Causes of abdominal pain in children!

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Assoc. Dr. Salih Somuncu, children's abdominal pain may vary according to age, but in general, the causes of abdominal pain can be divided into two main groups internally and surgically, he said. Assoc. Dr. Somuncu said that they frequently encounter abdominal pain, usually due to internal reasons, “For example, a gastrointestinal infection is manifested by abdominal pain. Vomiting or diarrhea may be added later. This is an important cause of abdominal pain and is a very common situation. In addition, parasites cause abdominal pain. Abdominal pain due to parasites is usually chronic and not immediate. One of the causes of internal abdominal pain is urinary tract infection. Especially because the child cannot identify a problem with the kidney and bladder, it is reflected out as abdominal pain. A chronic urine test should also be performed in cases of chronic abdominal pain. Another cause of abdominal pain is chronic constipation in children. Abdominal pain caused by internal causes is not usually instantaneous; long-term pain. ”Determine the cause of abdominal pain first!Assoc. Dr. Salih Somuncu reminded that Familial Mediterranean Fever (FMF), which is a genetic disease at the beginning of abdominal pains that can be confused with surgical abdominal pain, can be seen in other individuals in the family, “Familial Mediterranean Fever manifests itself primarily with abdominal pain and high fever. During the examination, acute abdominal symptoms may be so severe that surgery can be confused with abdominal abdominal findings from time to time. Most of the time, these patients can be operated accidentally due to appendicitis. The most accurate diagnosis is genetic recognition tests. If FMF is diagnosed, it can be answered with appropriate treatment in a very short time. ”Appendicitis or abdominal pain?Assoc. Dr. Pointing out that early diagnosis and treatment of surgical abdominal pain is very important, Somuncu said: akut The most common cause of surgical abdominal pain is acute appendicitis. The appendix is ​​an organ that ends up as a blind intestine in the intersection of the small intestine and the large intestine. Children are long and narrow in diameter. So it gives a little quicker clinical findings. Clogging of the appendix for a reason shows its findings. This can often be caused by a lymph node or even by a petrified stool, parasite, or even a foreign body. Since the appendix is ​​normally a blind intestine, it releases its internal secretions into the large intestine. When unloading is not possible due to clogging, it starts to swell after a while. Non-infectious non-pathogenic bacteria become infected. Starting from the inner layer of the intestine, reaching the muscle layer and then the outer layer, an infection of the whole region occurs. Explodes from a point he finds weak. This is what we call an appendicitis explosion among the public. ”Intestinal knot is more common in springAssoc. Dr. Somuncu, the intestine known among the people as a bowel obstruction is also a cause of abdominal pain, stating that, '' intestinal knot abdominal pain is very severe. One of the important reasons for this is the intestine's intertwined. ” Often the small intestine enters into the large intestine and pain in the face of a very severe pain may be reminiscent Assoc. Dr. Somuncu said: “After this pain, vomiting and abdominal distension begin. After a while, the bloody stool is accompanied. Bowel knot is seen in all age groups, but it is more common in children aged 9-12 months. Bowel knot has a seasonal feature. Because the intestines need a stimulating point for their nesting. This stimulant point is often small lymph nodes in the small bowel roots and walls in children. These lymph nodes usually occur after upper respiratory tract infections. A week 10 days after intestinal or respiratory infections, the patient may come to us with bowel knot. Similarly, appendicitis is more common in the spring and autumn season, where upper respiratory tract infections are common. If there is no clinical finding in the treatment of intestinal knot, we can treat the medicine with a 5-cm non-surgical follow-up. But if persistence is over 5 cm and there is a risk of bowel gangrene, then we do surgery. ”

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