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Distended Abdomen in Children - Causes, Symptoms, Diagnosis, and Treatment

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Distended Abdomen in Children - Causes, Symptoms, Diagnosis, and Treatment

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Neonates and infants with abdominal distension frequently have hypoactive bowel sounds, whereas children over one year old primarily have abdominal tenderness.

Medically reviewed by

Dr. Veerabhadrudu Kuncham

Published At April 4, 2023
Reviewed AtApril 13, 2024

Introduction

Abdominal distention, also referred to as abdominal bloating or a distended stomach, is the medical term used to describe a swollen or enlarged abdomen. It can be caused by several different factors and often has a range of symptoms, including an increase in the circumference of the abdomen, increased girth, and discomfort. In children, abdominal distention can range from mild and transient to life-threatening conditions that require urgent medical attention.

The exact cause of abdominal distention in children can vary. It may be caused by gastrointestinal disorders, such as constipation, irritable bowel syndrome (IBS), gastroesophageal reflux disease (GERD), or food intolerance. It can also be due to organ enlargements, such as an enlarged liver or spleen or fluid buildup in the abdomen (ascites). Other causes may include certain medications, obesity, pregnancy, and metabolic disorders.

Regardless of the underlying cause, abdominal distention can be uncomfortable for children and often requires treatment. While it can sometimes resolve independently, some cases may need medical intervention.

What Are the Symptoms of Distended Abdomen in Children?

Children with abdominal distention may experience several symptoms, depending on the cause. Common symptoms include:

  • Pain or tenderness in the abdomen.

  • Abdominal bloating.

  • Abdominal swelling or fullness.

  • Difficulty eating or feeling full quickly.

  • Nausea or vomiting.

  • Loss of appetite.

  • Weight loss.

  • Abdominal pain that worsens over time.

Sometimes, the child may have a swollen liver or spleen, which can be felt by pressing on the abdomen. Additionally, the child’s skin may appear pale, and their stomach may feel hard and tense when touched. In some cases, the veins in the abdomen may be visible. It is important to note that these symptoms may vary depending on the underlying cause of abdominal distention.

What Causes Distended Abdomen In Children?

  • Weight gain.

  • Obstruction of the small and large bowel.

  • Gastroparesis (partial paralysis of the stomach).

  • Peritonitis (inflammation of the abdominal lining).

  • Organ enlargement from inflammation or growth.

  • Constipation.

  • Urinary retention (difficulty urinating and completely emptying the bladder).

  • Gas from functional indigestion and food intolerance.

How to Diagnose Distended Abdomen in Children?

  • Diagnosing abdominal distention in children is typically a straightforward process. It involves taking the child’s medical history, performing a physical examination, and ordering imaging tests such as an X-ray or ultrasound.

  • The doctor asks about the child’s medical history, including any chronic medical conditions and medications they are taking. They also ask questions about the child’s diet and lifestyle to understand what might be causing the enlargement.

  • During the physical exam, the doctor inspects the child’s abdomen and palpates (feel) it for any tenderness or other irregularities. For example, they may press on the abdomen to check for increased abdominal size with pressure.

  • Imaging tests, such as an X-ray or ultrasound, can help the doctor identify any potential structural issues in the abdominal area that could be causing the enlargement. The doctor may also order blood or other diagnostic tests to rule out underlying conditions.

  • Ultimately, the doctor should be able to diagnose the cause of the abdominal distention based on their findings. Once they have identified the cause, they can recommend appropriate treatment options.

How to Treat Distended Abdomen in Children?

The treatment of abdominal distention in children depends on the underlying cause. The underlying issue can usually be resolved with dietary changes, medications, or surgery.

1. Diet: Changing the child’s diet is the most common approach to treating abdominal distention. Avoiding foods that are difficult to digest or could worsen the symptoms of an underlying condition may help reduce abdominal swelling. This may include avoiding high-fat and high-sugar foods, carbonated drinks, and certain fruits and vegetables.

2. Medications: Sometimes, the doctor may prescribe medications to treat any underlying conditions causing the child’s abdominal distention. For example, if the child has a digestive disorder such as irritable bowel syndrome (IBS), their doctor may recommend medications to help relieve their symptoms.

3. Surgery: If a structural abnormality or a blockage causes the child’s abdominal distention, they may need surgery to correct the problem. Surgery may involve removing a blockage or repairing a structural abnormality.

In some cases, people may also be able to use home remedies to help reduce abdominal swelling in their child. These can include using cold compresses and using over-the-counter antacids or laxatives. However, one should always talk to the doctor before starting home remedies for the child.

How Can a Distended Abdomen be Prevented?

Preventing a distended abdomen in children can be difficult as various factors can cause it. However, there are several steps parents can take to reduce the chances of abdominal distention occurring.

  • First and foremost, ensuring a balanced diet is crucial. That means providing children plenty of fruits, vegetables, proteins, and complex carbohydrates. Eating smaller meals throughout the day can also help prevent distended abdomens, allowing the stomach to digest and empty more easily.

  • Drinking plenty of water is also important, as it helps flush out any toxins that may be causing abdominal bloating or discomfort.

  • Exercise can also help prevent distended abdomen in children. Through regular physical activity, children will build strong muscles and maintain healthy body weight, which can reduce abdominal distention. Additionally, exercise can help regulate the digestive system and increase blood flow. Purchasing Obstacle Course in A Box - Indoor & Outdoor Game has been found to be beneficial.

  • Parents should also be aware of the medications their child takes. For example, certain medications can cause abdominal distention, so the parents must check with a doctor before giving their child any new drugs.

  • Additionally, if the child has an existing medical condition such as asthma, diabetes, or allergies, ensure they receive appropriate medical treatment to keep their symptoms under control.

Conclusion:

A distended abdomen is often a temporary digestive problem but can be uncomfortable and sometimes indicate a serious condition. If a patient has a digestive problem, a doctor can help determine what causes it and how to treat it at home. If a patient has a serious condition, they should seek medical attention. A symptom can be a blessing in disguise, leading to treating an unknown condition or simply discovering food intolerance.

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Dr. Veerabhadrudu Kuncham
Dr. Veerabhadrudu Kuncham

Pediatrics

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