What causes stomach pain and difficulty in passing stool?
Patient's Query
Hi doctor,
My daughter has a stomach ache just below the navel for the last one and a half-day and not passing motion properly. Please advise.
Hello,
Welcome to icliniq.com.
Stomach ache could mean a lot of things. Since the child cannot be physically examined, all these questions are essential before advising anything.
1. Are there any other symptoms, like vomiting or loss of appetite or loose stools or fever or constipation or burning on urination?
2. For how many days or weeks or months is she not passing stools properly?
3. Is this the first episode, or did she had similar symptoms before?
4. Was there any change in her food intake in type or quantity, or quality?
Patient's Query
Hello doctor,
She has a stomach ache for the last two days. It is not a continuous pain, and it happens when she eats something or sometimes in between meals. She is not having vomiting, loss of appetite, fever, or any burning sensation on urination. She is constipated and passes stool two to three times a day, but she still complaints about not having done it properly even after taking a long time in the toilet. These are the symptoms so far.
Hello,
Welcome back to icliniq.com.
I appreciate your response. If the child is having pain only occasionally, you will have to look into the foods she is eating.
1. Avoid chocolates, biscuits, bakery products, and deep-fried foods for a week. Give her home-cooked food only.
2. She should preferably eat freshly cooked or warm foods only.
3. She should drink plenty of water, at least 25 fl oz per day.
Now, you say that she tries emptying her bowel two to three times per day, but she still does not feel she has emptied. This happens in case of fissure-in-ano, that is, any cuts or wounds near or in the anus. If it is associated with pain in the anal region, she will need to be examined by a pediatric surgeon. Try the high fiber diet as advised for a week. The pain will generally settle down on its own. If the pain worsens, then you will have to rush to a hospital immediately. I would not prescribe any pain killers right away. If there are no other symptoms other than occasional pain, it is advisable to wait for a week. Please keep me updated if there are any changes in her condition.
Patient's Query
Thank you, doctor, for your reply.
So I will keep a watch on her and inform you. Thanks and regards.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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