Painkillers for children. What painkillers are suitable for children and nursing mothers

In the treatment of mild pain syndromes in children, parents rarely consult a doctor about which analgesic can be given to a child. At best, a pharmacy pharmacist will be able to recommend something from a wide variety of such drugs.

The number of registered painkillers, both prescription and non-prescription, is enormous. Only analgesics and non-steroidal anti-inflammatory drugs (NSAIDs) registered in Russia have more than 200 different trade names and over 1,500 thousand different dosage forms.

What analgesic, if necessary, can be offered to a child, and how to use it correctly? For clarification, we turned to Galina Grigorievna Ketova, professor, doctor of medical sciences, head of the department of clinical pharmacology of the clinic of the Chelyabinsk State Medical Academy, head of the Regional Center for the Study of Side Effects of Drugs.

Galina Grigorievna, please tell us what is the reason for the need to use painkillers in children?

Pharmacoepidemiological data indicate that up to 54% of children experience at least one episode of pain within 3 months, in 26% this pain is repetitive or chronic, in 8% the intensity of the pain syndrome is very pronounced.

The decrease in the quality of life in pain syndrome is most significant and far ahead of the decrease in the quality of life in diseases of the kidneys, skin, and visual impairment. Persistent pain in older children often leads to depressive disorders, negative interpersonal relationships in the family. Effective and safe elimination of pain syndrome, especially stubborn, prolonged, debilitating, can largely avoid mental health disorders in children.

The problem of the use of analgesics in pediatrics is associated, on the one hand, with the extremely high prevalence of various pain in children, and on the other hand, with the uncontrolled use of painkillers and their frequent overdose.

- What requirements should meet the "ideal" OTC analgesic for children?

Painkillers used in pediatrics are subject to the following requirements:

the presence of a children's dosage form;

the ability to quickly reach the maximum (peak) therapeutic concentration in blood plasma;

a relatively short half-life (prevention of accumulation by body tissues) and at the same time a sufficiently long action;

minimal risk of side effects. In international practice, three alternative drugs - ibuprofen, paracetamol and acetylsalicylic acid - are considered "ideal" OTC analgesics for adults, but the use of the latter in pediatrics is sharply limited due to the high risk of developing Reye's syndrome. In recent years, the incidence of Reye's syndrome in children in the United States has decreased significantly due to the restriction of the use of acetylsalicylic acid, which is an example of the effectiveness of the dissemination of professional drug information. In addition, acetylsalicylic acid leads to irreversible inhibition of platelet aggregation. Therefore, in a number of situations (pain after tooth extraction, pain during various punctures), even a single use of acetylsalicylic acid can increase or provoke blood loss. In newborns, salicylates can displace bilirubin from its association with albumin, which may contribute to the development of bilirubin encephalopathy. Unfortunately, metamizole sodium (Analgin) is the most widely used analgesic in Russia, although a few years ago the Pharmacological Committee of Russia decided to limit the use of this drug in children under the age of 15 years. The safety problems of metamizole sodium are not sufficiently covered by the media, and therefore parents "traditionally" continue to use it not only for self-treatment, but also for the treatment of children. According to WHO recommendations, the widespread use of metamizole sodium is not recommended in pediatric practice due to the possible development of severe complications - anaphylactic shock and agranulocytosis (Special letter dated 10/18/1991). It should be noted, based on medical experience, that short-term use of pyrazolone derivatives in a patient without allergies is unlikely to lead to the development of significant adverse drug reactions. The use of metamizole sodium in a hospital is not always accompanied by side effects, which require either large single doses of the drug or its repeated use. But it is with repeated administration that the risk of the toxic action of metamizole sodium can increase many times over and manifest itself at any time. Moreover, in young children, pyrazolone derivatives can have a negative effect very quickly, even after a single use. Numerous NSAIDs also have limitations for pediatric use due to their ability to exacerbate peptic ulcer disease. Among all NSAIDs in this regard, ibuprofen is considered the safest agent for short-term use, so it can be prescribed to children in order to achieve an analgesic effect for teething, trauma pain, as well as for ear, toothache and headache. RECKITT BENCKISER HEATHCARE launches original ibuprofen -Nurofen for children(suspension for oral administration with orange or strawberry flavor), approved for use in pediatric practice from 6 months of age. The drug does not contain sugar, dyes and other natural ingredients that could cause an allergic reaction. A special dispenser is attached to the medicine. - Sometimes there is a need to correct the pain syndrome in acute infectious and inflammatory diseases of the respiratory tract and ENT organs. Can Nurofen be used for children in this case? - Despite the fact that such treatment is devoid of pathogenetic orientation, it is still impossible not to admit that the use of analgesics (if necessary) greatly alleviates the condition of young patients. Nurofen for children has a pronounced and rapid analgesic effect in acute infectious and inflammatory diseases of the respiratory tract and ENT organs. In addition, Nurofen for children has antipyretic and anti-inflammatory effects. The duration of action of the drug is 8 hours, in contrast to the 4-6 hour action of paracetamol. A single dose of Nurofen for children is 5-10 mg/kg of body weight 3-4 times a day. The maximum daily dose is not more than 30 mg / kg / day. The duration of treatment as an anesthetic is no more than 5 days. In conclusion, I would like to express the hope that, through the joint efforts of pharmacologists and doctors, it will be possible to inform parents about the correct and rational use of painkillers in children, about safe and effective drugs. NUROFEN FOR CHILDREN (ibuprofen):

