A. Recurrent or chronic abdominal pain is common in kids. These children are usually gaining weight well and have no other symptoms, like diarrhea or constipation. The pain may occur everyday, and unfortunately, often no clear explanation is found.
And since it is so common, it often gets quickly dismissed by some doctors, especially when the child otherwise seems well.
Common causes of abdominal pain which you might look into include:
- constipation - Is she having bowel movements each day? Are her BMs like hard little balls or very large and firm?
- lactose intolerance - Is her pain worse after drinking milk or eating other dairy products? Have you tried eliminating all dairy products from her diet for a week or two to see if it makes a difference?
- infections - which may include infections caused by parasites or bacteria. When they did the stool culture, do you know if they tested her for parasites, like Giardia?
- irritable bowel syndrome - with alternating constipation and diarrhea, bloating, and passage of stools with mucus
- celiac disease - an intolerance to gluten,which is found in wheat, rye, and barley, and can cause cramping abdominal pain, oily stools, anemia, and many other symptoms
- gastritis or heartburn - which can cause a burning pain in a child's lower chest or upper abdomen
- inflammatory bowel disease - like Crohn's disease or Ulcerative Colitis
Since she has complained of both her vagina and bottom hurting, another common condition that could be causing her problems are pinworms. These look like thin white threads and can cause itchiness on a child's rectum and sometimes their vagina.
Getting a Second OpinionSince your child's pain has lasted so long and is getting worse, she would likely benefit from seeing a specialist. A Pediatric Gastroenterologist would likely be able to further evaluate and treat your child and figure out what is causing her pain.
It may help to keep a symptom diarrhea of when she gets pain and what seems to make it better or worse.
Warning signs to look for that would prompt a quick evaluation include:
- abdominal pain that wakes your child up at night
- persistent vomiting
- weight loss
- having bloody stools or vomiting blood (hematemesis)