Yu pikin kin gɛt bɛlɛ pen bɔku tɛm? Yu nɔ ebul fɔ fɛn rizin fɔ am? (Functional Abdominal Pain we de wok) .

Yu smɔl pikin kin se ɔltɛm se, "Mama, mi bɛlɛ de at?" I go mɔs bi se yu kin fil bɔku fred we yu tɔk dat, nɔto so? We yu go to dɔktɔ ɛn dɛn se, "Dis na wetin nɔ rayt," ɔ ɔda tin, i kin mɔna yu. Na so wi go tɔk bɔt bɛlɛ pen we di pikin kin rili fil, pan ɔl we dɛn nɔ kin fɛn ɛni klia rizin. Dɔktɔ dɛn kin kɔl dis ``Functional Abdominal Pain.'' Sɔntɛnde dɛn kin kɔl am bak ``Centrally Mediated Abdominal Pain Syndrome.'' Lɛ wi tɔk bɔt dis simpul wan, insay wi langwej. Wetin na Functional Abdominal Pain? Fɔ tɔk am simpul wan, ``Functional Abdominal Pain'' na we pikin gɛt bɛlɛ pen, ɛn dɔktɔ de chɛk am, bɔt i nɔ ebul fɔ fɛn wan patikyula fyzikal kɔz (fɔ ɛgzampul, intestinal ɔlsa, wom, infɛkshɔn). Bɔt dis nɔ min se di pikin de lay. Di pen rili de de. Imajin, dɔktɔ dɛn kin luk fɔ sɔm sayn dɛn lɛk dis fɔ no dis sik:

• Dis bɛlɛ we de at fɔ kam at le 4 tɛm insay di mɔnt .
• I fɔ kɔntinyu lɛk dis fɔ at le tu mɔnt .
• Bɔrku tɛm, dis pen nɔr kin te pas wan awa.
• I tan lɛk se dis bɛlɛ we de at nɔ gɛt ɛnitin fɔ du wit fɔ it, rɔn rawnd, ɔ fɔ go na tɔylɛt.
• Pikin we gɛt dis sik kin gro ɔp ɛn i kin rili lɔng ɛn gɛt wɛlbɔdi. Nɔto ɔltɛm dɛn kin si pɔsin we de lɔs in wet.
• Bɔt sɔntɛnde dis pen kin bɔku we pɔsin strɛs ɔ wɔri .

di gud nyus na dat bכku pikin dεm we gεt ``Functional Abdominal Pain'' kin bεtε insay fכ wik כ mכnt. I nɔ kin izi fɔ mek big prɔblɛm we go de fɔ lɔng tɛm, kam.

Us ɔda sayn dɛn de apat frɔm bɛlɛ pen?

Di men tin na di bɛlɛ we yu tɔk bɔt. Bɔt di pikin kin gɛt ɔda tin dɛn bak we i nɔ kin fil fayn lɛk:

• Nɔs: Dis min se yu go fil lɛk se yu go vɔmit ɔ yu bɛlɛ de tɔn ova.
• Ɛd we de at: Na kɔmɔn tin fɔ mek sɔm pikin dɛn gɛt ed we de at wit bɛlɛ we de at.
• Diziz: Na filin fɔ layt ɛn ed de spin .
• Fɔ fil taya pasmak: Yu kin fil so taya dat yu nɔ go ebul fɔ du natin.

Dɛn sayn ya nɔ kin apin to ɔl pikin di sem we. Sɔm pikin dɛn kin jɔs gɛt bɛlɛ we nɔ fayn, ɛn ɔda wan dɛn kin gɛt wan ɔ mɔ pan dɛn ɔda sayn dɛn ya.

Wetin mek dis Functional Abdominal Pain kin apin? Wetin na di kɔz?