quickly relieves various types of pain

provides long-lasting pain relief - up to 8 hours

has anti-inflammatory action

well tolerated.

A child’s illness is a difficult time for any of the parents who are ready to stay up at night, just to ensure the baby has a speedy recovery and alleviates his suffering as much as possible. However, difficulties arise here, because not all medicines for relieving pain attacks are suitable for children. When choosing them, it is worth considering the existing contraindications and side effects. In this article, we will find out which pain reliever for children is safe and most effective.

Why painkillers are needed

Pain in a child can occur for a variety of reasons. With ARVI, the baby may have a headache, with otitis media, “shooting” pain appears in the ear, and various injuries can be accompanied by pain symptoms of both joints and soft tissues. In any case, the child should be shown to a doctor as soon as possible, who will be able to assess the condition of the baby and prescribe appropriate treatment. However, it is contraindicated to endure severe pain, especially for a child, which means that before the doctor arrives, it is worth giving him one of the suitable analgesics.

Painkillers for children

children under the age of twelve are most often prescribed widely advertised paracetamol-based products, that is, Calpol, Panadol and others;
babies can be given drugs based on ibuprofen, for example, Ibuprofen, Nurofen, as well as MIG-200;
children over twelve years of age can be given painkillers with the active substance nimesulide - Nimulide or Nimegesik.

In the case when the above medicines were not at hand, you can relieve the pain of the crumbs with the help of Analgin, choosing the dosage according to age. On the contrary, it is strictly forbidden for babies to give acetylsalicylic acid (Aspirin), because this can threaten children with a serious illness - Reye's syndrome, that is, fatty degeneration of the liver and swelling of the brain, which can lead to death.

How to choose the best pain reliever

Canadian scientists conducted a series of studies, as a result of which they found out that the safest and at the same time effective analgesic for children is the drug Ibuprofen. Such an anti-inflammatory non-steroidal agent is famous for its antipyretic and analgesic properties, which quickly helps babies, relieving pain. By the way, you can give such a medicine to children who have reached six months. But for crumbs up to six months, only Paracetamol will help relieve pain.

How to take painkillers for children

As for taking the drugs in question, then you should pay attention to the age of the child. For example, for babies from 6 to 8 months of age, it is best to give analgesics in the form of rectal suppositories, that is, suppositories. For older children, medicines in the form of syrups or suspensions are suitable. But teenagers can take painkillers in the form of tablets. The same Ibuprofen is available both in tablets or in suspension with strawberry or orange flavor, and in the form of rectal suppositories.

