Recurrent Abdominal Pain in School Age Children

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Ahmed Mohammed Hamdy Saber ◽  
Ahmed Tohamy Ahmed Ibrahim ◽  
Ola Adel Abdellah Mahdy
Keyword(s):  
Abdominal Pain ◽  
Urine Analysis ◽  
Clinical Manifestations ◽  
Gastrointestinal Symptoms ◽  
Recurrent Abdominal Pain ◽  
School Age Children ◽  
Stool Examination ◽  
School Age ◽  
Functional Abdominal Pain ◽  
Cross Sectional

Abstract Background Abdominal pain defined as any type of pain or discomfort that occurs in any area from the lower chest to the groin. Abdominal pain is symptom of a wide variety of mild to serious diseases, disorders, conditions. Abdominal pain can result from infection, malignancy, inflammation, obstruction and other abnormal processes. Aim of the Work To define the causes of recurrent abdominal pain among a sample of school age children. Subjects and Methods This cross sectional study was carried out to evaluate those children who presented to the Pediatric Outpatient Clinic, Children Hospital, Ain Shams University because of recurrent abdominal pain they were diagnosed in the pediatric Gastroenterology unit between June 2016 and July 2017. History taking included full analysis of abdominal pain, associated gastrointestinal symptoms and associated systemic manifestations. Examination included anthropometric measurements, general and local abdominal examination. Routine investigations included complete blood counts, urine analysis and culture, microscopic stool examination and pelviabdominal US. Other specific investigations were selected according to clinical manifestations to reach an organic cause. After reaching the definitive diagnosis, patients were classified into 2 groups organic causes and functional abdominal pain. Results During the study period, 100 children presented with recurrent abdominal pain. Results revealed that only 28% of the recurrent abdominal pain causes were attributed to organic factors; the most commonly encountered organic causes of recurrent abdominal pain were urinary tract infection (12%) while 72% of children presented with functional recurrent abdominal pain. The most common causes of function recurrent abdominal pain in our study was irritable bowel syndrome. Conclusion Most of the cases of RAP among school age children are due to functional abdominal pain (72%).

scholarly journals Gastrointestinal symptoms as the first manifestation of antiphospholipid syndrome

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiaojuan Zou ◽  
Zhongqi Fan ◽  
Ling Zhao ◽  
Weiling Xu ◽  
Jin Zhang ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Antiphospholipid Syndrome ◽  
Clinical Manifestation ◽  
High Titer ◽  
Clinical Manifestations ◽  
Gastrointestinal Symptoms ◽  
Recurrent Abdominal Pain ◽  
Anticardiolipin Antibodies ◽  
Glycoprotein I ◽  
Gastrointestinal Lesions

Abstract Background Antiphospholipid syndrome (APS) is an acquired pre-thrombotic autoimmune condition, which produces autoantibodies called antiphospholipid antibodies (APL) against phospholipid-binding plasma proteins. The diagnosis of APS requires at least one of Sapporo standard clinical manifestations and one laboratory criteria (persistently medium/high titer anticardiolipin antibodies, and/or medium/high titer anti-β2-glycoprotein I antibodies, and/or a positive lupus anticoagulant test). Gastrointestinal lesions are rarely reported in APS patients. APS cases with recurrent abdominal pain as the first clinical manifestation are even rarer. Case presentation This report describes an APS case with recurrent abdominal pain as the first clinical manifestation of antiphospholipid syndrome. The patient has a history of two miscarriages. Computed tomography of the abdomen confirmed mesenteric thrombosis and intestinal obstruction while laboratory tests for serum antiphospholipid and anti-β2-glycoprotein I antibodies were positive. This led to the diagnosis of APS. Conclusions This paper provides useful information on gastrointestinal manifestations and APS, also including a brief literature review about possible gastrointestinal symptoms of APS.

