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I'm taking dd to the Dr's today, only the third time ever she's been.

(87 Posts)
VivaLeBeaver Mon 04-Mar-13 07:42:07

Which at 12yo ain't bad. But I'm still worried that he'll think I'm fussing.

She's had really bad stomach pains on and off for about 10 months now. We went 10 months ago to see the GP and he gave her some buscopan......which seemed to help. The pains still come but they're once a fortnight rather than constant now.

But now she's been sick every day for months. Not tummy bug sick but its straight after eating like she can't keep her food down. Not loads of sick, just a bit more than a mouthful.

I think he's probably just going to tell me to give her some Antacid isn't he? I probably am fussing aren't I?

Zipbangboom Tue 05-Mar-13 09:59:52

Can you see another doctor?
My 10 year old has always been quite sicky and we've never got to the bottom of it. I think the more they are sick the easier it comes. He doesn't get tummy ache. Is she quite a slow eater? Does it help if she drinks lots of water?
I'm really interested to see what answer you get- good luck.

toddlerama Tue 05-Mar-13 09:50:56

Try a teaspoon of apple cider vinegar instead of the gaviscon. It will burn for a second or two, but tells the stomach to stop churning up the acid whereas the gaviscon 'dilutes' it and the stomach will fight back, producing more. You can get into a nasty dependency cycle with antacids. She wont enjoy it, but she may well only have to do it once! I sorted mine out like this. If you goole it there's plenty of anecdotal evidence to support it as a cure and it wont damage her even if it doesn't work.

She sounds like she has some anxiety issues which I hope you can help her with. Please don't take the fact that she was laughing with her dad about friends to mean that she isn't lonely. She could simply be retelling a story she witnessed rather than an anecdote about close friends. I really feel for her - this could have been written about me at this age and I ended up with bulimia seemingly incongruously (I wasn't underweight and the usual warning signs weren't there. I just felt like I needed to vomit after eating. It went on into my 20s shock ). It's taken me a very long time to understand how to be comfortable in a crowd and the transition to secondary school was when the insecurity started. I couldn't possibly have articulated what the problem was so I had nausea and stomach pains every morning for 6 years. My mum put it down to travel sickness in the car.

Mrsrobertduvall Tue 05-Mar-13 09:45:37

She seems to have a lot of stress with school, friends etc.
Does your school have a counsellor either she can go to (although she may refuse) or you can talk to privately?

Dd 16 has ocd, and a lot of food issues. She controlled everything at school as she didn't want anyone to know.

moosemama Tue 05-Mar-13 09:39:47

Badvoc, I've read some rather worrying papers on the long-term use of PPIs. I don't want to link, because I don't want to be accused of scaremongering and they are freely available online if you Google.

My GP and ds1's Paed both told me that they prefer not to use them with children unless they've tried everything else first and been unsuccessful, because there is currently a lot of debate about their safety.

I went onto Lansoprazole for a while and tolerated it better, but chose to come off them after reading some of the research mentioned above and now only use them for discrete periods when I am having particularly bad problems or having to take high dose NSAIDs.

crashdoll Tue 05-Mar-13 09:29:15

Omeprazole (and other PPIs) are safe in that they won't cause any serious long-term problems. However, some people do suffer side-effects. I went on omeprazole and had terrible stomach pains and diarrhea. I tried it again 6 months later and I have been taking it for a while now, no side effects and no puking into my mouth everytime I bend over.

Badvoc Tue 05-Mar-13 09:17:13

I didn't get on with omeprazole either moose but have been on lansoprazole for years now with no side effects.
There are many to try, you have to persevere sometimes wrt meds, or at least that's what I have found.
Yes, gaviscon is gross smile

Stress/anxiety can cause you to swallow air while eating. I'm not surprised she is refusing Gaviscon as it tastes rank. Obviously it can be very useful, but the taste/texture can make me gag.

moosemama Mon 04-Mar-13 20:06:37

I'm afraid I don't agree with ppi's being perfectly safe. I was on omeprazole myself for quite a while and had really bad side effects. They suit some people better than others and there's a long list of side effects if they don't suit you.

They are appropriate in some cases, but not all. I wasn't happy for ds1 to go on them and neither was his paed.

There are alternatives though and I would definitely advise trying for a paed referral to go through the options - the food/symptom diary will really help there.

Badvoc Mon 04-Mar-13 19:51:11

Gaviscon is ok,as far as it goes, but babies use ppi's, they are perfectly safe.
Your gp sounds a bits useless tbh.
A food diary is a good idea.
I think that - as hard as this is (and believe me, I know!) - dont react to the food issues.
I don't hold with the if they are hungry they will eat it brigade, that way eating disorders lie imo, but don't let her see how worried/annoyed/angry you are.
Make sure you provide food she likes and will eat, try not to worry too much about nutritional value at this stage.
My mum had h pylori and was sick a few times with it. Also made her have bad stomach pains.
A course of ABs cures it.

VivaLeBeaver Mon 04-Mar-13 19:34:02

She hasn't been tested for h pylori. Ill ask about that when we go back in two weeks.

VivaLeBeaver Mon 04-Mar-13 19:32:09

The dr wasn't sure about her having a ppi, he said he'd rather try gaviscon first and if that doesn't work he'll refer to a paed who can make the decision about a ppi.

giraffesCantDateDucks Mon 04-Mar-13 19:30:39

Food diary seems like a good plan.