The dosage of the drug is prescribed directly by the pediatrician, because it is strictly individual and depends on the condition and age of the child. In an emergency, you can give the child painkillers, after reading the instructions in advance and choosing the dosage according to the age and weight of the child.

When not to give painkillers to children

Parents should know that with pain and cramps in the abdomen, analgesics are strictly contraindicated for the baby to give on their own. The medicine taken can blur the clinical picture of peritonitis, peptic ulcer or appendicitis, which is extremely dangerous, as it will not allow an accurate diagnosis to be made in a timely manner. Take care of your children!

Abdominal pain in a child is a fairly common problem at any age. The modern rhythm of life, unhealthy diet, lack of adequate physical activity contribute to the development of diseases of the gastrointestinal tract in children. The main way to help the child in this situation is to use the medicines prescribed by the doctor.

The main causes of abdominal pain in a child

Among children in each age group, different mechanisms of the occurrence of pain in the abdomen predominate.

A feature of the digestion of newborn children is the immaturity of enzymes - the main proteins for the breakdown of nutrients. In addition, at this age, the formation of intestinal microflora from beneficial bacteria that help digest food occurs. In this regard, a common problem that causes abdominal pain in infants is increased gas formation.

At an early age (1–3 years), children need a special diet due to the immaturity of enzymes. The consequence of a violation of the diet is constipation or loose stools, accompanied by spastic contractions of the intestinal muscles. Spasms of the muscles of the wall of the gastrointestinal tract lead, in turn, to the occurrence of pain in the abdomen.

In school and adolescence, diseases of the pancreas and gallbladder are common, which negatively affect the digestive process and lead to the appearance of pain in the abdomen. Infection of the body with the bacterium Helicobacter pylori is the main factor in the development of the inflammatory and ulcerative process in the stomach, which can also be accompanied by the development of painful sensations. Increased acidity of the gastric juice is also the cause of abdominal pain.

In children of all age groups, abdominal pain may be due to indigestion associated with the death of normal intestinal microflora after taking antibiotics or eating poor-quality foods.

Photo gallery of reasons

Spasms of the intestinal muscles - the cause of cramping abdominal pain Dysbacteriosis - the main cause of abdominal pain in a child after taking antibiotics Enzyme deficiency - the main cause of abdominal pain in young children Flatulence - one of the main causes of abdominal pain in newborns and young children Increased acidity gastric juice - the main cause of abdominal pain in older children The bacterium Helicobacter pylori - the main cause of gastritis and ulcers

The mechanism of action of drugs used for abdominal pain

Pharmacological drugs used to eliminate pain in the abdomen in children are divided into a number of groups according to the nature of their action.

Painkillers

The action of this group of drugs is based on their ability to block the conduction of pain signals from the pathological focus along the nerves to the brain. These drugs also have an anti-inflammatory effect due to the blockade of the chain of biochemical transformations triggered by the damaging agent.

Antispasmodics

The muscles of the gastrointestinal tract make up the middle layer of the wall of the stomach, intestines, and gallbladder. The special anatomical structure allows them to move food through the digestive canal. Pathological muscle contraction (spasm) occurs under the influence of increased calcium content in them. Antispasmodics block the entry of calcium into muscle fiber cells, relieving spasm.

Antacids

The main component that determines the acidity of gastric juice is hydrochloric acid. Normally, it is produced by specific cells of the stomach wall (parietal) in an amount sufficient to create an acidity level of one and a half to two units. With an increase in acidity, gastric juice corrodes the gastric mucosa, leading to the appearance of its defects - erosions and ulcers. Antacids block the production of hydrochloric acid in the parietal cells, thereby eliminating its pathological effect on the stomach wall.

Antihelicobacter

Helicobacter pylori is a microbe that lives in the stomach and calmly tolerates its extremely acidic environment. Currently, this bacterium is a proven cause of inflammation of the gastric mucosa (gastritis) and peptic ulcer. Antihelicobacter drugs disrupt the vital processes of the microbe and lead to its death.

