When a child requires an abdomen and pelvis ultrasound, proper preparation can help ensure a smooth experience. This non-invasive, painless, and radiation-free imaging procedure is widely used to diagnose various abdominal and pelvic conditions in pediatric patients.
However, children may experience anxiety due to the unfamiliar setting, the application of ultrasound gel, or the need to remain still during the scan. Understanding the procedure and preparing accordingly can help ease discomfort and improve cooperation.
How to Explain the Procedure to Your Child

Children feel more relaxed when they understand what’s going to happen. The key is to explain the procedure in simple, reassuring words based on their age.
- For toddlers (2-4 years old): Use basic language and tell them a “special camera” will take pictures of their tummy. Reassure them that it won’t hurt but may feel a little ticklish.
- For young children (5-8 years old): Explain that a doctor will use a small device to check their tummy and that a warm gel will be put on their skin. Let them know it’s quick and they can bring their favorite toy for comfort.
- For older children (9+ years old): Give them a simple yet detailed explanation. Tell them an ultrasound uses sound waves to see inside their body, and they will feel a cool gel but no pain.
Avoid using scary words like “machine” or “test” that might make them anxious. Instead, call it a picture-taking procedure to make it sound easy and comfortable.
Read More: How to Prepare for an Abdomen and Pelvis Ultrasound: Do’s and Don’ts
What to Bring for Your Child’s Comfort During the Scan
Children feel more secure when they have familiar items with them. Here are a few things you can bring:
- A favorite stuffed animal or toy for comfort
- A small blanket if they like to feel cozy
- Headphones or a book if they need a distraction while waiting
- Extra clothes in case the gel gets on their clothing
- A water bottle and snack for after the procedure (if fasting was required)
Letting your child choose a comfort item can help them feel in control, reducing anxiety about the scan.
Does Your Child Need to Fast Before the Ultrasound?

Fasting requirements depend on the type of ultrasound being done. Always confirm with your doctor or ultrasound center, but general guidelines include:
- For abdomen ultrasound: Your child may need to avoid eating or drinking for 4-6 hours before the scan. This helps ensure clear images of the stomach, liver, gallbladder, and intestines.
- For pelvis ultrasound: Your child may need to drink plenty of water and avoid urinating before the scan. A full bladder helps provide better images of the bladder, reproductive organs, and surrounding tissues.
- For combined abdomen and pelvis ultrasound: A mix of fasting and having a full bladder may be required, so follow specific instructions from the medical team.
If fasting is required, schedule the scan early in the morning so your child doesn’t have to go without food for too long.
Tips to Keep Your Child Calm and Relaxed
Some children may feel nervous about the scan. Here are ways to help them stay calm:
- Stay positive and relaxed: Children pick up on your emotions, so if you stay calm, they are more likely to feel at ease.
- Use distraction techniques: Talk to them about their favorite cartoon, upcoming plans, or something fun to keep their mind occupied.
- Practice deep breathing: For older children, teach them to take slow, deep breaths to relax.
- Tell a story: Younger kids might enjoy hearing a fun story while the radiologist performs the scan.
- Praise and reassure them: Let them know they are doing a great job and that the scan will be over soon.
If your child has severe anxiety, let the radiologist know in advance so they can use additional techniques to comfort them.
Read More: Common Conditions Diagnosed with Abdomen and Pelvis Ultrasound
What to Expect After the Scan is Complete

Once the ultrasound is finished, your child can wipe off the gel with tissues provided by the radiologist. The gel is water-based and harmless, but you may want to bring extra wipes or a small towel to clean up any excess.
After the scan, your child can:
- Eat and drink normally (if they had to fast)
- Resume regular activities, such as playing or going to school
- Use the restroom if they had to hold their bladder before the scan
The results are available immediately. The radiologist will analyze the images and send a report to your child’s doctor, who will discuss the findings with you.
Read More: Using Abdomen and Pelvis Scan to Diagnose Stomach Pain in Kids