Stomach Pain in Teens: Causes and When to Seek Help - Gastroenterology and Hepatology

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Could you please provide more details about your stomach pain?


My child has been experiencing stomach pain frequently since starting junior high school.
I'm not sure why.
Could academic pressure be causing the stomach pain? Or is it because they force themselves to finish their lunch even though their appetite isn't that big? Should we take them to the hospital for some medical examinations?

Xiao Yu, 10~19 year old female. Ask Date: 2012/12/10

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Hello: It is recommended to undergo a gastroscopy.
Best wishes, Dr.
Chi-Feng Chen, Taoyuan Hospital, Department of Health.

Reply Date: 2012/12/10

More Info


Understanding stomach pain in adolescents, particularly in the context of academic pressure and dietary habits, is crucial for parents and caregivers. It is not uncommon for middle school students, like your child who has just entered the first year of junior high, to experience gastrointestinal discomfort. This discomfort can stem from various factors, including stress, dietary habits, and underlying medical conditions.


Causes of Stomach Pain in Teens
1. Academic Pressure: The transition to junior high often comes with increased academic demands. This pressure can lead to stress and anxiety, which are known contributors to gastrointestinal issues. Stress can manifest physically, causing symptoms such as stomach pain, nausea, and even changes in appetite. Conditions like functional dyspepsia or irritable bowel syndrome (IBS) can arise in response to stress, leading to chronic stomach discomfort.

2. Dietary Habits: Forcing a child to finish their meals, especially if they are not hungry or if the portion sizes are too large, can lead to discomfort. Eating too quickly, consuming large meals, or eating foods that are hard to digest can exacerbate stomach pain. If your child is experiencing discomfort after meals, it may be beneficial to consider smaller, more frequent meals rather than forcing them to finish a large lunch.

3. Underlying Medical Conditions: While stress and dietary habits are common culprits, it is essential to rule out any underlying medical conditions. Conditions such as gastritis, peptic ulcers, or even food intolerances can cause persistent stomach pain. If your child is experiencing severe or recurrent pain, especially if it is accompanied by other symptoms like vomiting, weight loss, or changes in bowel habits, it is crucial to seek medical attention.


When to Seek Medical Help
If your child is frequently complaining of stomach pain, it is advisable to consult a healthcare professional. Here are some signs that indicate a need for medical evaluation:
- Persistent Pain: If the stomach pain lasts for several days or keeps recurring, it is essential to have it evaluated.

- Severe Pain: If the pain is severe enough to disrupt daily activities or sleep, medical attention is necessary.

- Accompanying Symptoms: Symptoms such as fever, vomiting, diarrhea, or significant changes in appetite or weight warrant a visit to the doctor.

- Response to Home Remedies: If over-the-counter medications, dietary changes, or stress management techniques do not alleviate the pain, further investigation is needed.


Recommended Actions
1. Consult a Pediatrician: Start with a visit to your child's pediatrician, who can assess the situation and may refer you to a pediatric gastroenterologist if necessary. They may perform tests such as blood work, ultrasound, or an endoscopy if they suspect a more serious condition.

2. Dietary Adjustments: Encourage a balanced diet that includes smaller, more frequent meals. Avoid forcing your child to eat if they are not hungry, and try to identify any foods that may trigger discomfort.

3. Stress Management: Help your child develop coping strategies for managing stress. This could include relaxation techniques, physical activity, or engaging in hobbies they enjoy.

4. Monitor Symptoms: Keep a diary of your child's symptoms, noting when they occur, their severity, and any associated activities or foods. This information can be valuable for healthcare providers in diagnosing the issue.

In conclusion, while academic pressure and dietary habits can contribute to stomach pain in adolescents, it is essential to monitor the symptoms closely and seek medical advice when necessary. Early intervention can help address any underlying issues and improve your child's overall well-being.

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