HUBUNGAN KOMUNIKASI TERAPEUTIK PERAWAT DENGAN KECEMASAN ANAK USIA PRASEKOLAH AKIBAT HOSPITALISASI

2019 ◽  
Vol 9 (2) ◽  
pp. 135-140
Author(s):  
Qurrotul Aeni ◽  
Andriyani Mustika Nurwijayanti ◽  
Muhammad Khabib Burhanuddin Iqomh
Keyword(s):  
Research Data ◽  
School Age Children ◽  
P Value ◽  
School Age ◽  
Therapeutic Communication ◽  
Cross Sectional ◽  
Communication Anxiety ◽  
Children’S Anxiety ◽  
The Relationship ◽  
Severe Anxiety

Introduction: anxiety is a condition that will be experienced by children who experience hospitalization and must get attention and management. Anxiety during hospitalization that is not properly addressed will hinder treatment and affect child development. The purpose of the study: to determine the relationship between therapeutic communication nurses and the anxiety of preschool children due to hospitalizationMethod: The study design used descriptive correlation with a cross-sectional approach. The number of samples is 31 with purposive sampling. Collecting research data using a questionnaire.Results: The results showed a majority of therapeutic communication was 61.3%, anxiety in children due to hospitalization of 100% with severe anxiety was 58.1%, there was a relationship between therapeutic communication and children's anxiety (p = 0.001). Suggestions need to be carried out further research on the factors that influence the low therapeutic communication in nurses.Discussion: The results of the statistical analysis using the Spearman's Rho test got p value 0.001 (p <0.05) the relationship between therapeutic communication and the anxiety of pre-school age children who experienced hospitalization, therapeutic communication can be used as an action to prevent anxiety due to hospitalization in pre-school age children.Suggestion: need to do further research on the factors that influence the low therapeutic communication in nurses Keywords: therapeutic communication, anxiety, hospitalization.  

Celiac Disease in Kosovar Albanian Children: Evaluation of Clinical Features and Diagnosis

2020 ◽  
Vol 16 (3) ◽  
pp. 241-247
Author(s):  
Atifete Ramosaj-Morina ◽  
Alije Keka-Sylaj ◽  
Arbana Baloku Zejnullahu ◽  
Lidvana Spahiu ◽  
Virgjina Hasbahta ◽  
...  
Keyword(s):  
Celiac Disease ◽  
Disease Onset ◽  
Clinical Manifestations ◽  
Gastrointestinal Symptoms ◽  
Dominant Mode ◽  
Primary School Children ◽  
Cross Sectional ◽  
Classical Form ◽  
Wide Range ◽  
The Mean

Background: Celiac disease is an immune-mediated disorder characterized by variable clinical manifestations, specific antibodies, HLA-DQ2/DQ8 haplotypes, and enteropathy. Objectives: The aim of this study was to present the clinical spectrum and patterns of celiac disease in Kosovar Albanian children. Methods: A cross-sectional retrospective study was performed with Albanian children aged 0-18 years, treated for celiac disease in the Pediatric Clinic, University Clinical Center of Kosovo from 2005 to 2016. Results: During the study period, 63 children were treated for celiac disease. The mean age at diagnosis was 5.5 years (SD ± 3.31). The mean age at celiac disease onset was 3.3 years (SD ± 2.02), while the mean delay from the first symptoms indicative of celiac disease to diagnosis was 2.2 years (SD ± 2.09). More than 70% of the patients were diagnosed in the first 7 years of life, mainly presented with gastrointestinal symptoms, while primary school children and adolescents mostly showed atypical symptoms (p<0.001). The classical form of celiac disease occurred in 78% of the cases. Sixty (95%) patients carried HLA-DQ2.5, DQ2.2 and/or HLA-DQ8 heterodimers, and only three of them tested negative. Conclusions: Kosovo, as the majority of developing countries, is still facing the classical form of celiac disease as the dominant mode of presentation; as a result, most children with other forms of the celiac disease remain undiagnosed. : Physicians should be aware of the wide range of clinical presentations and utilize low testing thresholds in order to prevent potential long-term problems associated with untreated celiac disease.

