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Exploring the Causes and Treatments of Abdominal Pain and Diarrhea in Children: Traditional Chinese Medicine Perspective

▲ Abdominal pain in children may have 3 major warning signs. Chinese medicine deconstructs 5 common diarrhea symptoms and treatments.

[Children’s Health/TCM/Abdominal Pain]Abdominal pain in children is a common problem, but the reasons behind it are often ignored. Abdominal pain and diarrhea belong to the spleen and stomach category of traditional Chinese medicine and may be related to gastrointestinal function. Gastrointestinal diseases can be remedied the day after tomorrow, but if acquired malnutrition causes abdominal pain and diarrhea, we need to find out the cause to prevent this malnutrition from becoming a habit and increasing the incidence of chronic gastrointestinal diseases. Since children often cannot describe their illness clearly, as parents, we need to observe our children’s living habits and physical discomfort to avoid delaying the illness or increasing the risk of other gastrointestinal diseases.

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“To treat a disease, we must seek to treat the root cause”?

The human body is an overall metabolic system. Food needs to be processed into small molecular substances in the digestive tract before it can be absorbed into the body. Traditional Chinese medicine believes that the spleen and stomach are the acquired foundation. They are responsible for digesting and absorbing food and transporting nutrients to various organs and tissues throughout the body. If the transportation and transformation process of the digestive tract is disturbed, it will not only affect nutrient absorption and normal development, but may also lead to the occurrence of various digestive system diseases. Therefore, we cannot ignore frequent abdominal pain and diarrhea because they are warning signals from the body’s digestive system. In addition to immediately treating the symptoms of abdominal pain and diarrhea, we must also find out the causes of these problems to maintain the healthy functioning of the digestive tract and prevent various related digestive system diseases.

Common abdominal pain symptoms, lifestyle habits, and treatment principles include “cold” abdominal pain such as pale face, dark purple lips, intolerance to cold, cold hands and feet, etc. Intestinal malnutrition, craving for raw and cold foods, cold fruits, cold drinks…bad eating habits. Relief with traditional Chinese medicine that warms the body and dispels cold. “Hot” abdominal pain is associated with heat intolerance, bad breath, sour smell of vomitus or excrement, accompanied by constipation, etc. Intestinal malnutrition, craving for snacks, desserts, fried spicy, high-fat and heavy-tasting and other indigestible foods. Chinese medicine can relieve digestion, induce stagnation and clear away heat. Young babies cry and blush with colic, or may be accompanied by constipation. Intestinal development is not perfect, improper feeding, milk protein allergy, and will decrease with growth. Apply a warm compress and gently massage the abdomen, perhaps after farting.

Why be careful to prevent habits from becoming diseases?

Children’s spleen and stomach are weak and have a profound impact on food and medicine, so they need to pay attention to developing good eating habits and medication habits. Bad eating habits, such as eating cold fruits, raw and cold foods, baked pastries, snacks, carbonated drinks, and fried and tasty foods, will affect children’s gastrointestinal health. In addition, the mental stress of studying and sleep quality will also increase the incidence of abdominal pain and diarrhea. Therefore, we should pay attention to children’s eating and medication habits, as well as sleep quality and emotional status. This will help to detect the cause of abdominal pain early and avoid delays in the condition.

Common symptoms and treatments for diarrhea are as follows:

Common diarrhea symptoms and prescriptions include sour and smelly feces for typhoid fever, abdominal distension and pain after greasy food, abdominal pain accompanied by diarrhea, and abdominal pain disappears after diarrhea. Digestion, stagnation, spleen and stomach (Baohe Pills plus or minus) wind-cold type stools are thin and not heavy-smelling; accompanied by aversion to cold and fever.Relieve superficial dampness, regulate qi and harmonize the middle (Huoxiang Zhengqi Powder plus or minus) damp-heat type

The feces is thin, mucusy, dark yellow and smelly.

Nausea, fever, thirst, yellow and scanty urine.

Clearing away heat and relieving the surface (Puergen Qinlian Decoction modified) Spleen deficiency type watery diarrhea, light in color but not smelly, recurring attacks within a month, mostly diarrhea after meals, chlorosis, weight loss, poor energy.

Replenishing qi, strengthening the spleen, and relieving dampness in the stomach

(Xinlingbaizhu powder addition and subtraction)

Deficiency-cold type has loose stools, accompanied by undigested food, persistent diarrhea, mostly after meals, and is more sensitive to cold, with cold hands and feet. Warming and dispelling cold (Additional and subtractive Fuzi Lizhong Decoction)

Home Care 123

1. First aid for abdominal pain, diarrhea and vomiting

Abdominal pain, diarrhea, and vomiting are common due to uncontrolled contraction of the smooth muscles of the gastrointestinal tract. We can use topical medicated oil containing menthol to massage the abdomen for 1 to 2 minutes, and then use hot compress to relieve gastrointestinal smooth muscle spasm and adjust gastrointestinal function. Generally, symptoms of abdominal pain, diarrhea and vomiting should resolve within half an hour. If the symptoms do not improve, please pay attention to whether the child is dehydrated, such as reduced urine output, dry and dull skin, sunken eye sockets, etc. If so, please seek help from a professional doctor.

2. Prevent dehydration

According to the meridian theory of traditional Chinese medicine, the lungs and large intestine are related to each other from the outside to the inside. Once diarrhea causes dehydration, it will affect the body’s immunity and increase the risk of other diseases. For acute diarrhea in general school children, if symptoms last for 6 to 12 hours, the risk of dehydration will increase. Therefore, it is recommended that patients drink water or electrolyte drinks (for example: 1g of salt, 1 teaspoon of glucose, 500c.c. of water) to replenish the body’s loss of water and electrolytes.

3. Prevent recurrence

The spleen and stomach are acquired. Long-term and recurring abdominal pain and diarrhea reflect poor health of the spleen and stomach, such as loss of appetite and poor digestion and absorption in children. It is recommended that after diarrhea is over, you need to nourish the spleen and stomach to promote appetite and absorption capacity. In terms of dietary therapy, you can add poria, atractylodes, yam, coix seed, lotus seeds, lentils and other ingredients to the broth; you can also choose moxibustion, moxa Zusanli point and Tianshu point. All acupoints can strengthen the spleen and stimulate the appetite.

Huang Tianci Professor of Traditional Chinese Medicine
Honorary Fellow of City University of Hong Kong
Hong Kong Chinese Medicine Orthopedics Society (Eternal Honorary President)
Registered Chinese medicine practitioner in Hong Kong
Professor at Guangzhou University of Traditional Chinese Medicine

The title has been modified by TOPick editors. The original title is “Exploring the causes behind abdominal pain in children”

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Editor in charge: Wang Mingfang

2024-02-14 16:00:00

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