Thursday, February 26, 2009

Gastric pain in Children

There are many cases of gastric pain in schoolchildren and upon further probing questioning, almost all of them admitted that they did not have anything to eat in the morning. Some even reported nausea and vomiting.It looks like breakfast is not considered important to go through the morning before lunch, that too if they do take lunch.

They come to the clinic hoping for an all-out cure for their malady and of course are duly informed that antacids would only give temporary relief. In this instance, the cure is the proper meals that they should have in the first place.

This morning a mother brought in two thin siblings, a girl of three and a boy of five. Both of them according to the mother, had been having "stomach" pain and vomiting for a couple of days but there was no fever and constitutionally, they appeared normal. Physical examination ruled out possible appendicitis but feeding history revealed that these two children had been left by the mother to fend for themselves at home. Nobody is looking after them as the mother only returns from work in late evening and the father works at odd hours. Obviously they did not have a proper meal and mealtime... poor kids!

The elder boy was so nauseous that he started to vomit on the clinic floor! Only liquid was noted.

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