A four-year-old child often complains of pain around the navel at night?

Patient's question:

What is the reason for a four-year-old child constantly complaining of pain around the navel at night, when it doesn't hurt during the day? An abdominal ultrasound was performed with no issues, and they even took an anthelmintic medication called Anthel. Yet, the pain persists.
Previous Treatment and Effects: No specific treatment has been considered.
Help Needed: The child keeps complaining of pain at night. What should I do?

Doctor's answer:

Consider intestinal cramps or mesenteric lymphadenitis. An ultrasound examination is needed for a thorough check. Take anti-inflammatory medication and belladonna tablets to relieve symptoms. There are many causes of abdominal pain in children, such as fever, gastroenteritis, indigestion, and parasitic infections. Advice: It is recommended to conduct a thorough examination first, especially to determine if there is a possibility of inflamed mesenteric lymph nodes or gastritis. Pay attention to prevent fever and avoid eating raw and cold foods, as well as spicy foods. During the acute phase, anti-inflammatory treatment and appropriate use of spasm-relieving medication are necessary. Wishing the baby good health.

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