What causes pain around a child's belly button?

There are many causes of periumbilical pain in children, including both surgical and medical conditions. 1. **Surgical causes**: Common conditions include appendicitis, intussusception, and intestinal obstruction. Initially, children may experience pain around the umbilicus that later shifts to the right lower abdomen, becoming severe and localized. The child may cry persistently, resist abdominal palpation, and show obvious discomfort. Prompt medical evaluation and surgical treatment are necessary once these symptoms appear. 2. **Medical causes**: Common conditions include mesenteric lymphadenitis, acute gastroenteritis, or abdominal cold exposure. The child may show milder discomfort, with a soft abdomen and no fixed tender point. Symptoms may recur frequently. In such cases, initial management may include observation, keeping the abdomen warm, and encouraging the child to drink warm water. If symptoms do not improve, a timely hospital visit for ultrasound evaluation is necessary to rule out surgical causes. Periumbilical pain may affect the child's appetite. It is important to maintain a light, regular diet, avoid overeating, and refrain from consuming spicy or irritating foods. Additionally, attention should be given to the child's emotional well-being to prevent prolonged anxiety or stress.