Abdominal pain in infants and young children
If the Scion has a stomach ache, bagged many a parent discouraged in on itself: What can it be this time? Bloating? Something is not tolerated? Diarrhea? Even a gastrointestinal infection? Here are some tips and help.
General abdominal pain
Photo: © iStockphoto.com/ goldenkb
Many children - no matter how old they are - suffer every now and then a stomach ache. centering mostly infants all the pain in her belly. When asked where it hurts them, they show a general rule to the navel, but the cause of their pain can thereby also be quite a leg wound. For school-age children often hidden behind the abdominal pain, stress, anxiety or overwork. The list of possible causes especially of stronger abdominal pain is long, ranging from bloating in the infant, about food intolerances to bladder, salmonella, worm and virus infections. In more serious cases, appendicitis or even a volvulus may be behind it.
Better to have too much than sorry: Basically therefore applies go to the pediatrician, especially when show any other symptoms such as fever, vomiting, diarrhea or constipation, or the child makes a seriously ill impression.
In the beginning: What helps the infant flatulence
In the first weeks and months of life babies cry often much because they seem to suffer from bloating, and sometimes brings with it the most patient parents to the brink of insanity. The symptoms are all the children of about the same: in the late afternoon or early evening - usually just about when the working parent comes home (but who are completely innocent of the ensuing events rule) - they begin to shout , And thus no longer really listen to. The little ones scream for hours to get a red head, pull on the legs and often have a bulging bulging belly from the air. If the air is disposed of, the shouting magically stops again. But until then, can sometimes quite pass three hours, it is the naked desperation that drives many a parent night on the highways nearby. Hardly in the car of the screamer sleeping quite regularly to loszubrüllen with the same regularity before unscrewing the ignition key again. Other tried and tested alternatives that at least stop the continuous cries are the hours spent carrying around in her arms - while the child is not too fast but not too slow and weigh very rhythmic primarily - or more or less violent rocking on a big rubber ball. Are the children only once more, one might laugh at that, in this situation, but most parents is more like crying. And no one really knows quite whether the screams are the cause of the bloating or vice versa. One thing is certain: Many infants are affected by bloating.
Cause of infant colic
One possible cause is the Sensory overload, the infant experienced in the first few weeks of his life. In his new form of existence outside the womb, he is confronted with an abundance of new impressions and responds to overload with discomfort. He shouts to his relieve internal stresses, which have accumulated during the day. Also, for this theory is that children who were born prematurely or whose pregnancy or birth was very hard to appear more frequently scream and then to suffer from flatulence than other infants. In addition, the gastrointestinal tract of the newborn must first get used to the change in food intake and processing after birth.
Almost all parents are anxious to find a causal explanation for the cries of her child. But the child has no choice but to shout to express his discomfort, no matter whether it is hungry or bloating, just want to lie only not alone in bed or just with the processing of all the new stimuli that act on it is simply overwhelmed and therefore crying.
Flatulence in the baby: What to do?
What helps? Most of the infants actually want only be carried around. The phenomenon of infant colic is among primitive peoples who bear their children constantly with him, largely unknown. In breastfed infants some suspect as the cause of bloating a poor nutrition of the mother. Cow's milk and whole grains, fish, eggs and cereal can - so suggests some - perhaps in nursing infants cause flatulence. By too hasty drinking or screaming gets too much air in the stomach, which must again only to get out. so take your time for feeding your children, no matter whether you are breastfeeding or giving the bottle.
Take it easy
One thing is important: keep calm, which - admittedly - is very difficult when the nerves are on edge already. Not infrequently, the nervousness of the mother carries the child. Of little use are the medicines for babies bloating put on the market. Its effect is limited and rather seems to be the calming of the parents to serve, who then have the feeling, but to have really tried everything.
If you have not tried it yet, you can use it to try to ease the discomfort of the child:
- Carrying around in aviator handle (Baby lying on his stomach on the forearm of mom or dad, the legs hanging down)
- Litter Massage of baby belly clockwise around the navel (possibly with commercially available in pharmacies "Wind oil "or cumin oil, which also acts through the skin and relieve flatulence should)
Many mothers put their child come back to when it cries, it might yet still hungry to have. This can also so suspect some pediatricians strengthen the complaints. First, because of the many crying is already sufficient air in the stomach, and secondly because there's always fresh food on already half-digested hits and also may increase the bloating.
If nothing good is, is only one thing: waiting, driving, walking or hopping on the ball, because dear parents: Even walking by!
Diarrhea and vomiting
What parents do not know that? The child returns happily back from a birthday party, crammed with everything that calls itself unhealthy and makes those festivals only really beautiful. Not infrequently the end the night on the toilet and from the pleasure vomiting and diarrhea. The next morning, only the schwarzumränderten eyes of parents testify and all is forgotten.