Enzyme preparations

Food enters the digestive tract, usually in the form of complex chemical compounds: proteins, fats and carbohydrates. In order for nutrients to be absorbed from the lumen of the stomach or intestines into the blood, the body needs to break down complex compounds into simpler constituents. This process occurs under the influence of digestive juices: gastric, pancreatic and bile. Each of them contains specific substances of protein nature - enzymes. These chemical compounds are necessary to accelerate the processes of splitting and absorption. The lack of enzymes leads to digestive disorders. Enzyme preparations contain these chemical compounds in the required amount.

Sorbents

Very often, food poisoning from poor-quality products leads to a flood of the digestive tract with harmful substances - toxins that cause vomiting, loose stools (diarrhea) and increased gas formation (flatulence). Sorbents are special substances that capture all harmful chemical compounds with their surface and remove them from the body.

Probiotics

The process of digestion of food requires the active participation of beneficial bacteria in the intestines. Most of the microflora of the digestive tract belongs to the genus bifidobacteria and lactobacilli. Probiotics contain live beneficial microorganisms.

Prebiotics

For the settlement of beneficial bacteria in the gastrointestinal tract, it is necessary to create comfortable conditions for the microflora. To solve this problem, there are prebiotics - special substances designed to become a "home" for beneficial bacteria.

Video: The main clinical aspects of abdominal pain in a child

Forms of drug release

The active drug substance can be produced by the manufacturer in various forms. For ease of use, there are the following forms of release of drugs:

Tablets are a solid dosage form. The drug, as a rule, additionally contains excipients necessary to obtain a single structure that is convenient for ingestion. The following chemical compounds act as such: talc, corn starch, xylitol, sorbitol and many others.
Capsules also belong to solid forms of release. In addition to the excipients described above, these preparations contain an integumentary membrane, due to which the active substance is released in a certain area of the gastrointestinal tract.
Solutions for injection in ampoules are liquid dosage forms. In addition to the active substance, the drug usually contains sodium chloride or distilled water as a solvent.
A suspension is a suspension of small solid particles of the active substance in a liquid. As the latter, distilled water, ethyl alcohol, glycerin, vegetable oils are present in the dosage forms. Suspensions are used, as a rule, orally, less often intramuscularly.
The gel belongs to the soft forms of drug release. The combination of active substance and solvent in a minimum amount provides a viscous elastic consistency. Vaseline oil, lanolin, ethyl alcohol, glycerin are used as a formative substance.
Syrup refers to liquid dosage forms. As a rule, an excipient is added to the active agent in the form of a sugar solution and vegetable oils.
Powder refers to solid dosage forms. The active substance and the excipient are free-flowing. Magnesium carbonate, sodium alginate are used as auxiliary powder.
Candles - a dosage form intended for introduction into the body. Rectal suppositories are used to treat constipation. The dosage form is injected through the anus into the lumen of the rectum. Rectal suppositories contain cocoa butter and medical glycerin as a formative substance.
Microclyster is a liquid dosage form, with the help of which the active substance is delivered directly into the lumen of the rectum in a certain dosage. As an auxiliary component, the drug contains medical glycerin and purified water.
Drops - liquid dosage form. Its basis is the aforementioned suspension. A distinctive feature of these drugs is the drip method of dosing.
Emulsion is a dosage form, the main component of which is the essential oil of plants, distributed in the form of separate particles in purified water.

Photo gallery of types of medicines

Tablets - the easiest dosage form to use Powder - the release form of probiotics and prebiotics The drug substance from capsules is released and acts in the intestines Injection solution is applicable for severe nausea and vomiting Suspension - an effective form of antacid preparations Gel - a modern form of sorbents release Syrup - a convenient drug form for use in children

Indications for use

Medicines are prescribed by a pediatric gastroenterologist for the following diseases of the digestive tract that cause pain in the abdomen:

inflammation in the stomach (gastritis);
inflammatory process in the intestine (enteritis, colitis);
inflammation in the pancreas (pancreatitis);
inflammation in the gallbladder (cholecystitis);
erosive and ulcerative lesions of the wall of the stomach and intestines;
digestive disorders (dyspepsia);
food poisoning;
colonization of the intestines with pathological microflora (dysbacteriosis);
insufficient amount of enzymes in digestive juices (gastric, intestinal, pancreatic, bile).

