Viral or Bacterial Infection
Viral or bacterial infection of the intestine
is usually associated with diarrhea and/or
vomiting. Infectious gastroenteritis often is
present with abdominal pain. If suspected, your
pediatrician will perform a culture of the stool,
and if a bacteria is detected, appropriate
treatment will be given. Viral causes require no
treatment and will resolve on their own over a
week or so.
Constipation
Constipation often is blamed for abdominal
pain, but it's rarely a problem in younger
infants. Older babies who have started solid
foods; however, do sometimes become constipated
and may experience abdominal discomfort while
having a bowel movement.
If this appears to be your child's problem, try
the following:
- Add a small amount of water to the diet.
- Decrease constipating foods, such as rice,
banana or cereal.
- Add a teaspoon of Karo syrup to her formula.
If these simple measures don't seem to help,
talk to your pediatrician. Never give a child
laxatives or other types of stool loosening or
softening medications without first consulting
your pediatrician.
Colic
Colic usually occurs in infants between the
ages of 10 days and 3 months of age. While no one
knows exactly what causes it, colic seems to
produce rapid and severe contractions of the
intestine, which probably are responsible for the
baby's pain. The discomfort often is more severe
in the late afternoon and early evening and may be
accompanied by inconsolable crying, pulling up of
the legs, frequent passage of gas and general
irritability.
Intussusception
Intussusception is a rare cause of abdominal
pain in young infants, usually occurring in the
first year of life. This particular problem is due
to one part of the intestine telescoping on
itself. This creates a blockage that causes severe
pain. The child will intermittently and abruptly
cry and pull her legs toward her stomach. This
will be followed by periods without pain, often
without any distress.
It is important to recognize this cause of
abdominal pain and to talk to your pediatrician
immediately. She will want to see your child and
perhaps order an X-ray called an air or barium
enema. Sometimes doing this test will not only
make the diagnosis but also unblock the intestine.
If the enema does not unblock the intestine, an
emergency operation may be necessary to correct
the problem.