Top Symptoms of Gastrointestinal Issues in Children Explained
- Dr Kush Rupasinghe

- Sep 14
- 5 min read
Updated: Sep 24
As parents, we always want the best for our children. When they are healthy and happy, we feel at ease. However, when they start showing signs of discomfort, it can be worrying. Gastrointestinal issues are common in children, and recognising the symptoms early can make a significant difference. In this post, we will explore the top symptoms of gastrointestinal issues in children, helping you understand what to look for and when to seek help.
Understanding Gastrointestinal Issues
Gastrointestinal (GI) issues refer to problems that affect the digestive tract. This includes the oesophagus (food pipe), stomach, intestines, and other organs involved in digestion. Children can experience a range of GI issues, from mild discomfort to more serious conditions.
Common Gastrointestinal Issues in Children
Before diving into the symptoms, it is essential to know some common gastrointestinal issues that children may face. These include:
Constipation: This condition is characterised by infrequent bowel movements or difficulty passing stools, which can lead to abdominal pain and discomfort. It can result from a lack of dietary fibre, inadequate fluid intake, or changes in routine, such as starting school. Constipation can result from psychological issues, and often problems start at the time of toilet training. Painful stools can result in withholding - which compounds the issue.
Abdominal Pain: Children often experience abdominal pain due to various reasons, including constipation, functional gastrointestinal disorders, infections, or food intolerances. It can be acute or chronic (long standing) and may be accompanied by other symptoms such as nausea or changes in appetite.
Functional Gastrointestinal Issues: These are disorders like irritable bowel syndrome (IBS) in children, where symptoms such as bloating, gas, and altered bowel habits occur without any identifiable organic cause. These issues often require a multidisciplinary approach to management, including dietary changes and stress management.
Food Allergies: Allergic reactions to certain foods can manifest with gastrointestinal symptoms such as vomiting, diarrhoea, or abdominal cramps. Common allergens include milk, wheat, eggs, soya, fish and nuts. Managing these allergies often requires strict avoidance of trigger foods.
Reflux: Can occurs when stomach acid flows back into the eesophagus, causing symptoms like heartburn, regurgitation, and discomfort but in younger children it can be difficult to identify.
Feeding Issues: These can include difficulties in breastfeeding, eating, such as picky eating or refusal to eat certain textures or types of food. Feeding issues can lead to nutritional deficiencies and may require interventions from pediatricians or dietitians to ensure proper growth and development.
Top Symptoms to Watch For
Recognising the symptoms of gastrointestinal issues in children can help you take action quickly. Here are some of the most common symptoms to be aware of:
1. Abdominal Pain
Abdominal pain is one of the most common symptoms of gastrointestinal issues. Children may complain of a stomach ache or show signs of discomfort.
What to Look For: Watch for signs like holding their stomach, crying, or refusing to eat.
When to Seek Help: If the pain is severe, persistent, or accompanied by other symptoms like vomiting, it is essential to consult a doctor.
2. Vomiting
Vomiting can occur for various reasons, including infections or food intolerances.
What to Look For: Frequent vomiting, especially if it is accompanied by fever or dehydration, is a cause for concern.
When to Seek Help: If your child vomits multiple times in a day or shows signs of dehydration, such as dry mouth or lack of urine, seek medical attention. Green vomit or bloody vomit can be medical emergenices and you should attend the emergency department if your child has this.
3. Diarrhoea
Diarrhoea is another common symptom that can indicate gastrointestinal issues.
What to Look For: Loose or watery stools that occur more than three times a day (see Bristol Stool Chart).
When to Seek Help: If diarrhea lasts more than 24-48 hours or is accompanied by blood, fever, or dehydration, contact a healthcare professional.
4. Constipation
Constipation can be uncomfortable and painful for children.
What to Look For: Infrequent bowel movements, hard stools, or straining during bowel movements.
When to Seek Help: If your child has not had a bowel movement in several days or is experiencing severe pain, it is time to consult a doctor.
5. Bloating and Gas
Bloating and excessive gas can be uncomfortable for children and may indicate digestive issues.
What to Look For: A swollen abdomen or complaints of discomfort after eating.
When to Seek Help: If bloating is persistent or accompanied by other symptoms like pain or changes in appetite, seek medical advice.
6. Changes in Appetite
A sudden change in appetite can be a sign of gastrointestinal issues.
What to Look For: Loss of interest in food.
When to Seek Help: If your child refuses to eat for more than a day or shows significant weight loss, it is essential to consult a healthcare provider.
7. Fatigue
Fatigue can sometimes be linked to gastrointestinal problems, especially if the child is not absorbing nutrients properly.
What to Look For: Increased tiredness, irritability, or lack of energy.
When to Seek Help: If fatigue is severe or persistent, it is important to seek medical advice.
When to consider consulting Little Tummie Clinic and booking in with Dr Kush
It is crucial to know when to seek medical help for gastrointestinal issues. Here are some guidelines:
If symptoms persist for more than a few days.
If there is persistent abdominal pain.
Persistent reflux or vomiting (if severe we recommend going to the local emergency department).
If there is blood in the stool.
Poor growth
If there are significant changes in energy levels.
Practical Tips for Parents
As a parent, you can take several steps to help manage your child's gastrointestinal issues. Here are some practical tips:
1. Keep a Symptom Diary
Tracking your child's symptoms can help identify patterns and triggers. Note when symptoms occur, what they eat, and any other relevant information.
2. Encourage a Balanced Diet
A healthy diet can support digestive health. Include plenty of fruits, vegetables, and whole grains in your child's meals.
3. Stay Hydrated
Ensure your child drinks enough fluids, especially if they are experiencing vomiting or diarrhea.
4. Promote Regular Exercise
Physical activity can help keep the digestive system functioning well. Encourage your child to play outside or engage in sports.
5. Consult a Paediatrician
If you have concerns about your child's gastrointestinal health, do not hesitate to consult us here at Little Tummies Clinic. Dr Kush can provide guidance and recommend appropriate treatments.
Understanding the Emotional Impact
Gastrointestinal issues can also affect a child's emotional well-being. Pain and discomfort can lead to anxiety or stress.
Support Your Child: Talk to your child about their feelings and reassure them that they are not alone.
Create a Calm Environment: A supportive home environment can help ease anxiety related to gastrointestinal issues.
Final Thoughts
Gastrointestinal issues in children can be concerning, but understanding the symptoms can help you take action. By being aware of the signs and knowing when to seek help, you can ensure your child receives the care they need.
Remember, you are not alone in this journey. Many parents face similar challenges, and there are resources available to help. Stay informed, trust your instincts, and prioritise your child's health and well-being.




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