Infakt, dɔktɔ dɛn stil nɔ no 100 pasɛnt fɔ tru wetin kin mek pɔsin gɛt Functional Abdominal Pain. Bɔt, bɔku tin dɛn de we pipul dɛn kin tink bɔt. Dɛn tink se i gɛt fɔ du wit wan sɛnsitiviti na di bren-gut aks, di nerve signal system bitwin wi bren ɛn intestinal . Fɔ tɔk am simpul wan, sɔm pikin dɛn intestinal kin fil mɔ pas di avɛrej pɔsin to ivin simpul tin dɛn we kin mek dɛn du sɔntin (fɔ ɛgzampul, we dɛn strɛch di bɛlɛ ɔ di rɛktum smɔl). biכs fכ dis vishכnal haypasεnsitiviti, dεn pikin ya kin gεt pen ivin we dεn nכ fil natin. di we aw dεn nεv signal dεm ya de wok kin difrεn sכmtεm. Dis kכndyushכn kin bi pan pikin dεm we ol bitwin 4 εn 16. Sɔm tεm, dis kayn pen kin bigin bak afta dεn bin gεt intestinal infεkshכn bifo. Dat min se ivin afta we di bɛlɛ bɔg dɔn go ɛn wɛl, di sɛnsitiviti fɔ di intestin dɛn kin kɔntinyu fɔ de go ɔp fɔ sɔm tɛm. Dɔn bak, strɛs kin rili afɛkt dis. Imajin, if big chenj bin de na di os (fɔ muf go na nyu os, chenj skul, famili prɔblɛm, mama ɛn papa separet, ɛn ɔda tin dɛn), dis bɛlɛ we de at kin gɛt fɔ du wit dɛn kayn tin dɛn ya we kin mek pɔsin strɛs . Sɔm pikin dɛn de, dɛn kin fil smɔl, dɛn kin wɔri izi wan. Dɛn kayn pikin ya kin gɛt dis sik bak.

Aw dɔktɔ go kɔrɛkt wan fɔ no se dis na Functional Abdominal Pain?

We yu tɛl yu pikin bɔt in bɛlɛ we de at lɛk dis, di fɔs tin we dɔktɔ go du na fɔ mek shɔ se no ɔda siriɔs mɛrɛsin nɔ de. Dis kin inklud:

• Aks yu pikin ɛn yusɛf bɔt di sayn dɛm: Aks yu pikin ɛn yusɛf bɔt di kayn pen we i de fil, aw lɔng i dɔn de, ɛn us ɔda prɔblɛm dɛn we gɛt fɔ du wit di pen. Na mɔtalman, luk fɔ we yu de lɔs yu wet, we yu nɔ ebul fɔ gro fayn, fiva, bɔdi we de at, we yu de vɔmit ɔltɛm, blɔd na yu stɔl , ɛn "rɛd flag" sayn dɛm lɛk at at.
• Fɔ chɛk di pikin: Dɛn kin chɛk di pikin gud gud wan. Dɛn kin palpat di bɛlɛ ɛn chɛk ɔda tin dɛn we nɔ fayn.
• Besik tɛst dɛn: Bɔku tɛm, dɛn kin du bɔku blɔd tɛst ɛn wan stɔl tɛst fɔ ɔkult blɔd. dis kin gi sכm aidia fכ if inflameshn de na di intestכn dεm.
• Fɔ aks bɔt strɛs:Wi kin aks bak bɔt di chenj dɛn we dɔn apin na di pikin in layf dis biɛn tɛm, di prɔblɛm dɛn we i gɛt na skul, ɛn di tin dɛn we kin mek i strɛs na di os. Bikɔs, lɛk aw wi bin dɔn tɔk, strɛs kin afɛkt dis.

di imכtant tin na dat if di pikin nכ gεt εni wan pan di "wכnin sayn dεm" we wi bin dכn tכk bכt, if di fyzikal egzamin n כmal, εn if di bכdi εn stכl tεst nכmal we nכ gεt nכ big prכblεm, den insay bכku kes dεm nכ nid fכ du כda big, kכmpleks tεst dεm (e.g., `(Endoscopy)`, `(Ultrasound Scan)`). Dɔktɔ go jɔs dɔn se `(Functional Abdominal Pain)` de afta i dɔn rul ɔut ɔda siriɔs kɔz.

Wetin na di tritmɛnt dɛm fɔ dis? Aw a go ebul fɔ wɛl?

