My daughter who is 9yrs old complains of stomach ach quite often now a days and its usually followed by either oily food or cheesy food etc. also it happens when she happily plays and only while coming back home. Not able to discriminate if she is faking it. she is too smart to act when someone is looking at her and other times watching tv and acting on and off to keep attention from all
HI. This is true that it is difficult to discriminate the faking and actual reason of pain in abdomen. One history of pain on oily and cheesy food and when she is coming back home is indicative of some organic problem. We have to rule out all the probable reasons like Colitis, allergy to particular food, appendicitis, mesenteric lymph nodes -so common in this age group and worms. I would advise you to take her to the General / Pediatric surgeon when she is in pain so that a physical examination will help to see if she is faking or not, go for tests of blood, urine, stool, ultrasonography for a probable diagnosis and treatment. I would also advise such a patient to take one course of an antibiotic, metronidazole and anti-worm treatment.