Contraindications to taking drugs and unwanted effects

There are quite a few contraindications to the appointment of certain drugs to eliminate pain in the abdomen in children:

For all drugs without exception, a contraindication is the individual intolerance of its various components.
Antispasmodic drugs should not be used for low blood pressure (hypotension). These substances relax not only the muscles of the stomach and intestines, but also the walls of blood vessels;
Painkillers should only be used as directed by a doctor. The effect of these drugs significantly changes the symptoms of serious diseases of the stomach and intestines, requiring immediate medical attention: appendicitis, perforation of a stomach and duodenal ulcer, intestinal obstruction, internal bleeding.
Painkillers in tablet form cannot be used for erosive and ulcerative lesions of the stomach and duodenum, since their negative effect on the mucous membrane can aggravate the course of the pathological process.
Preparations that promote the separation of bile are not used in the proven presence of stones in the gallbladder and ulcerative lesions of the stomach and duodenum.

In addition to the above undesirable effects, each drug has side effects that are not directly related to the mechanism of its effect on the body. Such effects include:

headache;
drowsiness;
nausea and vomiting;
stomach ache;
skin itching.

Side effects on the background of taking medications are very rare and are due to the manifestation of an individual reaction of the body.

Many drugs are prescribed only after reaching a certain age.

Application methods

Most drugs for abdominal pain in children are used exclusively orally: sorbents, antacids, enzymes, anti-Helicobacter drugs, probiotics, prebiotics. Painkillers and antispasmodics can be used orally or as injections, depending on the form of release.

After eating, painkillers, enzyme, antispasmodic drugs are usually taken. Antacids are used before meals for fifteen to twenty minutes, which are necessary to create a medicinal film that protects the mucous membrane. Antihelicobacter drugs and sorbents are also used before meals.

Liquid antacids and any other drugs should not be taken orally at the same time, since the absorption of the latter into the bloodstream from the lumen of the stomach or intestines is significantly reduced.

Combinations of drugs for the treatment of abdominal pain in a child

For the treatment of abdominal pain in children, depending on the cause of its occurrence, as a rule, combinations of several pharmacological drugs are used.

Pharmacological treatment of pain in the abdomen caused by an inflammatory process in the stomach

Pills

Name of the drug	Active substance	Release form	Indications	Contraindications		Price
Algedra Magnesium hydroxide	Gastritis	Alzheimer's disease Impaired kidney function	12 years	From 142 rubles
Algedra Magnesium hydroxide	Chewable tablets	Peptic ulcer of the stomach and duodenum Gastritis	Alzheimer's disease Impaired kidney function	15 years	From 238 rubles
Ranitidine	Ranitidine	Pills	Gastritis peptic ulcer Esophagitis	Individual intolerance	12 years	From 8 rubles

Photo gallery of drugs for the treatment of abdominal pain in children with gastritis

Almagel - an antacid drug for children Maalox - a modern drug to protect the stomach wall from the damaging effects of gastric juice Gaviscon - an effective antacid drug

Pharmacological treatment of pain in the abdomen in children with ulcerative lesions of the stomach and duodenum

Treatment of peptic ulcer is carried out according to standard schemes, including several drugs. The main goal of therapy is to eliminate the bacterium Helicobacter pylori, which damages the wall of the stomach and duodenum. Currently, drug combinations are constantly being improved in order to minimize side effects.