We i kam pan fɔ trit Functional Abdominal Pain, no wan saiz-fit-ɔl we nɔ de. Di tritmɛnt kin difrɛn frɔm wan pikin to ɔda pikin, i kin dipen pan di kayn sik we dɛn kin gɛt. Dɔktɔ dɛn kin trit am bay we dɛn yuz wan ɔ sɔm pan dɛn we ya:

• Di chenj dɛn we dɛn kin mek na di it we dɛn de it:
• Sɔm it dɛn lɛk kabij, brɔkoli ɛn kɔliflawa, ɛn bins, dɛn kin advays fɔ ridyus di it dɛn we dɛn de it .
• I fayn fɔ lɛ yu nɔ put bɔku tin dɛn lɛk it dɛn we gɛt ɔyl, it dɛn we dɛn dɔn frɛsh, ɛn it dɛn we dɛn kin it fast fast .
• Drink dɛn we gɛt kabon lɛk soda, drink dɛn we gɛt swit, ɛn it dɛn we gɛt spays kin bi prɔblɛm bak fɔ sɔm pikin dɛn.
• sכm pikin dεm kin tεst bak fכ kכndishכn lεk ``Lactose intolerance'' εn aks fכ limited milk εn dairy fud if nid de.
• Mɛrɛsin dɛn (drɔg dɛn): .
• Mεrεsin dεm de we dεn kin gi fכ ridyus bεlε pen εn kramp.
• if yu fil se di asid we de na di bכdi tu hכy sכmtεm, dεn kin gi yu mεdikeshכn dεm we de ridyus am (e.g., antacids, proton pump inhibitors ) fכ sכm tεm.
• Sɔntɛnde, dɔktɔ kin gi am bak smɔl doz mɛrɛsin dɛm we de afɛkt di nervɔs sistɛm (lɛk ``Amitriptyline'') fɔ ɛp fɔ ridyus di sɛnsitiviti to pen. Bɔt dɛn kin tek tɛm gi dɛn tin ya.
• We di pen dɔn wɔs, dɛn kin advays yu fɔ yuz wan simpul pen kil (e.g. paracetamol) fɔ shɔt tɛm.
• Tɛknik fɔ Kɔnsul ɔ Rilaks:
• Dis na wan tin we rili impɔtant. Kɔnsul ɔr saykotɛrapi kin rili ɛp fɔ mek di pikin nɔ strɛs ɛn wɔri ɛn fɔ lan aw fɔ dil wit dɛn kayn filin ya.
• Fɔ praktis fɔ du ɛksɛsayz fɔ blo, fɔ tink gud wan, ɛn fɔ rilaks lɛk yoga kin bi fayn we fɔ ɛp fɔ kɔntrol di pen.

Ustɛm yu nid fɔ go to dɔktɔ bak?

If dɔktɔ dɔn no se yu pikin gɛt ``Functional Abdominal Pain'', i nɔ kin bi natin fɔ wɔri bɔt. Bɔt if ɛni wan pan dɛn nyu "wɔnin sayn" ya apia, yu fɔ rili go to dɔktɔ bak jisnɔ:

• If blɔd de na di stɔl (blak ɔ rɛd).
• If dayarɛa kɔntinyu fɔ pas tu dez , mɔ if i gɛt wata.
• If yu kɔntinyu fɔ vɔmit fɔ pas tu dez , ɔ if yu vɔmit bad bad wan.
• If blɔd de na di vɔmit (lɛk kɔfi grɔn ɔ rɛd).
• If di bɛlɛ de pen fɔ pas wan awa , ɔ if di pen de wɔs.
• If yu gɛt ay fiva (especially fɔ no ɔda rizin).
• If di pikin nɔ want fɔ it igen ɛn i dɔn ridyus di it we i de it bad bad wan ɔ i nɔ ebul fɔ it atɔl.
• If yu gɛt pen ɔ bɔn we yu de pis .
• If yu gɛt kɔnstipɛshɔn ɛn yu nɔ go na tɔylɛt fɔ sɔm dez, ɛn i nɔ kin fayn fɔ di pikin.
• If di jɔyn dɛn swel ɛn dɛn de fil pen.
• If i de mek bad tin apin to di skin.
• If di pikin de lɔs in wet ɔ i gɛt prɔblɛm wit ayt.

If yu si sayn lɛk dis, i fayn fɔ go to dɔktɔ wantɛm wantɛm, bikɔs i kin bi ɔda tin pas ``Functional Abdominal Pain''.

Aw wi as mama ɛn papa go ɛp wi pikin?