scholarly journals How is the COVID-19 lockdown impacting the mental health of parents of school-age children in the UK? A cross-sectional online survey

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e043397
Author(s):  
Austen El-Osta ◽  
Aos Alaa ◽  
Iman Webber ◽  
Eva Riboli Sasco ◽  
Emmanouil Bagkeris ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Social Isolation ◽  
Online Survey ◽  
Female Gender ◽  
School Age Children ◽  
School Age ◽  
Cross Sectional ◽  
The Uk ◽  
The Impact

ObjectiveInvestigate the impact of the COVID-19 lockdown on feelings of loneliness and social isolation in parents of school-age children.DesignCross-sectional online survey of parents of primary and secondary school-age children.SettingCommunity setting.Participants1214 parents of school-age children in the UK.MethodsAn online survey explored the impact of lockdown on the mental health of parents with school-age children, and in particular about feelings of social isolation and loneliness. Associations between the UCLA Three-Item Loneliness Scale (UCLATILS), the Direct Measure of Loneliness (DMOL) and the characteristics of the study participants were assessed using ordinal logistic regression models.Main outcome measuresSelf-reported measures of social isolation and loneliness using UCLATILS and DMOL.ResultsHalf of respondents felt they lacked companionship, 45% had feelings of being left out, 58% felt isolated and 46% felt lonely during the first 100 days of lockdown. The factors that were associated with higher levels of loneliness on UCLATILS were female gender, parenting a child with special needs, lack of a dedicated space for distance learning, disruption of sleep patterns and low levels of physical activity during the lockdown. Factors associated with a higher DMOL were female gender, single parenting, parenting a child with special needs, unemployment, low physical activity, lack of a dedicated study space and disruption of sleep patterns during the lockdown.ConclusionsThe COVID-19 lockdown has increased feelings of social isolation and loneliness among parents of school-age children. The sustained adoption of two modifiable health-seeking lifestyle behaviours (increased levels of physical activity and the maintenance of good sleep hygiene practices) wmay help reduce feelings of social isolation and loneliness during lockdown.

scholarly journals Gluten and Functional Abdominal Pain Disorders in Children

Nutrients ◽  
2018 ◽  
Vol 10 (10) ◽  
pp. 1491 ◽  
Author(s):  
Alejandro Llanos-Chea ◽  
Alessio Fasano
Keyword(s):  
Abdominal Pain ◽  
Pediatric Patients ◽  
Functional Gastrointestinal Disorders ◽  
Gastrointestinal Symptoms ◽  
Gluten Sensitivity ◽  
Gluten Free ◽  
Functional Abdominal Pain ◽  
Adults And Children ◽  
Small Intestinal ◽  
Irritable Bowel

In children, functional gastrointestinal disorders (FGIDs) are common at all ages. Consumption of certain foods, particularly gluten, is frequently associated with the development and persistence of FGIDs and functional abdominal pain disorders (FAPDs) in adults and children. However, this association is not well defined. Even without a diagnosis of celiac disease (CD), some people avoid gluten or wheat in their diet since it has been shown to trigger mostly gastrointestinal symptoms in certain individuals, especially in children. The incidence of conditions such as non-celiac gluten sensitivity (NCGS) is increasing, particularly in children. On the other hand, CD is a chronic, autoimmune small intestinal enteropathy with symptoms that can sometimes be mimicked by FAPD. It is still unclear if pediatric patients with irritable bowel syndrome (IBS) are more likely to have CD. Abdominal, pain-associated FGID in children with CD does not seem to improve on a gluten-free diet. The threshold for gluten tolerance in patients with NCGS is unknown and varies among subjects. Thus, it is challenging to clearly distinguish between gluten exclusion and improvement of symptoms related solely to functional disorders.

scholarly journals Assessment of Dietary Iodine Intake in School Age Children: The Cross-Sectional ANIVA Study

