My Tummy Hurts

A case of too many gummy worms or something else?

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"Uh oh” is probably the first thought that pops into all of our minds when our children tell us they have a stomachache. The second thought may or may not include “Hmm, I wonder if there is a test or project due today?”

No matter what your initial reaction is to the dreaded news of an aching tummy, finding out the reason behind it is important. There are many causes of stomachaches, including a stomach bug, a case of too many gummy worms or even anxiety.

Gastroenteritis or inflammation/irritation of the stomach and intestines can last for a few days or only 24 hours. Most of these stomach bugs are viruses and will go away on their own. According to WebMD, vomiting and diarrhea are usually worse for the first 24-48 hours and usually resolve within 3-5 days. Besides nausea, vomiting and diarrhea, symptoms may include a low-grade fever of 99 degrees, fatigue and abdominal cramping or bloating.

Too many sweets or unhealthy foods also can cause a stomachache. These aches and pains are usually much shorter in duration, and the child may only skip a meal or two and return to normal very soon. Fatty, sugary or overly spicy food can cause indigestion, nausea and pain, with or without vomiting or diarrhea. Symptoms will resolve on their own with no treatment needed.

Anxiety can take a toll on adults and children alike. One symptom of anxiety can be vomiting and diarrhea. While this can be very hard to diagnose in children, trends usually reveal themselves if we are looking. One important thing to look at is what is going on when these stomach issues arise. Is it always before a parent travels for work? Before school every time the child has gym class? Before piano lessons every week? Does this stomachache suddenly disappear when a fun activity is planned or when the normally scheduled activity is changed? If you observe any of these trends, it may be beneficial to dig a little deeper, ask more questions and find out what other issues may be contributing to these stomachaches.

The greatest concern with tummy trouble is that dehydration could occur, and these concerns are greatest with very young children and with those individuals whose symptoms persist longer than the normal 3-5 days. As always, talk to your doctor about any concerns, but know that after these illnesses run their course, your child will be back to his normal, joyful self.

Jessica Heine is a labor and delivery nurse. She lives in Olathe with her family.

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