Brief Answer: Pain likely due to worm infestation Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day Dear Ms XXXXXXX As your daughter is already 5 year old its advisable to stop breast feeding her. It does not support the nutrition required by child of 5 years of age and it just causes satiety. Commonest causes of intermittent pain in children in this age group is 1. Worm Infestation 2. Constipation I would suggest you the following which will empirically address both the issue and will also be beneficial to the baby on long run. If the pain in abdomen is not associated with fever, vomiting or weight loss then there is no much cause for concern. 1. Empirically treatment with single dose of antihelminthic Tablet or Syrup Albendazole 400 mg one single dose one time 2. Ensure good intake of water: Follow rule of one. 1 cup of water one hour before and one hour after food. This will ensure adequate intake of water and will also ensure adequate nutrition and avoid consumption of water during meals. 3. Avoid: Oily, Spicy and fast foods especially burger, pizza. Also avoid food stuff containing maida (refined wheat flour). Maida is known to provoke colicky abdominal pain especially widely used Parle G and other biscuits. They also cause constipation. 4. High fiber diet: two serving of vegetable salad and whole fruits everyday. Avoid fruit juice, instead allow whole fruits. 5. At time of pain 1/4 tablet of buscopan can be given. These will definitely help. Do get back to me if you need any further assistance, will be glad to assist you. Take care Wishing your daughter a happy and healthy life. Take care Best Regards Dr Deepak Kishore MBBS, MS, MCH Consultant Pediatric Surgeon

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