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    Suggest treatment for severe abdominal pain and gastritis in a child

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Posted on Wed, 9 Aug 2017 in Child Health
Question: Dear Sir, My son is 6 years 3 months old. he had stomach pain one month back. we consulted doctor he prescribed initially rantac and Cyclopam syrup. But that night he vomited and slept. Next day again consulted doctor he told to do abdomen scan and urine test. both are normal. then he prescribed Sucral syrup (4 times a day) and Lanzol 30g (before breakfast) for one week. Symptoms slowly reduced after five days. I have done deworming (albendazole 400mg) also. After deworming he is fine. But after 10 days again he complained abdomen pain yesterday onwards. He is getting pain near to belly button right side, Pain is intermittent. No loose stools. Stools are hard. Before stools and after stools he is complaining pain. Again i took him to doctor yesterday, he told no need to worry and its gastritis, reduce spicy food and non veg and oils. He dint prescribe any medication. His bowel movments are very poor and he will not drink proper water if he is school. Also he holds the stool when he is in school. We are really worried and suffering please advise.
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Answered by Dr. Diptanshu Das 1 hour later
Brief Answer:
A fibre rich diet will ensure a good bowel movement and should reduce pain

Detailed Answer:
Thanks for asking on HealthcareMagic. I have gone very carefully through your query. It seems to me that the abdominal pain is not due to the causes like worm infestation. Rather, it seems to be due to imporper bowel movements as caused by constipation. Incidentally, constipation in children has become a very frequently encountered problem these days. The primary reason for the same is lack of adequate play and/or the lack of adequate amounts of fiber containing foods in diet.

Going through the following link should help:
http://patient.info/health/constipation-in-children-leaflet

You need to give a fibre rich diet. Wheat, corn, and rice XXXXXXX are high in insoluble fiber, which helps prevent constipation. XXXXXXX can be sprinkled into his favorite foods, from hot cereal and pancakes to muffins and cookies. Many popular high-fiber cereals and bars are also packed with XXXXXXX Beans really are the magical fruit. Isabgol (psyllium husk) or senna can also be given as fiber supplements.

Fiber rich food items include:
* Apples, pears, parsnip, berries, raspberries, kumquats, guavas, squash, oranges, passion fuit, avocado, blackberries, pomogranate, currants, persimmons, kiwi fruits, figs, bananas, blueberries, cherries, apricots, strawberries, tangerines, papaya, mangoes, pineapple, plums, litchi, grapes, watermelon
* Broccoli, cauliflower, cabbage, lettuce, brussels sprout, carrots, leafy vegetables and spinach, amaranth, artichokes, green peas, collard greens, XXXXXXX sweet potato, okra, fennel, eggplant/brinjal, sweetcorn, beets, turnip, asparagus, onions
* Legumes, beans, lentils, chickpeas, celery, soybean, navy beans, cranberry beans, french beans
* Whole grains, quinoa, brown rice, millets and oats, squash and pumpkin seeds, seasame seeds, dried coconut, almonds,
* Mushrooms
* Flax seeds, chia seeds, corn XXXXXXX

Also consider going through the following list:
https://www.nestle.in/nhw/nutrition-basics/nutrients/dietary-fibre-fact-sheet

It is good to know that you make sure that he drinks plenty of water. But you also need to ensure that he goes to pass stool at a regular time every day (irrespective of whether he feels an urge to pass). This will demote stool holding habits and would promote regular bowel habits.

Let me know if I could help further.

Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Diptanshu Das 19 minutes later
Dear Dr. XXXXXXX

Thank you very much for the detailed review and advise. I will try to see the above mentioned diet is followed. Local Paediatrician told not to use any medication ignore the pain and also told to reduce spicy food and etc. My doubt is is he having and infection or gastritis? Can we ignore the pain he is getting now? Please advise.
doctor
Answered by Dr. Diptanshu Das 1 hour later
Brief Answer:
A glycerine suppository can be given

Detailed Answer:
Thanks for writing back. I am glad that you appreciated my answer. I would back your doctor's suggestion about not giving any medicine. I do not think that it is due to an infection or gastritis. However, I would insist you to apply glycerine suppository. It has to be inserted through the anus, the two sides of the buttocks are to be pressed tight so that it does not come out. Within minutes the child would possibly pass stool. This should provide relief from the pain as well. I would otherwise insist you not to grow apprehensive about the pain.

Regards
Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3822 Questions

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