Recurrent abdominal pain

2011 ◽  
Author(s):  
R. Mark Beattie ◽  
Anil Dhawan ◽  
John W.L. Puntis
Keyword(s):  
General Practice ◽  
Abdominal Pain ◽  
Treatment Strategies ◽  
Recurrent Abdominal Pain ◽  
Family Factors ◽  
Therapeutic Options ◽  
Clinical Approach ◽  
Organic Disease ◽  
Disease Treatment ◽  
School Aged Children

Introduction 256Classification 257Personality type and family factors 259Common stresses in children with recurrent abdominal pain 259Therapeutic options 260Outcome 261Recommended clinical approach 261• Recurrent abdominal pain is common in school-aged children and is a frequent presenting complaint in general practice and general paediatric and paediatric gastroenterology clinics. Patients often have vague symptomatology and investigation usually results in a low yield of organic disease. Treatment strategies are varied and often subjective with very little evidence upon which to base them....

Recurrent abdominal pain

2018 ◽  
Author(s):  
Mark Tighe ◽  
Mark Beattie
Keyword(s):  
General Practice ◽  
Abdominal Pain ◽  
Treatment Strategies ◽  
Recurrent Abdominal Pain ◽  
Clinical Approach ◽  
Organic Disease ◽  
Limited Evidence ◽  
Disease Treatment ◽  
School Aged Children ◽  
Complex Cases

Recurrent abdominal pain occurs in 10–15% of school-aged children and is a frequent presenting complaint in general practice and general paediatric and paediatric gastroenterology clinics. Patients often have vague symptoms and investigation usually results in a low yield of organic disease. Treatment strategies are varied and often subjective with limited evidence upon which to base them. This chapter includes a general overview, classification, discussion of the complex and multifactorial aetiology, therapeutic approach, and outcome. It discusses a recommended clinical approach for the management of complex cases.

DIAGNOSIS AND TREATMENT: RECURRENT ABDOMINAL PAIN IN CHILDREN—A SURGEON'S VIEWPOINT

PEDIATRICS ◽  
1967 ◽  
Vol 40 (6) ◽  
pp. 1024-1026
Author(s):  
Donald G. Marshall
Keyword(s):  
Abdominal Pain ◽  
Physical Examination ◽  
Recent Article ◽  
Recurrent Abdominal Pain ◽  
Diagnosis And Treatment ◽  
Subsequent Paper ◽  
Organic Disease ◽  
Detailed History ◽  
Psychogenic Pain ◽  
Complete Physical Examination

MUCH has been written in recent years about the importance of psychogenic disturbances as causes of abdominal pain in childhood. Yet, by no means all recurrent abdominal pain is so caused. A recent article in Pediatrics on nonorganic abdominal pain therefore promised this subsequent paper on pain of organic origin. I would like to caution the reader that his "surgeon's viewpoint" tends to exclude consideration of organic abdominal pain not surgically treated. Perhaps a third paper is indicated. Abdominal pain of whatever origin requires a planned approach to diagnosis. While it is only too easy for the clinician to submit a patient to innumerable investigations of varying degrees of unlikelihood of revealing disorders of differing degrees of rarity, a detailed history and searching interview with the parents, together with a complete physical examination, will go very far to reduce the number of cases submitted to any but quite simple tests. The diagnosis of psychogenic pain, no less than that of organic pain, must rest on positive findings. To make a diagnosis of psychogenic pain, there must be something more than the absence of demonstrable organic disease. There must be significant psychopathology. If there is evidence of neither this nor organic disease, one must resolve to be irresolute and decide to be undecided. One must not make a diagnosis of psychic disease simply because one can find no organic cause. One must also remember that psychic disturbance does not confer immunity from organic disease. A neurotic, psychotic, or brain-damaged child can have appendicitis.

Recurrent Abdominal Pain in Childhood

1982 ◽  
Vol 4 (1) ◽  
pp. 29-34
Author(s):  
Giulio J. Barbero
Keyword(s):  
Abdominal Pain ◽  
Preschool Children ◽  
Early Adolescence ◽  
Recurrent Abdominal Pain ◽  
Practical Approach ◽  
Gastrointestinal Function ◽  
Organic Disease ◽  
Common Complaint ◽  
Aged Child ◽  
And Function

Recurrent abdominal pain (RAP) in childhood is a common complaint that may be difficult to diagnose and manage. Apley has reported that 10% of children have three or more episodes severe enough to impair activity and function over at least a three-month period. RAP appears less often in preschool children and, when present at earlier ages, it usually occurs in brief episodes rather than the more frequent and intense pattern that is characteristic of the school-aged child. RAP is more frequent in girls and is particularly prominent as a symptom in early adolescence. Occasional abdominal pain is a universal symptom in childhood and its significance is often difficult to assess. A practical approach is to determine the frequency, severity, and limitations produced by the pain before further exploration of its cause. DIAGNOSIS Recurrent abdominal pain in childhood can be divided into disturbances of gastrointestinal functions and a variety of pathologic disease or organic categories. A combination of the disturbance of function and other organic disease can also be present as the basis for the pain. Fewer than 10% to 15% of referred children reported in various studies have been found to have pain of organic origin. It is important to recognize that many patients and their parents are fearful of the pain as a symptom and are not easily able to incorporate a concept of disorder of a gastrointestinal function at the onset.

Abdominal Pain

2021 ◽  
Keyword(s):  
Abdominal Pain ◽  
Physical Examination ◽  
Recurrent Abdominal Pain ◽  
Organic Disease ◽  
Functional Abdominal Pain ◽  
Medical Evaluation ◽  
Key Points ◽  
Common Causes ◽  
Rome Iv

Key Points Functional abdominal pain disorders are the most common causes of recurrent abdominal pain in pediatrics.The Rome IV criteria in 2016 for functional abdominal pain have eliminated the requirement of "no evidence for organic disease"; it now is defined as > 2 months of pain, ≥ 4 times per month, and after appropriate medical evaluation the symptoms cannot be attributed to another medical condition.History and physical examination are the only evaluations required most of the time in a child with abdominal pain.

RECURRENT ABDOMINAL PAIN DUE TO MILK AND LACTOSE INTOLERANCE IN SCHOOL-AGED CHILDREN

PEDIATRICS ◽  
1971 ◽  
Vol 47 (6) ◽  
pp. 1029-1032
Author(s):  
Theodore M. Bayless ◽  
Shi-Shung Huang
Keyword(s):  
Abdominal Pain ◽  
Lactose Intolerance ◽  
Recurrent Abdominal Pain ◽  
Tolerance Test ◽  
Healthy Children ◽  
Milk Products ◽  
Lactose Tolerance Test ◽  
School Aged Children ◽  
Lactose Tolerance

Five otherwise healthy children, ages 6 to 13 years, with episodes of abdominal pain, experienced the same symptoms with a lactose tolerance test and became asymptomatic on a diet low in milk products. None complained of diarrhea and all had been able to drink milk as infants. The abdominal pain was related to milk and lactose intolerance.

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