If the pain:
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Occurs ≥4 times in a month
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Persists for over 2 months
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Is not related to food or menstrual cycles
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Does not respond to usual pain relief
Then, as per Rome IV Criteria, this is classified as Functional Abdominal Pain.
- It is found in about 30% of school-going children.
- In 50% of the cases, it is linked to anxiety and stress.
How to Manage Functional Abdominal Pain
While there’s no specific treatment, it can be managed through:
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Balanced, fiber-rich diet
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Adequate hydration
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Proper sleep
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Identifying and managing stressors or anxiety triggers
With consistent lifestyle support, most children find relief.
Final Thoughts
Recurrent abdominal pain in children has various causes, from infantile colic and constipation to functional pain due to stress. While many cases are harmless and resolve on their own, persistent or severe symptoms require medical attention.
If your child is suffering from recurrent stomach pain and you need expert guidance, you can consult us at: Momstory by Sahyadri Hospitals, Hadapsar, Pune
Your child’s comfort and health come first.
