10-year-old has "abdominal migraines"
Dec 1999
We have a 6.5 year old daughter who complains constantly about not
feeling good because her tummy hurts. We took her to the doctor about a
year ago because of it and were told that many children have this ailment.
It was diagnosed as recurrent abdominal pain--sort of a vague, generic,
catch-all.
The doctor said kids eventually out grow this and that if she does
not have a temperature and isn't vomiting, that she should carry on with
her regular schedule. He didn't really want to do further testing, which
he felt would be invasive, stressful and most likely yield negative
results. We did have her tested for celiac and h-phylori, which were both
negative.
We accepted the doctor's assessment (we believe we have a very good
doctor and want to trust his judgment) and have tried downplaying the
problem so that our daughter doesn't develop a self-image centered on
illness. But it's gotten to the point where we are concerned about other
negative effects. For starters, she seems to have a short attention span.
Initially she will become engaged in activities, but then the pain
intrudes and she doesn't feel well enough to want to continue with whatever
she was doing. She doesn't want to go to school because she feels sick and
wants to stay home with mom. The first thing we hear in the morning and the
last thing at night is that she doesn't feel good. Often times she doesn't
want to eat, even if hungry, because either her tummy already hurts or
she's afraid if she eats it will start to hurt. Because of this pain she
often seems tired, whiny, and irritable, which are having some impact on
her ability to make friends. She tends to suck her fingers alot and I
think it's her way of seeking comfort because of her constant state of
discomfort.
We are having difficulty knowing how to parent such a child. Do we
act nurturing and sympathetic and risk having her learn that being sick is
a way to get special attention? Do we ignore it and have her feel
neglected?
We can't keep her home everytime she feels bad or we'd be home
schooling.
If anyone has any advice it would be greatly appreciated!
Are these really stomach pains or lower belly? Are her bowel
movements fairly regular? Are there any particular food sensitivities?
(Speaking as someone who had lower belly pains as a kid. It turned
out that a large, though not complete, part of the problem was
constipation.)
My daughter also suffered with stomach pain when she was about 3 years
old and I tend to think it's bowel related. Have you checked to see that
she is going to the bathroom pretty much every day and that her stools are
soft? You can put oat bran into oatmeal and hot cereal, make bran
muffins, etc.
My heart goes out for you and your daughter. I am not a doctor, just
talking from the instinct of a mother, I would be as concerned as you
are since the pain you described is affecting your daughter's daily life
and probably her physical growth. I've been having stomach problems all
my life (I am now 29) (or as long as I have reliable memory, it may go
back to your daughter's age). Not pain, but discomfort. What I realized
as an adult was that my diet had a lot to do with my stomach. My
nutritionist said that I may just have a sensitive stomach. Pay close
attention to my diet not only what I eat, but when and how much helps
a lot. For example, if I eat before I go to bed, it will certainly
cause a problem. Certain food such as pizza and bagel should be
avoided. Small meals are better than huge ones. Eating slowly is better
than gobbling. You have ruled out celiac etc. But I would suggest that
you take your daughter to see a nutritionist. I do not know whether there
is any who specializes in ped. Nutrition. I wish she can get well and be
healthy!
My younger son had a stomach ache almost every morning before school
from the 2nd grade till about the 7th grade. There wasn't any
detectable physical problem. He did not get a stomach ache on
weekends or holidays. Thinking it was stress, I changed
him into a smaller school in the 5th grade (initial improvement
but then back to the stomach aches). He doesn't get them anymore.
In retrospect, I still think it may have been stress, but I also
think it may have been his diaphragm that hurt, not his stomach.
He wheezes and gets asthma with colds - when it's harder to breathe,
your stomach muscles get sore.
My son also had this complaint throughout all of elementary school. I
remember it too from my childhood. He grew out of it by 6th grade. It
usually only lasted a few minutes at most but recurred several time during
the day, every day. Our Pediatrician also told us this was a very common
childhood complaint which the child usually outgrows. I would
encourage our son to quickly lie down on his stomach on a hard
surface (the carpeted floor) and it would be gone shortly. It always was
gone quickly. I also told him that I too had the same thing as a child.
That helped some too. We never let it become an issue for going to
school - though it could have been. He did have one bout of H-pylori
in the 4th grade but the symptoms were completely different.
(H-pylori in children we were told is very unusual. It certainly was
difficult for our HMO to diagnose.)
Our now 5 1/2 year old daughter complained about stomach pains alot
also, beginning about a year ago. We were told the same thing by our
doctor, that it was common for this age particularly in girls and she
would out grow it. I consulted our homeopath who basically told us the
same thing but that she felt that cranial sacral treatments done by an
osteopath is often very helpful. We were always sympathetic to her
pains, which seemed to not last for very long, but none the less were
troublesome. After this went on for a few months, I took her to
Catherine Henderson (845-8284) who is above the Peet's coffee near Vine
and Shatuck in Berkeley. She was trained in England and has a very good
reputation in this country. We had about 4 treatments, and the
improvement was remarkable. I would be happy to answer more specific
questions. lark
The stomach pain/discomfort may be due to Irritable bowel syndrome
(one of the possible causes). You may want to take her to see a
gastroenterologist before you take her to a nutritionist. Unfortunately,
IBS can not be diagnosed with certainty. The conclusion is basically
reached through exclusion of other illnesses. Fortunately, however, people
with IBS usually do not have organ damage and can expect to live a life as
long and healthy as people without it.
