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What causes constant stomach pain in a child? - Online Doctor Chats

Date : 19-Apr-2014
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1563 Questions
User:my 5 year has had stomach pain for a while and gagged alot i passed it off as maybe he had a bad gag reflex however for the past month or so he has been complaining of a constant stomach ache and is still complaining after I give him pep and is now vomiting alot I have a feeling it is not typical any ideas? should i take him to the hospital?????
thanks
concerned parent
Doctor:
Let me read your query for few minutes to be able to have a good discussion here.
Doctor:Hi there, I see that your child has been gagging alot. And Peptobismol isn't helping
Doctor:Has he had any issues going to the bathroom? Difficulty passing stools?
User:no he goes regularly
Doctor:ok good, does he have ANY other medical issues, or is he on ANY regular meds?
User:he just has a sleep disorder where he take clonidine nightly but hes been complaining before he was on the meds
User:its just gotten to where his stomach never stops hurting
Doctor:At this age, the most likely cause of this is either a behavioral issue.. something like an aversion to foods or a reaction formation
Doctor:It's NOT a psychiatric thing, some children will become nauseous do to increased sensory stimuli
Doctor:Does this happen right after he eats?
User:ok but would that explain why his stomach always hurts
User:no just randomly through out the day everyday
Doctor:It's a natural response to the constant gagging, the stomach muscles keep tensing up and stomach acids will irritate the esophagus.
Doctor:Ok. At this point i think he needs to be seen by a speech therapist.
Doctor:There are speech therapists who specialize in feeding therapy and they are your best bet.
Doctor:Though, you might need a referral from his pediatrician first
User:what exactly will a speech therapist do
Doctor:They will test his senses, taste and smell in particular and check for signs of gastric erosion from the constant gagging
Doctor:if he does have a sensory aversion, they will work on desensitizing him
User:ok that makes sense but it happens randomly like is he gagging on the air
Doctor:If there is any erosion, your pediatrician will most likely put him on an scid reducing med, like nexxium
Doctor:i understand. It's pretty tough to understand, but it's more of a behavioral thing. When he gags, he feels a little better, it becomes a habit loop
User:i guess that makes sense
Doctor:Give you pediatricians office a call and see if they can send you a referral.
Doctor:That will also help in that the pediatrician gets a chance to give him a once over as well
User:ok i will be doing that
Doctor:Wonderful. Is there anything else I can help you with?
User:nope that would be all thank you so much
Doctor:Always happy to help. Take Care
User:you too
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