Top 5 Reasons for Chronic Stomach Pain in Children

Chronic stomach pain in children is a common complaint that can cause significant discomfort and anxiety for both children and their parents. While occasional tummy aches are often a normal part of childhood, persistent or recurring abdominal pain may indicate an underlying medical condition. Understanding the potential causes of chronic stomach pain can help parents seek the right care for their child. At Intown Pediatric & Adolescent Medicine, our team of pediatricians offers expert diagnosis and treatment for a wide range of conditions that may lead to chronic stomach pain in children. Serving families across Atlanta, including Glenwood Park, Brookhaven, and Decatur, we’re here to help your child feel better and get back to their active, healthy life.

Here are the top five reasons for chronic stomach pain in pediatrics:

1. Constipation

Constipation is one of the most common causes of chronic stomach pain in children. When stool moves too slowly through the intestines, it can become hard and difficult to pass, leading to discomfort, bloating, and abdominal cramping. Many children with constipation experience infrequent bowel movements or strain during bowel movements, and some may even develop fear or anxiety around going to the bathroom.

Causes of Constipation in Children

• Low fiber intake A diet low in fiber-rich foods, such as fruits, vegetables, and whole grains, can contribute to constipation.
• Dehydration Not drinking enough water can make stools harder and more difficult to pass.
• Changes in routine Stress, travel, or changes in a child’s routine can disrupt normal bowel habits, leading to constipation.

At Intown Pediatric & Adolescent Medicine, we provide guidance on dietary changes, hydration, and other treatments to help relieve constipation and prevent future occurrences.

2. Irritable Bowel Syndrome (IBS)

Irritable Bowel Syndrome (IBS) is a functional gastrointestinal disorder that affects the large intestine, causing symptoms such as chronic abdominal pain, bloating, gas, and changes in bowel habits. IBS is more common in older children and adolescents, but younger children may also experience symptoms.

Symptoms of IBS in Children

• Recurrent abdominal pain that may improve after a bowel movement.
• Diarrhea, constipation, or alternating between both.
• Bloating and excess gas.

The exact cause of IBS is not fully understood, but it is believed to involve a combination of genetic, dietary, and stress-related factors. Treatment for IBS often involves dietary modifications, such as increasing fiber intake and avoiding trigger foods, as well as managing stress and anxiety. Our team at Intown Pediatric & Adolescent Medicine works closely with families to create personalized treatment plans for managing IBS in children.

3. Gastroesophageal Reflux Disease (GERD)

Gastroesophageal Reflux Disease (GERD) occurs when stomach acid frequently flows back into the esophagus, causing irritation and discomfort. While occasional acid reflux is common in children, GERD is a more chronic condition that can lead to ongoing symptoms such as heartburn, stomach pain, and nausea.

Common Symptoms of GERD in Children

• Heartburn or a burning sensation in the chest.
• Chronic stomach pain, particularly after eating.
• Frequent vomiting or regurgitation of food.
• Difficulty swallowing or a sensation of food being stuck in the throat.

If GERD is suspected, our pediatricians may recommend dietary changes, medications, or other treatments to help reduce acid reflux and relieve stomach pain. Children with chronic GERD may require long-term management to prevent complications such as esophagitis or respiratory problems.

4. Food Intolerances or Allergies

Food intolerances and allergies are another common cause of chronic stomach pain in children. When a child’s digestive system has difficulty processing certain foods, it can lead to symptoms such as bloating, gas, diarrhea, and stomach pain. Lactose intolerance (difficulty digesting dairy products) and gluten intolerance (such as celiac disease) are two of the most common causes of food-related stomach pain.

Signs of Food Intolerance or Allergy in Children

• Abdominal pain and cramping after consuming certain foods.
• Diarrhea or loose stools.
• Bloating and gas.
• Skin reactions (such as hives) in the case of a food allergy.

Our team at Intown Pediatric & Adolescent Medicine can help identify the specific food intolerances or allergies that may be causing your child’s symptoms. This may involve dietary changes, food elimination trials, or allergy testing to determine the best course of treatment.

5. Inflammatory Bowel Disease (IBD)

Inflammatory Bowel Disease (IBD), which includes Crohn’s disease and ulcerative colitis, is a more serious condition that causes inflammation in the digestive tract. Unlike IBS, which is a functional disorder, IBD involves chronic inflammation and can lead to damage in the intestines. Children with IBD may experience severe abdominal pain, diarrhea, weight loss, and fatigue.

Symptoms of IBD in Children

• Chronic abdominal pain that may be severe or crampy.
• Diarrhea with or without blood.
• Unexplained weight loss or failure to gain weight.
• Fatigue and low energy.

Diagnosing IBD typically involves a combination of blood tests, stool tests, imaging studies, and possibly endoscopy. At Intown Pediatric & Adolescent Medicine, we work closely with specialists to diagnose and manage IBD in children, providing comprehensive care to reduce symptoms and improve quality of life.

Treatment for Pediatric Chronic Stomach Pain at Intown Pediatric & Adolescent Medicine

At Intown Pediatric & Adolescent Medicine, we understand that chronic stomach pain can disrupt a child’s daily life and cause significant stress for families. That’s why we take a thorough, compassionate approach to diagnosing and treating pediatric abdominal pain. Our experienced pediatricians use a variety of diagnostic tools, including physical exams, medical history assessments, and lab tests, to identify the underlying cause of your child’s symptoms.

Once a diagnosis is made, we work with families to create personalized treatment plans that may include dietary changes, medications, lifestyle adjustments, or referrals to specialists if necessary. Our goal is to help your child find relief from chronic stomach pain and return to their normal activities with improved health and well-being.

Schedule an Appointment for Pediatric Gastrointestinal Care in Atlanta

If your child is experiencing chronic stomach pain, don’t wait to seek help. Contact Intown Pediatric & Adolescent Medicine to schedule an appointment. Our team provides expert care for pediatric abdominal pain and gastroenterology conditions at our locations in Glenwood Park, Brookhaven, and Decatur, serving families across Atlanta.