What to do about gastrointestinal growing pains in children

  Gastrointestinal growing pains in children are caused by the rapid growth of bones and the simultaneous growth of the internal organs of the stomach and intestines during the period of growth and development, and the relative lack of blood supply (especially in children with rapid height growth).  The clinical characteristics are repeated episodes of abdominal pain, mainly around the umbilicus, followed by the upper abdomen, but also in other parts of the abdomen; it often occurs at night before going to bed or after going to sleep, and abdominal pain is also likely to occur when hungry, in addition, children are cold, over-eating cold food, can also trigger abdominal pain; each pain time is short, generally less than 10 minutes, and the number of pain episodes varies from person to person. The number of pain episodes varies from person to person, from several times a day to several times an hour; the pain is irregular and varies in degree, from mild abdominal discomfort to severe cramp-like pain, accompanied by blue or white face, unbearable pain, and even nausea and vomiting; usually, the pain is slowly relieved without treatment, and the child’s spirit, diet and play are normal during the interval of abdominal pain.  Gastrointestinal growing pains in children are a normal physiological phenomenon and generally do not require treatment. Parents should strictly control the children’s diet, especially to eat less cold drinks, and pay attention to keep the stomach from getting cold when sleeping. Putting hot water bags on the abdomen to warm up the pain, pressing and rubbing the foot sanli point, or gently pressing the abdomen clockwise can relieve or reduce the pain. If the abdominal pain is prolonged and is colicky, it can be treated with antispasmodic and analgesic drugs (belladonna tablets) under the guidance of a pediatrician.  It is worth noting that there are various causes of abdominal pain in children, and more than half of them are due to organic diseases, which can be easily confused with gastrointestinal growing pains. Therefore, all abdominal pain in children should not be mistaken for gastrointestinal growing pains in children, and the diagnosis of gastrointestinal growing pains must be made by a pediatrician after clearly excluding organic diseases. If the abdominal pain lasts for a long time, the pain increases when pressed by hand, or the child is afraid of touching, the possibility of other diseases such as gastroenteritis, intussusception, ascariasis, etc. should be considered, and the child should go to the hospital for examination and consultation in time to avoid delay.