What causes cramps in the center of the stomach?
Patient: my son has stomach cramps - center of stomach - no fever. He was nauseated for 2 days vomited the first day  - held food the second but still complains of stomach cramps. Wants to sleep and lay flat - does not want to get up and walk around because of the pain. Doctor: HI.The symptoms of  vomiting , pain in the abdomen and pain on walking is definitely an indication for investigations:I would advise you the following:Take him to the Pediatric Surgeon to get a physical examination done to get a clinical diagnosis , to be supported by ultrasonography, blood and urine tests and stool tests. It may be due to : -Tummy tonsils- meaning enlargement of the lymph nodes of the abdomen.-Appendicitis- by default this has to be ruled out in every case of pain in -abdomen of a child.-Worms.The best diagnosis is a high resolution ultrasonography. some blood, urine and stool tests.A therapeutic trial with a course of an antibiotic, metronidazole and probiotics under the guidance of a pediatrician / Surgeon always helps to solve the problem and to get a diagnosis.Also given is a dose of medicines active against worms in intestine.I hope a consultation with a Pediatric Surgeon, investigations and a course of an antibiotic and metronidazole should solve the problem.If this is indicative of appendicitis , please go for the surgery of appendectomy.