Pharmacological treatment of abdominal pain in a child caused by cholecystitis

Name of the drug	Active substance	Release form	Indications	Contraindications	Permissible age for prescribing the drug	Price
Activated carbon Bile Nettle leaves Garlic seed bulb	Pills	chronic hepatitis Cholangitis Cholecystitis	Obstructive jaundice Acute hepatitis peptic ulcer	7 years	From 11 rubles
Injection Pills	peptic ulcer Cholecystitis Pancreatitis	Glaucoma	2 years	From 14 rubles
Metamizole sodium Pitophenone hydrochloride Fenpiverinium bromide	Pills Injection		Hemophilia kidney failure tachyarrhythmia	5 years	From 91 rubles
papaverine hydrochloride	Injection Suppositories rectal Pills	Cholecystitis Colitis Pylorospasm	Glaucoma heart block Kidney dysfunction	6 months	From 29 rubles

Photo gallery of drugs for the treatment of abdominal pain in children caused by cholecystitis

The drug Allochol is used for choleretic purpose Drotaverine has a pronounced antispasmodic effect The drug Spazgan is an effective analgesic The drug papaverine is an effective antispasmodic

Pharmacological treatment of abdominal pain in children caused by pancreatitis

Pills

Suppositories rectal

Name of the drug	Active substance	Release form	Indications	Contraindications	Permissible age for prescribing the drug	Price
Metamizole sodium	Injection Pills Suppositories rectal	Pain syndrome of various nature	Bronchial asthma Blood diseases kidney failure Liver failure	0 months	From 10 rubles
Metamizole sodium	Injection Pills	Pain syndrome of various nature	Bronchial asthma Blood diseases kidney failure Liver failure	0 months	From 196 rubles
Diclofenac	Diclofenac sodium	Pills Solution for injections Rectal suppositories	Pain syndrome of various nature	Bronchial asthma peptic ulcer Blood diseases	6 years	From 14 rubles
Ibuprofen	Ibuprofen	Pain syndrome of various nature	Bronchial asthma peptic ulcer Blood diseases Amblyopia	6 years	From 17 rubles
Injection Pills	peptic ulcer Cholecystitis Pancreatitis	Glaucoma	6 years	From 52 rubles
Nurofen	Ibuprofen	Pills effervescent tablets	Pain syndrome of various nature	Bronchial asthma peptic ulcer Blood diseases Amblyopia	6 years	From 83 rubles
Dragee Granules Pills	Chronic pancreatitis Cholecystitis cystic fibrosis	Acute pancreatitis	0 months	From 16 rubles
Spazmalgon	Metamizole sodium Pitophenone hydrochloride Fenpiverinium bromide	Pills Injection	Pain syndrome of various nature	peptic ulcer Crohn's disease Hemophilia kidney failure tachyarrhythmia	0 months for solution 5 years for tablets	From 102 rubles

Photo gallery of drugs to eliminate pain in the abdomen in children with pancreatitis

The drug analgin is the most popular painkiller The drug Baralgin effectively relieves pain The drug No-shpa is the main remedy for the treatment of pancreatitis

Drugs to eliminate pain in the abdomen caused by overeating

Name of the drug	Active substance	Release form	Indications	Contraindications	Permissible age for prescribing the drug	Price
Hydrotalcite Magnesium hydroxide	Lozenges	Heartburn Gastritis peptic ulcer	kidney failure Alzheimer's disease hypophosphatemia	6 years	From 134 rubles
Pills	Chronic pancreatitis Cholecystitis cystic fibrosis	Acute pancreatitis Exacerbation of chronic pancreatitis	3 years	From 72 rubles
Dragee	Chronic pancreatitis Cholecystitis cystic fibrosis	Acute pancreatitis Exacerbation of chronic pancreatitis	3 years	From 125 rubles

Photo gallery of products for enzymatic aid to the digestion of a child

Pancreatin contains all the main digestive enzymes
Gastal is a modern enzyme remedy Mezim contains the main digestive enzymes in optimal amounts Festal is a powerful aid to digestion

