Pain in the abdomen in children. Medical care for a child

FUNDAMENTALS OF FIRST AID
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Pain in the abdomen in children. Medical care for a child

Fundamentals of First Aid (OPMP)

Children often complain about stomach ache. It is necessary to find out the nature of the pain, when the pain arose, with what it is connected. The age of the child matters. For example, staphylococcal enteritis usually occurs in children under 1 year of age; acute appendicitis, strangulated hernia, peritonitis - after 2-3 years of life. With severe pain, pallor of the skin appears, the child cries, tightens his legs; vomiting occurs, blood pressure decreases. Abdominal pain in children can be the first sign of many diseases: measles, scarlet fever, meningitis, mumps, etc.

Diagnostics

With appendicitis, the clinical course in children is more severe than in adults, and it is much more difficult to diagnose. Early complications (often diffuse peritonitis) may occur. In infants, the disease is rare, its frequency increases with age and becomes greatest at 9-12 years of age. In young children, anxiety, nausea, vomiting, sometimes loose stools, and fever appear. The child is inactive, often takes a position on the right side with the legs brought to the stomach. On examination, the place of greatest pain in the lower abdomen on the right is revealed. With severe intoxication, muscle tension may be absent. In the blood, the number of leukocytes rises to 12×109 /l - 15×109 /l.

Gangrenous appendicitis must be distinguished from acute gastrointestinal diseases (dysentery, gastroenteritis, urological pathology, tuberculosis of the abdominal lymph glands, scarlet fever, chicken pox, etc.), since these diseases in the initial period may have a similar picture.

First aid

Call an ambulance.

Not allowed to take food, medicines.

Create peace for the child.

Cold on the stomach is not allowed!

All patients with acute appendicitis and suspected of it are subject to hospitalization in the surgical department. The presence of acute appendicitis in a child at any age and in adults is an absolute indication for surgery.

Acute gastritis is often found in children of school age. Risk factors: violation of the diet, overeating, poor-quality food, infection, drugs, intolerance to certain products.

Symptoms: vomiting, cramping pain in the stomach, nausea, feeling of heaviness, general weakness, sometimes loose stools. On examination: furred tongue, pale integument, pain in the epigastric region. If possible, you should consult a doctor to rule out other diseases.

First aid

If the child is at school, call the parents and the school doctor.

With the exception of the "acute abdomen" gastric lavage with 1% sodium bicarbonate solution, mineral or ordinary warm water.

Warm compresses on the abdomen.

Activated charcoal 1-2 tablets of 0 g per dose.

No-shpa 0,01 (1 tablet) per reception.

Further treatment can be carried out at home or in a hospital, as prescribed by a doctor.

Authors: Aizman R.I., Krivoshchekov S.G.

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