Pikin dɛm wae gɛt Functional Abdominal Pain kin fil sɔri ɔr wɔri sɔmtɛm as dɛn de liv wit de pen. Na nɔmal tin fɔ mek dɛn fil bad we dɛn mis skul wok ɛn ple. So, as mama ɔ papa, yu kin sɔpɔt yu pikin dɛn we ya:

• Kip yu pikin de du tin dɛn we i de du ɛvride: As yu ebul, ɛnkɔrej yu pikin fɔ du tin dɛn we i nɔmal, lɛk fɔ sɛn am na skul, fɔ ple spɔt ɛn tin dɛn we i lɛk fɔ du, ɛn fɔ spɛn tɛm wit in padi ɛn fambul dɛn. If yu put ɔltin na say ɛn kip dɛn na os bikɔs ɔf di pen, dat go jɔs mek di pikin tink bɔt am mɔ.
• Mek di pikin biliv se: "No siriɔs bɔdi nɔr de fɔ dis pen. Dis na tin wae kin apun to bɔrku pikin dɛm. I go bɛtɛ jisnɔ." Mek di pikin biliv tranga wan ɛn mek i gɛt kɔnfidɛns.
• Nɔ tɔk bɔt yu pikin in pen ɔltɛm: Yɛs, lisin to yu pikin we i de tɔk bɔt in pen, ɛn kɔrej am. Bɔt nɔ aks kwɛstyɔn ɔltɛm lɛk, "Yu bɛlɛ de at? Aw yu de fil naw?" ɔl di de. Bifo dat, pe atɛnshɔn pan wetin dɛn de tɔk, di talɛnt we dɛn gɛt, ɛn di tin dɛn we dɛn de du. Pikin dɛn kin fil bad mɔ ɛn fil bad we dɛn si dɛn mama ɛn papa de wɔri tumɔs bɔt dɛn.
• Tink bɔt yu maynd wɛl bɔdi bak: If yu de fil strɛs ɔ wɔri bɔt yu pikin in prɔblɛm, tɔk to pɔsin we de gi yu advays fɔ mek yu ɛp yu. Na natin fɔ shem fɔ. Yu kin jɔs ɛp yu pikin if yu wɛl.
• Tink bɔt aw fɔ advays yu pikin: Tink bɔt fɔ gi yu pikin di sɔpɔt frɔm pikin advaysa fɔ ɛp am fɔ kɔntrol aw i de fil, lan aw fɔ dil wit pen, ɛn praktis aw fɔ rilaks.

So, wetin na di impɔtant tin we wi fɔ kɛr go na os frɔm dis stori? (Mɛsej we dɛn kin tek go na os)

Okay, so naw yu dɔn ɔndastand mɔ bɔt wetin wi bin de tɔk bɔt (Functional Abdominal Pain). Fɔ dɔn, mɛmba dɛn pɔynt ya:

• Fɔ tɔk am simpul wan, ``Functional Abdominal Pain'' na bɛlɛ at we kin apin to pikin dɛn ɛn we dɛn nɔ kin no tru tɛst fɔ gɛt klia fyzikal kɔz, bɔt na di pikin kin rili fil am.
• Bɔrku tɛm, dis nɔr kin sho se yu gɛt siriɔs sik ɛn denja. If yu pikin de gro fayn, i nɔ de lɔs in wet, ɛn dɔktɔ dɔn chɛk am ɛn i dɔn kɔnfirm se no ɔda siriɔs prɔblɛm nɔ de, nɔ wɔri we yu nɔ nid fɔ wɔri.
• Saikɔlɔjik tin dɛm lɛk strɛs, wɔri, ɛn prɔblɛm na skul kin afɛkt dis pen dairekt wan. So, i rili impɔtant fɔ tek kia ɔf yu pikin in maynd ɔltɛm ɛn tɔk to dɛn.
• Fɔ mek smɔl chenj dɛn to yu it, fɔ yuz mɛrɛsin we dɔktɔ gi yu if nid de, ɛn mɔ fɔ rilaks ɛn fɔ advays yu na gud tritmɛnt fɔ dis sik.
• Na if yu pikin gɛt nyu, siriɔs simptom dɛm (di "wɔnin sayn dɛm" we wi bin dɔn tɔk bɔt fɔs) we dɛn nɔ bin gɛt bifo, na in yu fɔ go to dɔktɔ we yu nɔ de te.
• As mama ɛn papa, di bɛst tin we una go du na fɔ peshɛnt, ɔndastand, ɛn sɔpɔt yu pikin wit lɔv pan dis waka. Di sɔpɔt we yu go gi yu pikin go mek yu pikin gɛt bɔku trɛnk!