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Unexplainable tummy pain lasted 3 weeks

27 replies

Return2thebasic · 05/02/2021 23:34

DS had the first episode fairly badly. We were out for an afternoon long walk in a local woodland (mostly playing, not serious walking). On the way back home, he started slowing down walking to a level I had to drag him back to home. Only when we got home, I realised he actually became a bit lethargy, if not near fainting. He didn't realise he's not well until he had to lie down. Then the tummy ache started. He remained lying still for the rest of the day before being sent to bed after a quick meal.

From then onwards, the tummy ache has become intermittent for a whole week. But no fever, no vomit, no nausea, no diarrheas. Just tummy ache around his belly button. Despite the first episode was a bit scary, he seemed completely normal in between each mild episode. He ate as usual and slept fine. So we thought just keeping an eye.

It got a bit better after a week. Then again on the Friday afternoon, we went out for a walk. This time, he came home alright. But there was another relatively severe tummy ache on Saturday morning. It subsided after some lie down. But by evening time, he's all himself again. Over the course of the following week, the tummy ache like last time, happened a few times irregularly but less intense than Saturday.

I didn't notice there might be a pattern in relation to our going out. So when the weather was really good on Wednesday, I took him out just for a short walk. This time we walked really slowly and didn't go far. We then mostly stayed at one spot played with some stream from the rain water before heading back home (less than 1 mile). But his tummy started hurting right after we got home. This time it took some Calpol plys 3 hours to bring the pain under control. I gave him some nurofen before bed just in case. But he woke up on Thursday with a bad tummy ache so bad that we had to carry him downstairs and to the loo. But again, he was eating fine and no other symptom except the tummy pain. But this time, he said the pain was on the right lower part under his belly button. This made us think if it's appendix issue.

We then called our GP. The nurse initially suggested might be grumbling appendix. She got hold of a doctor to see him in the afternoon. We then saw the doctor who after examination agreed it might be grumbling appendix and wrote a referral letter to A&E. When he finally got checked out by the A&E (a nurse and 2 doctors, according to DH), the doctors excluded appendicitis and quite a few other possibilities. In the end, he suggested the most possible explanation is constipation! DH wasn't entirely convinced (either am I), but he saw the doctor did check very thoroughly. So he only requested for a couple sachets of Movicol to clean DS's bowl before coming to any conclusion. DS had it yesterday and had a very loose stool this morning. Since then, I kept pressing him to have water and gave him plenty veggie (which we always did anyway).

I'm not convinced those severe episode could really because of constipation. But without other obvious symptoms, it's really difficult for anyone to look into it any further.

I was frightened by the episode on Thursday and the possibility of him having to have appendix operation in the middle of a pandemic. I honestly bursted into cry when he was at A&E with DH while I was at home with his baby brother. Felt really awful...hence want to know if any mumsnetter can provide some wisdom...

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LongJohnLewis · 05/02/2021 23:41

Could it be anxiety? We had years of investigations with DC but in the end it really does seem to be anxiety.
The nearly fainting aspect seems familiar too, sort of like a panic attack.
I can see how a child could be anxious about going outside at the moment.
I’m no medic so it’s just an idea.

Return2thebasic · 05/02/2021 23:42

I read some post where some child didn't have the usual symptoms of appendicitis but with a scan it was discovered that she had fluid in the appendix.

The arguments that adopted by the doctors were mainly that he has no other symptoms like fever or vomit and also a "common" observation that issues with appendix would not last 3 weeks (before it bursts).

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Return2thebasic · 05/02/2021 23:45

LongJohnLewis, thank you for replying! That's the first thing the GP checked. But DS is a bit "brainless" when it comes to recognising the adverse environment/situation. He also doesn't like to dwell long on negative feelings. So, even though, it's normal for children to feel anxious during the lockdown, but I doubt he's that "capable" to be consciously feeling that impact. Plus each every single time he had great fun outside with me. I don't think it's anxiety induced.

