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Child has pain near belly button after eating. Taken Zentel and Dependal with no relief. What is the problem?

My daughter is 4yrs 6mths old.For the last three weeks she is complaining about stomach pain near the belly button region.This pain comes especially after eating something and then goes away after sometime.She is able to carry out all her daily activities properly.After one week of complain took her to a Dr.He suggested Zentel for deworning and gave Dependal.That too didnt improve her condition. Stool and urine tests are also Fine. USG done too.Pl let me know what the problem is.
Asked On : Sun, 3 Mar 2013
Answers:  2 Views:  89
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Pediatrician 's  Response
Feb 2013
Thank you for your query,
Nothing to worry as the investigations like ultrasound, stool, and urine are normal.
This looks like a nonspecific functional pain.
This type of pain around the umbilicus after eating is common in children and in spite of extensive investigations there will be nothing some times.
But if the pain associated with vomitings, loose stools, night time pain then it is significant.
For pain relief you can give symptomatic treatment as advised by your Pediatrician.
Restrict milk to less than 500 ml per day.
And be in follow up with her doctor.
Hope I have answered your query.
Answered: Mon, 4 Mar 2013
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General & Family Physician Dr. Michelle Gibson James's  Response
HI, thanks for using healthcare magic

There are different possible reasons for the pain. Two possible explanations are GERD (gastroesophageal reflux disease) and constipation.
Constipation can cause central abdominal pain. IT is mainly diagnosed with a history of straining on defecation, hard stools. Treatment mainly involves the use of a high fibre diet (fruits, vegetables, whole grain or whole wheat products, oats, barley). Medication is used if necessary.
GERD can also present in children and can occur in relation to meals. IT is treated by modification of diet to reduce the use of spicy/fatty/acidic foods.

There is also another type of pain called functional abdominal pain which is pain that cannot be explained by any obvious reason. Children usually indicate that the pain is central. There are different possible triggers or causes and treatment depends on the the specific trigger.

I hope this helps
Answered: Sun, 3 Mar 2013
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