Hi, I'm Dr. Richard Haniker. Let's talk about kids in stomach pain. Most stomach pain is very benign and there's no consequence. For example, a kid may be constipated, may be eating the wrong kind of food, may have some extra acid, or may just be stressed out. What is bad abdominal pain? Well, appendicitis comes to mind a lot. And appendicitis has a very specific look to it. For example, initially your kid would get pain right around the belly button and an hour or two later they would get some nausea and vomiting in that order. The abdominal pain first right around the belly button, then nausea and vomiting. And then an hour or two later it relocates the pain does down into the right lower quadrant where the appendix is. So that kind of progression is very suggestive of appendicitis. Now, appendicitis can come in many different forms, but that's the standard look. Another thing that signifies bad abdominal pain is what we call rebound. Have your kid jump off of step. It's just six or eight inches. If their stomach hurts worse when they land, that's rebound. That's a sign of internal abdominal inflammation. Could be appendicitis. Get that checked out.