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gerbilfur · 05/02/2021 23:49

Abdominal migraines?

Return2thebasic · 05/02/2021 23:51

gerbilfur, he only had a mild headache once - this Thursday. Otherwise, no sign of headache.

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TheFormidableMrsC · 05/02/2021 23:52

DD had a friend who had stomach migraines, this sounds similar?

Embracelife · 05/02/2021 23:55

Yes they could be constipation
Definitely

Probiotics can help
( ask health food shop for kids probiotics)
And the movicol

Return2thebasic · 05/02/2021 23:55

TheFormidableMrsC, I thought abdominal migraines would have headache associated each time. Is that not the case? (I suppose I can look up online...)

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Return2thebasic · 05/02/2021 23:57

Embracelife, would going out for a walk be a trigger if constipation? I didn't think that's possible...

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TaraR2020 · 06/02/2021 00:09

Even if he's remaining in blissful ignorance of the wider situation could he be experiencing anxiety and stress from it's effects? Being stuck at home, home schooling, not being able to see friends.

The stress of it is getting to us all in different ways, even if we think we're doing ok?

I agree that my first thought was anxiety as its common for children to experience tummy aches from chronic stress or worries.

Alternatively, although I've never had the misfortune to experience it, constipation can cause a lot of pain and if its low level and going on for a while then it seems feasible to be the cause.

I think its best for you to try not to worry too much at this stage. I know that's easier said than done when it's your child in pain, but if he's had a thorough investigation and displaying no worse symptoms at this point I don't think you need to be too alarmed.

Children pick up so easily on parental worries that it definitely won't him if it is anxiety based and he'll only get scared if it's not. That you say he doesn't like to dwell on negative feelings might suggest that he's suppressing some.

If its feasible, and apologies if this is something you already do, I'd encourage him to name his feelings, if only to himself and let them pass by.

Some children benefit from writing their worries down and putting them somewhere. Parents can read them in private so that the communication is carried out in a way that is comfortable for the child and the parent can address them in the way that they know is right for their child.

I think I once saw a soft toy into which children could place their worries and then parents could read when they're in bed. No idea what it was called but you could Google it.

With regards to physical symptoms, all you can do is watch and wait. If anything crops up, such as sudden severe pain, temperature, vomiting etc (all the things the docs mentioned) then seek medical advice again. Likewise if it doesn't get better.

Usual stuff (disclaimer: I'm not a health care professional!)

In the meantime, emphasises on the zen for both of you and perhaps look at ways to address any possible worries your son may have (and not be acknowledging) - or simply the strain of these continual lockdowns.

From what you've said so far, I'm guessing this might mean as much time outdoors as possible :)

bubblebubblebubbletrouble · 06/02/2021 00:32

My dd1 has had stomach pains for the last month similar to those described.
Twice gp has sent us to a&e. She's had ultrasound on appendix, gallbladder, liver.
Paed consultants, surgical team & essentially all we've established is it's not appendicitis.
In her case I'm fairly sure it's not constipation- we've been there before so are familiar with symptoms
Adominal migraine has been mentioned but unlikely to last that long and be constant apparently as has early ish puberty (she's nearly 10) & food intolerance but with pain only on one side this is unlikely too apparently.
Doctors haven't mentioned anxiety but it has crossed my mind. This lockdown has been much harder for us, work is crazy busy & dd2 (6) is feral.
Hope he gets well soon op

TAmumto3 · 06/02/2021 09:04

DS ended up in a&e during the first lockdown with suspected appendicitis - just like your DS he had ongoing pain but no temperature, no vomiting, no diarrhoea and eating normally. Turned out to be constipation confirmed by X-ray. We were v embarrassed! Doctor actually said they had seen a few similar cases and he thought reduced activity and anxiety might be playing a part. We resolved it with prune juice - always keep a carton in now as DS old enough to understand and help himself if necessary!

