Patient's question:
Patient Gender: Male, 13 years old, admitted to the hospital with the main complaint of "school truancy and sloth for more than half a year." The reason for admission was that more than half a year ago, when the patient was in the first year of junior high school, he often skipped school without reason. When asked why, he said he just didn't like going to school. Later, he mentioned that the pressure from his teachers was too great, leading to school avoidance. Initially, the truancy was only a couple of times, but gradually, the frequency of truancy increased until he eventually stopped going to school altogether. His family and classmates tried to persuade him, but it had no effect. Later, he voluntarily requested to transfer to a new school. However, after attending class for only five days in the new school, he left again, stating that he could not accept the cliques among the classmates and that he noticed everyone looking at him strangely.Doctor's answer:
Hello: Common causes of abdominal pain in children include intestinal cramps, ascariasis, dysentery, intussusception abdominal pain, and appendicitis abdominal pain.Intestinal Cramps:
These are often caused by ischemia of the intestinal wall or the excitation of nerves that control the intestinal muscles. Each episode lasts a short time, generally from a few minutes to several tens of minutes, and resolves on its own. Some children may experience one to two episodes of vomiting. During abdominal examination, the entire abdomen is soft with no tenderness. Spasmodic abdominal pain usually does not require medication. However, if it frequently occurs and affects the child's ability to attend school, or can be administered at regular intervals. Heat application can also be effective.
It is important to note that there are many possible causes of abdominal pain in children, such as ascariasis, bacterial dysentery, intestinal obstruction, intussusception, and appendicitis. Parents should pay attention to identifying these symptoms to ensure early diagnosis and treatment.