Pharmacological treatment of abdominal pain in a child caused by food poisoning

Pills
suspension
paste

Name of the drug	Active substance	Release form	Indications	Contraindications	Permissible age for prescribing the drug	Price
Activated carbon	Activated carbon	Dyspepsia Diarrhea Acute poisoning	peptic ulcer	0 months	From 4 rubles
Paracetamol	Paracetamol	Injection Pills Suppositories rectal	Pain syndrome of various nature	peptic ulcer Crohn's disease Hemophilia kidney failure	0 months	From 3 rubles
Polysorb	Silicon dioxide colloidal	Acute intestinal infections Acute poisoning	peptic ulcer	0 months	From 9 rubles
Smecta	Smectite dioctahedral	Acute intestinal infections Acute poisoning	Intestinal obstruction	0 months	From 140 rubles
Enterosgel	Polymethylsiloxane polyhydrate	Acute intestinal infections Acute poisoning	Intestinal atony	0 months	From 352 rubles
Espumizan	Simethicone	Intestinal obstruction	0 months	From 236 rubles
Motilium	domperidone	Pills	Dyspepsia	Intestinal obstruction	5 years for tablets	From 367 rubles
Enterofuril	Nifuroxazide	Dyspepsia	Intestinal obstruction	1 month for suspension, 3 years for capsules	From 269 rubles

Photo gallery of modern sorbents for the treatment of abdominal pain in children

Drugs to eliminate pain in the abdomen in children caused by dysbacteriosis

suspension

Name of the drug	Active substance	Release form	Indications	Contraindications	Permissible age for prescribing the drug	Price
Acipol	Lactobacillus acidophilus Kefir fungi	Acute intestinal infections		3 months	From 325 rubles
Bifidumbacterin	Bifidobacterium bifidum	Acute intestinal infections Long term antibiotic therapy	Intolerance to the components of the drug	0 months	From 137 rubles
bifidobacteria Streptococcus thermophilus	Oil solution	Acute intestinal infections Long term antibiotic therapy	Intolerance to the components of the drug	0 months	From 496 rubles
Yogulact	Lactobacillus acidophilus	Constipation Long term antibiotic therapy	Intolerance to the components of the drug	3 months	From 201 rubles
Lactobacterin	Lactobacillus acidophilus	Pills	Intolerance to the components of the drug	0 months	From 178 rubles
Lactobacillus acidophilus Streptococcus thermophilus bifidobacteria	Set	Intolerance to the components of the drug	0 months	From 300 rubles
Linex	acidophilus bacteria bifidobacteria	Intolerance to the components of the drug	0 months	From 245 rubles
Hilak forte	Lactobacillus acidophilus	Drops for oral administration	Intolerance to the components of the drug	0 months	From 240 rubles
Enterogermina	Bacillus clausii spores	Intolerance to the components of the drug	6 years for capsules 28 days for suspension	From 635 rubles
lyophilized Saccharomyces boulardii	Intolerance to the components of the drug	1 year	From 259 rubles
Normobact	acidophilus bacteria bifidobacteria	Intolerance to the components of the drug	0 months	From 412 rubles

Photo gallery of drugs for the treatment of pain in the abdomen in a child caused by dysbacteriosis

Bifiform baby is used from the first days of life
Liveo Malysh is available in a convenient form of drops. Rela Life is used from the first days of life. Enterol effectively restores beneficial intestinal microflora.

Folk remedies

For the treatment of pathological processes in the organs of the gastrointestinal tract, leading to the development of pain in the abdomen in a child, various folk remedies are used. With the permission of a gastroenterologist, the following remedies from the arsenal of traditional medicine are used:

Burdock. The fresh root of the plant is used as raw material. Raw materials must be crushed, add half a liter of boiling water to it. The infusion process continues for twelve hours. The remedy is used in the amount of half a glass to be taken four times a day.
St. John's wort. Dry raw materials (grass) in the amount of 15 grams are poured with one glass of boiling water and infused for eight hours. Then the infusion must be filtered, bring the volume to a glass with boiled water. Take 2 tablespoons three times a day. The duration of treatment is two weeks.
Mumiyo. Two grams of dry raw materials must be crushed and mixed with half a glass of boiled water. The resulting remedy is used 1 teaspoon in the morning before meals. The duration of treatment is 10 days.

Can I give my child painkillers? Adepts of naturalness are sure that the unpleasant symptoms of any infantile disease can be stopped with the help of maternal affection alone, but their arguments are unlikely to seem convincing to those whose baby is tearing himself from crying due to teething or colic in the stomach. Is it worth solving the problem with analgesics, or would it be wiser to look for an alternative to medications?