Badvoc Mon 04-Mar-13 19:22:25

Oh, and my dad has this issue ATM, and it's very distressing for him.
The gp,seems to think its muscular.
He had had an endoscopy and that was clear.
Has she had the h pylori test? (Stomach ulcer)
Protein for breakfast is key here I think, and I would cut out the milk..that could actually be making the problem worse.
Would she eat fish fingers and beans for breakfast?
I know it sounds old, but it not miles away from kippers!
Omelette?
Cheesy muffins? ( I do mine with pizza topping and grated mozerella)

redwellybluewelly Mon 04-Mar-13 19:19:27

I had stress induced GERD, (gastro esophageal reflux disease) a decade or so ago. I had very very similar symptoms to your DD but was never sick on the carpet

It sounds to me like she is very unhappy at school and that food choices and this burping/sickness is to a degree something she can control. Her unwillingness to attempt to get well rings alarm bells as it suggests she is rather liking the attention.

The drugs I was on were omeprazole and ranitidine and I was on them about eight months, eventually the cure was to eat regular small meals and to avoid any trigger foods. I cut out everything acidic (including tomatoes and fruit), reduced both my dairy and my gluten intake, cut down on sugar and fat and ensured I maintained a healthy weight. I got very little sympathy from my wider family but DP was a star.

Now I am pg its back to haunt me!

Badvoc Mon 04-Mar-13 19:18:09

I think you are the opposite of neurotic tbh!
I would be asking/expecting blood tets, some ppi's (like omeprazole) and a referral to a gastro.
What she is experiencing is not normal...probably not serious either given her age, but definitely not normal.

VivaLeBeaver Mon 04-Mar-13 19:10:14

No I appreciate it, thanks. Will look at muffin recipes.

I'm upstairs now and though I can't hear the exact details she's laughing to Dh telling him about something funny she and her friends did at school today. hmm

All I got was sobbing about how she has no friends.

moosemama Mon 04-Mar-13 19:06:11

I do understand what it's like when they have very firm ideas about what they will/won't eat, by the way - I'm not nagging, just trying to see if I can come up with anything to help.

moosemama Mon 04-Mar-13 19:05:07

I make my porridge with finely chopped apple, a spoonful of cinnamon and a quick squirt of agave syrup (you could use golden syrup) - it tastes like apple pie.

Another idea is breakfast muffins, there are loads of different recipes if you google, so bound to be one she likes.

There's even a one-cup, 5-minute recipe for one here

I have made these muffins for my lot a few times and they really like them. I know it's an Annabel Karmel recipe, but it's actually really nice.

VivaLeBeaver Mon 04-Mar-13 19:03:59

No to eggs, no to rice pudding she might have crackers. Will try those.

She goes through phases of eating stuff, nice upon a time she would happily have had boiled eggs and soldiers it was all she wanted for weeks. Then one day point blank refusal.

moosemama Mon 04-Mar-13 18:57:38

Hmm, poached or boiled egg? Crackers, low fat rice pudding, smoothie?

VivaLeBeaver Mon 04-Mar-13 18:23:56

Food diarys a good idea, will start that today and try and work out triggers whether its food or school days.

Short of cooking her a jacket potato or cheesy pasta I don't know what she could have at breakfast and I'm not sure shed feel like those first thing!

moosemama Mon 04-Mar-13 18:21:46

Hmm, hate to say it, but too much milk tends to set ds off as well. So the hot chocolate might be exacerbating things. We do have dairy intolerance in the family though (I hate to even think about that possibility with ds though as he is already, a gluten free staunch vegetarian with sensory related food issues hmm).

You're absolutely right about fizzy drinks. Fortunately they are another thing ds can't cope with sensory-wise, so we haven't had to deal wit that one.

Re breakfast. What foods does she like? Not necessarily breakfast foods, but just anything to make sure she has something every morning and then regularly throughout the day.

If she had a curry yesterday and was fine, but bad today, is there any chance that it's worse on school days? Just thinking a) that she probably eats less on school days - there can be competition in secondary schools for which girl can survive on the least food hmm and/or b) that if there is an anxiety/stress element to it, that relates to the social side of school, she might not even be aware of it, but you would probably find it's worse on weekdays, then settles a bit at the weekend.

I would advise starting to make a note in your diary every time she says she feels sick or is actually sick and seeing if there is any pattern to it. A food diary would be even better. Just quickly note down what she's eaten each day and underneath any symptoms. This was ultimately what helped us untangle what was going on for ds1.

VivaLeBeaver Mon 04-Mar-13 18:14:50

I'm going to get her gaviscon tablets for school.

VivaLeBeaver Mon 04-Mar-13 18:14:12

Moosemama, that's interesting about spicy foods making it worse. She had curry last night and though she was fine yesterday today has been a bad day.

I would love for her to eat breakfast but she dislikes toast, bagels, sandwiches, all cereals inc pop tarts, fruit, yoghurt, pancake, omelette, bacon butties, porridge.

I make her a big hot chocolate every morning so at least she's getting a load of milk.

I've told her she has to stop drinking lemonade as well because fizzy drinks won't be helping I wouldn't have thought. Should probably have thought of that before. grin

moosemama Mon 04-Mar-13 18:08:24

ALovelyBunch, from my experience with ds, there is no way he would make it to the bathroom in time and our bathroom is close to the dining room. It's a sudden forceful 'reflux' of food, so there's little time to react - and in ds's case he always freezes when he's sick anyway.

I do agree that she should be involved in cleaning it up though. If she has to at least help each time, you'd soon find out if she has any control over it.

Ds really couldn't handle Gaviscon, although he normally loves anything minty. For him it's the texture, although to be fair he has Aspergers and sensory problems with pasty food textures.

You can buy chewable Gaviscon, personally I dislike those more than the liquid, as they sort of foam up in your mouth - but it might be worth a try.

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