BaggoMcoys · 06/02/2021 09:33

My dd had this and ended up having tests done at hospital where no problems were found. She definitely wasn't constipated. She wasn't showing signs of being worried or stressed but she had not long started school when this happened and I really think it was anxiety in her case.

TheFormidableMrsC · 06/02/2021 10:14

@Return2thebasic

TheFormidableMrsC, I thought abdominal migraines would have headache associated each time. Is that not the case? (I suppose I can look up online...)
In the case of DD's friend it was just her stomach.
Embracelife · 06/02/2021 11:11

Walking coukd perhaps cause a blockage to move a little and cause pain
Child can poo but still have impaction
My ds had terrible pain from constipation

Probiotics really really heloed get a paedoayric powder for kids to add to juice or milk (biocare do one)

When a friend was in a and e with dc similar to yoi i said constipation .

It was.

Dc went on regimen movicol and probotics it really helped

The other issue mentioned is anxiety..read through the big bag of worries with him

Elisheva · 06/02/2021 11:22

My Ds has IBS and has episodes that sound very similar to your son. It is exacerbated by anxiety and stress, but does happen randomly.
He had several tests and investigations to rule out more serious conditions (Crohns/IBD), but thankfully it’s ‘only’ IBS. He now takes mebeverine and buscopan which keeps his symptoms under control, and he has a toilet pass at school.

Whywonttheyletmeusemyusername · 06/02/2021 11:35

Following, as I could have written ur post OP....my DD is currently undergoing many many tests

LongJohnLewis · 06/02/2021 12:47

My DC wasn’t a worrier either. The “attacks” seem to come on at times of change and are as often linked to fun things as negatively stressful events.
We had years of investigations and nothing conclusive was found. It got really bad when she hit the beginnings of puberty and we got some private mental health cate from a specialist who deals with this a lot.
DD still gets the attacks but now we and she know how to deal with them, amd that she’s not going to die, we can manage them.
Sorry if I’ve confused with DC and DD. Trying not to out her but was getting cumbersome.

Escape1234 · 06/02/2021 18:54

I think constipation is a strong possibility.

Very similar presentation to my DD who is now 6 and has had regular tummy issues since she was 3. Plenty of visits to the doctor and a long term prescription for movicol. It can be very uncomfortable for them and frustrating for all. And so up and down.

Sorry only time for short message now as busy but we find that movicol is helpful as is drinking lots, plus exercise. Lots of resources online, but most helpful I think is to keep a diary of bowel
Movements so you can get a better view yourselves (we are all familiar with the Bristol stool chart in this house!).

Return2thebasic · 06/02/2021 22:33

TaraR2020, really appreciate you took time to write such a lengthy reply. I will dig in a bit more on his mental health. I think we are both hitting the wall of lockdown fatigue this week. Lots of negative emotions from both sides. We had a serious chat this afternoon and before bedtime. He did recognise that he also felt frustrated and impatient more frequently lately. Hopefully, by recognising it, we can work better on it somehow...

TAmumto3, Thank you. It did come across my mind if constipation, the only explanation of the sudden attach would be prolonged reduced active hours in the day over all these months. It does make sense. But we will still keep an eye on him.

Embracelife, thanks for all the recommendation and advice. Funny though, I had been giving him probiotics since the first episode. So shall it suggest it's not constipation then? Especially I thought he's been drinking enough water... Worrying...

Thanks to all. He was made to drink plenty of water, lots of veggies and has had Movicol today. But no loo visit for the day. Neither tummy ache. So...keep monitoring...

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Quarterback11 · 06/02/2021 22:40

Same story here. GP said to take movicol and probiotics for 2 weeks. Having regular bowel movements so I don't know. Following.

Embracelife · 06/02/2021 22:44

You need to take probiotics over a few months really

Return2thebasic · 06/02/2021 22:51

Embracelife, when he had the first episode, he had horrible smelly breath. The probiotics seemed to have sorted that out fairly quickly. I will keep giving to him. Thank you.

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