Indications for the use of painkillers for children

Over the past few years, the pharmaceutical industry has come a long way, thanks to which there are many painkillers in pharmacies that can be safely given even to babies. Most of these drugs additionally contribute to:

However, even a special medicine for newborns can harm a child's fragile body if you resort to its help too often. You can’t do without such funds when:

infections (ARVI, influenza);
otitis;
teething;
pain syndrome caused by trauma or exacerbation of a chronic disease.

Each of these cases is a direct indication to give the baby an anesthetic. When should this not be done?

When is painkillers contraindicated?

Dear reader!
This article talks about typical ways to solve your questions, but each case is unique! If you want to know how to solve your particular problem - ask your question. It's fast and free!
Pain is the surest signal that something is not right with one of the internal organs. It is this symptom that allows you to most accurately and quickly recognize the clinical picture of many dangerous diseases and start treatment in a timely manner. The sensation stopped with the help of an analgesic will be “smeared”, which will greatly complicate the diagnosis and will not allow determining the moment when the patient's condition worsened.
That is why it is very dangerous to arbitrarily give any drugs to children complaining of headaches or abdominal discomfort. These symptoms may be signs of:

encephalitis and other brain damage;
appendicitis;
peritonitis;
peptic ulcer.

If the child's condition worsens (without analgesics, the pain does not decrease over time, nausea and vomiting begin, body temperature rises, etc.), the task of adults is to immediately take him to the doctor for a speedy examination. It is likely that a newborn or older baby needs urgent qualified medical care.
Does the baby often have headaches or stomachaches, but the examination did not reveal any health problems? In this case, parents should consult with their doctor about the choice of a suitable analgesic. Only a specialist can determine which of the drugs will be safe for a particular child.
What are the requirements for children's painkillers?
The main requirements for such drugs:
quick effect;
prolonged exposure without cumulative effect;
low risk of adverse reactions;
availability of a dosage form suitable for children.

What form of release of an analgesic to choose for a child?
Most popular children's painkillers are available in several options that are convenient for babies to use. The same analgesic can be presented simultaneously in the form of a suspension, syrup, powder, tablets, etc.
Which form of medication to choose depends on the age of the child:
The best pain relievers for newborns and older children
Determining which children's pain reliever is the best is difficult. According to international clinical studies, the most effective analgesic for babies is Ibuprofen, but it can only be used when the child reaches six months. Paracetamol, which is in the second position in the ranking, is allowed from 3 months, but an overdose of it is deadly.
To choose the most suitable analgesic for a child, responsible parents will have to comprehensively study the modern pharmaceutical market. What painkillers are there?
Tablet form
Syrups, drops, suspensions
Rectal suppositories
Efferalgan, Panadol and other suppositories based on paracetamol. They have a pronounced antipyretic effect. They can be used from birth, but they should only be used as directed by a doctor.
Viburkol. Fast-acting homeopathic suppositories based on herbal ingredients. Have no side effects. Good for teething pain.

Products for external use
Panthenol and Bepanthen, gels and sprays. Relieve pain in external skin lesions (burns, injuries, diaper rash). Suitable for children of all ages. Contraindicated with a tendency to allergic reactions.
Kamistad, gel (we recommend reading:). An instant remedy indicated for teething. It has a short-term effect (pain relief lasts no more than 10 minutes).
Holisal gel. A fast-acting preparation intended for application to the gums in case of toothache. It does not contain sugar, so it can be used for babies suffering from atopic dermatitis.

Non-drug methods of pain relief in children
In cases where the intake of analgesics in one form or another is contraindicated for a child, parents can use alternative methods to relieve an attack of pain. Toddlers up to 3 years will help:
light relaxing massage;
method of switching attention;
ethnoscience.

With older children, you can try breathing exercises and various relaxation exercises. The main thing is to create maximum comfort for the child, make sure that he empties his intestines in advance, takes a comfortable position and completely relaxes.