My heart goes out for you and your daughter. I am not a doctor, just
talking from the instinct of a mother, I would be as concerned as you are
since the pain you described is affecting your daughter's daily life and
probably her physical growth. I've been having stomach problems all my
life (I am now 29) (or as long as I have reliable memory, it may go back
to your daughter's age). Not pain, but discomfort. What I realized as an
adult was that my diet had a lot to do with my stomach. My nutritionist
said that I may just have a sensitive stomach. Pay close attention to my
diet not only what I eat, but when and how much helps a lot. For example,
if I eat before I go to bed, it will certainly cause a problem. Certain
better food such as pizza and bagel should be avoided. Small meals are
are than huge ones. Eating slowly is better than gobbling. You have
ruled out celiac etc. But I would suggest that you take your
daughter to see a nutritionist. I do not know whether there is any who
specialized in ped. Nutrition. I wish she can get well and be healthy!
I feel sad for your daughter having to endure a tummy ache while trying to
concentrate at school. According to Traditional Chinese Medicine (TCM),
children only suffer from a single disease: indigestion. Is your child
thriving? Is she losing weight? How is her overall diet? Where does her
tummy hurt and does it hurt more when touched? Does she have circles under her
eyes but sleeping well at night? If she has not always had these pains, when
did they begin?
Being in pain is not a natural state for the body. If you cannot seek a
second opinion or have gone as far as you can with allopathic medicine, I
would offer the following suggestions:
1. Seek a diet counselor/nutrition counselor who can work with you to examine
potential allergens in your child's diet and environment. With support, you
can do an elimination/provocation diet to identify what might be causing her
tummy ache. You may contact me if you wish, as I am a diet counselor and have
experience in these matters with myself and son.
2. Try TCM with a competent acupuncturist/herbalist who will"listen" to your
child's pulses and see what imbalances may be contributing to her pain. Find
someone who works with children.
3. Try Jin Shin Jyutsu, a kind of touch therapy you can learn from a
practitioner and do yourself with your daughter. This is a holistic approach
to helping the body heal. For example, it is important to note which fingers
your child is sucking. I recommend Barbara Baiardi (235-0616) who has worked
for 20 years with children. She is a true healer.
The parents might experiment with her diet, to see if that helps. My
daughter had frequent stomach complaints which GREATLY diminished when
we eliminated milk from her diet. (She still has other dairy products,
but several cups of milk daily were just too much for her stomach to
handle).
If your doctor tested for Celiac Disease I would say your confidence is
well-earned (doctor's are woefully undereducated about this disease).
While your daughter may not test positive for Celiac Disease, her
symptoms indicate that she may have gluten intolerance or enteropathy or
perhaps lactose intolerance. The best way to test for this is to put her
on a gluten-free and lactose-free diet for a month or so. If she is
sensitive to gluten you may see improvement in as little as 2 weeks. The
short attention span may be related to the intolerance. Those of us who
are intolerant to gluten or lactose fondly call it as 'brain fog'. If you
add gluten or lactose back in after the month is over (one at a time) and
the symptoms come back, you have your answer. Please feel free to contact
me if you would like more information. I
suffered with gluten intolerance until I was 45 years old. I struggled
though low stamina, a poor self image, metabolic disorders, and
unnecessary surgeries (and ensuing complications) because I was labeled
a 'sensitive' child. I'd hate to see your daughter suffer needlessly.
Perhaps the approach of Homeopathic medicine might have a solution to
your daughter's discomfort. Homeopathic medicine can sometimes really remedy
ailment that western medicine says we will outgrow (which we will, but
at a cost for the duration). We go to the Hahneman Clinic and see
Christine Ciavarella 510/524-3117. There are lots of good homeopathic
doctors in the area.
Nov 2000
My 10 year old daughter has been experiencing stomach and headaches
almost every day for nine months now. We've done all sorts of tests
and all are fine. We're also pretty sure it's not stress related
given its patterns. She enjoys school and has great friends. We're
new to the newsletter so even if this subject has been covered
before, we'd appreciate any insight (and/or ideas on how to find
previous discussions about this on-line).
Here are our specific questions but general ideas also welcome:
Are there other parents out there who have been dealing with this
same issue and how are you handling it?
It's possible she has "abdominal migraines" and we are trying out
periactin. Any info on this medication and diagnosis?
Thanks so much,
Mary
Very often headaches/stomach aches are results of a food
sensitivity or some other allergy. It may not be an actual
"allergy" that will show up on an allergy test, but rather a
sensitivity or imbalance in the body. I've found that most
pediatricians I've dealt with with my son's allergies are not
terribly knowledgable about food sensitivities in children. You
might try someone who practices alternative health care.
Acupuncturists, chiropractors, nutritional counsellors,
cranio/sacral therapy,....there are so many possibilities.
If you'd like some recommendations please e-mail me. June
Although I see that you have had "all kinds of tests", I might
recommend talking to your child's pediatrician about the possibility
of celiac testing for your child, given the symptoms. It's not a
condition that doctors in the U.S. immediately reach for when
presented with chronic/recurrent stomach aches/headaches, but in
European countries (I have read), it is something that is routinely
tested for so that an early diagnosis can be made and dietary
adjustments can be initiated. Since my niece was finally diagnosed
after 9 years of various allergies/pains/headaches/skin conditions,
and a co-worker's child at a (thankfully!) much younger age, I am very
pro-active in suggesting this in the case of non-specific stomach and
headaches in children. Apparently, this intolerance to wheat/gluten
products is more prevalent than we realize in the U.S., and children
suffer needlessly as a result of general lack of information.
Eileen
As a 10 year old, I suffered from constant headaches that were never
fully diagnosed. I was prescribed Dilantin after they found a slightly
abnormal EEG (possibly a mild form of epilepsy), and the headaches
stopped. I assume your daughter has seen a neurologist and had an EEG
to look for possible abnormalities. If not, you may want to ask your
doctor.
Also see: Advice about Headaches
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