Of viruses and bacteria child has longer what
The situation is different for gastrointestinal infections not caused by gluttony, but by viruses or bacteria. As in adults, such intestinal flu also result in children vomiting and diarrhea, occurs rarely add fever. Infants and young children, however, are often more severely affected. you dry out faster and often refuse in case of illness, any liquid. This can be life-threatening.
The pathogens are transmitted through saliva or feces, contagions within the family are therefore often. Is already a family member falls ill, appropriate hygienic measures can prevent further contagion:
- thorough Wash your hands before and after meals, using the toilet and wrapping the infant.
- Nipples and pacifiers for sick children always separate from those of healthy children keep and use.
The baby has diarrhea, what to do?
When diarrhea of the baby to the doctor?
Basically, the baby or toddler needs with diarrhea and vomiting not necessarily to the doctor, but there are some exceptions where medical attention is essential:
- Fever over 38.5 ° C
- Green or bloody stools
- The vomiting and diarrhea lasts longer than three days
- The child does not drink enough
- The child breaks every time it drinks
- The infant has more resigned than 4 hours no urine
- Eyes and / or the child Fontanelle sunken
- The child makes a seriously ill impression
- The infant dries out
There are several ways to to examine degree of dryness of an infant: Oral mucosa and tongue, for example, should always be moist. Then there is the wrinkle skin condition comes. Which can be relatively well assessed by taking some abdominal skin between thumb and forefinger, she briefly compresses and then lets go. The wrinkles caused by compression, can not stand still.
Tips and tricks to help themselves
- Meets none to the above symptoms, you can try to help yourself. The body loses through diarrhea and vomiting valuable sugars and salts, which must be replaced. At the same time destroyed intestinal mucosa has to be rebuilt. Let your child drink as much as possible.
- Continued breastfeeding! In vollgestillten infants therapy is simple: Continue breastfeeding. Maybe you can give with a teaspoon of grape sugar per 100 ml addition tea (chamomile, fennel, peppermint). Bottle-fed babies should receive a no milk to three days, but available in pharmacies special medicinal food.
- Fat, chocolate and milk shun! To steer clear of are all difficult to digest foods such as fat, milk, eggs, sugar, cabbage, chocolate, ice cream, legumes or apple juice. Carbohydrates, however, can be recommended. Biscuits, crisp bread, toast, pretzel sticks, mashed potatoes, steamed carrots, grated apple, bananas, happened strawberries, blueberries, raspberries and vegetable puree are it right here. Expensive finished products from the pharmacy, you can do without, they taste less good in general. The cure rate is, however, dependent on a consistent implementation of this diet as possible a day over its symptoms.
Whether breast-fed infant or bottle-fed baby: When babies can quickly subject to error, they would suffer from constipation, when you see what an effort it costs to fill their diapers. But this is completely normal, the intestine and its nerves are still immature and still want to be trained. Breast-fed infants must have scared to death only once every three to seven days. That is normal. The reason: breast milk is the best nutrition for an infant and can be almost completely absorbed and utilized by the body. Since little remains "waste" but left that should be soft. Bottles of children have one to three times daily diapers full, unlike breast milk chair of feces is quite firm, dark, sometimes slightly greenish, which is due to the higher bacterial content and the different composition of infant formula.
What exactly is constipation?
Constipation is called only when children less than three bowel movements a week have and the chair also is still hard. Most common cause of constipation is malnutrition with a lack of dietary fiber as well as an excess of cow's milk. In addition, the affected children usually too little to drink and / or moving too little. Other causes such as diabetes or poisoning should be excluded at the beginning of treatment.
Practice makes perfect ...
In nine out of ten children constipation begins between the ages of one and three years. Triggers are often dietary changes. The children have rare or hard stools, the partially blood is even superimposed. Because of the inherent defecation pain the children are afraid of the toilet, they keep the chair and underwear are frequently smears. It is rare that children complain of abdominal pain.
What come to those who wait: the treatment
The treatment of chronic constipation sometimes takes a long time but is usually successful. They must always begin with a Emptying of the bowel, best by an enema. Then a Stuhlgleitmittel can be given for a short time, for example, Paraffin or Obstinol. Since paraffin is but absorbed by the intestine in small amounts, it should be discontinued as soon as the bowel movements to normal.
Is a vital Change of diet. Children must drink plenty of fluids, preferably water. Sugar, white bread, pastries, protein (milk, fish, meat, sausage) and sweets cause constipation and should be severely restricted. Lots of fiber, however - so fresh vegetables, fruits and whole grains - making the stool soft. Has also proved a morning dose of wheat bran or dried prunes. Many parents believe stubbornly in being able to prevent constipation with a daily dose of lactose. The opposite is the case! Lactose is useful neither meaningful nor will be, at best, unnecessary calories supplied. The children should be held every day at the same time for toileting, best in the morning. And you should take time for that! Drink it before a glass of water on an empty stomach can affect the true miracle.