Nutrients ◽  
2018 ◽  
Vol 10 (12) ◽  
pp. 1884 ◽  
Author(s):  
María Morales-Suárez-Varela ◽  
Isabel Peraita-Costa ◽  
Agustín Llopis-Morales ◽  
Agustín Llopis-Gonzalez
Keyword(s):  
Thyroid Hormones ◽  
Iodine Deficiency ◽  
Dairy Products ◽  
Iodine Intake ◽  
School Age Children ◽  
School Age ◽  
Nutritional Adequacy ◽  
Cross Sectional ◽  
The World ◽  
Important Health

Iodine deficiency is one of the most important health problems in the world. It intervenes in the synthesis of thyroid hormones, which carry out important functions, so that a deficit of this mineral causes alterations of different kinds such as those related to growth. The objective of the present study was to know the prevalence of iodine deficit in the diet of Valencian children from 6 to 8 years old and their relationship with anthropometry. The analysis of the dietary intake was carried out through questionnaires. Thirteen schools participated in the study. The sample studied consists of 661 school children belonging to the Valencian Community, between 6 and 8 years of age: 298 boys and 363 girls. 79.12% of the children did not meet recommended daily iodine intakes. When comparing the groups of girls and boys with an inadequate intake, in general, girls show worse nutritional adequacy. When comparing the groups of girls and boys with sufficient iodine intake, no statistically significant differences were observed. No immediate effects of iodine deficiency on children’s anthropometry were observed. Intake of dairy products, fish and iodized salt is recommended, since they can contribute to the diet the iodine required to avoid a deficiency.

scholarly journals Habit of tooth brushing with the dental caries incidence

2018 ◽  
Vol 6 (8) ◽  
pp. 2606
Author(s):  
Dwi Retnaningsih ◽  
Rani Arinti
Keyword(s):  
Dental Caries ◽  
Well Being ◽  
Statistical Test ◽  
Tooth Brushing ◽  
School Age Children ◽  
P Value ◽  
School Age ◽  
Chi Square ◽  
Cross Sectional ◽  
Nonparametric Correlation

Background: Teeth and mouth are important parts that must be kept clean, because through these organs various germs can enter. In general, dental and oral hygiene was very important for the health and well-being of the human body because it can affect the function of mastication, speech and confidence.1 Dental caries was an infectious disease that damages tooth structure and can cause cavities. Children age under 12 years old who suffer from dental and oral diseases can be affect with student achievement in school. A preliminary study conducted at SDN 2 Ngabean was 7 out of 10 children with dental caries marked with cavities, accumulating plaque and black teeth.Methods: Quantitative research with Cross Sectional study design. The population in this study were all students of grade 4 and 5 SD Negeri 2 Ngabean Boja District Kendal District in the academic at June 2017 amounted to 80 students. Statistical test using Chi Square. Iinstrument used in this study was a questionnaire of 14 questions submitted to respondents using Likert scale type. The statistical test used was chi square nonparametric correlation because independent and dependent variables use ordinal and nominal scale.Results: Results of research obtained from 80 respondents in school-age children in SD Negeri 2 Ngabean showed that of respondents students who experience dental caries as many as 48 students (60.0%), while students who did not experience dental caries as many as 32 students (40.0%). Based on the result of chi square test it can be seen that p value = 0.000 (p value <α) or 0.000 <0.05 then Ho was rejected, and Ha accepted.Conclusions: There was a correlation of tooth brushing habit with the dental caries incidence of school age children at the elementary school state Ngabean 2 Boja District, Kendal Regency.

scholarly journals PREVALENCE, PATTERN AND DETERMINANTS OF FAST FOOD CONSUMPTION AMONG SCHOOL AGE CHILDREN IN JOS METROPOLIS, PLATEAU STATE, NIGERIA: AN IMPLICATION FOR NUTRITION EDUCATION

2020 ◽  
Vol 8 (3) ◽  
pp. 266-270
Author(s):  
Ekwuluo Celestine Emeka ◽  
S.I Muhammed
Keyword(s):  
Health Risk ◽  
Nutrition Education ◽  
Food Consumption ◽  
Fast Food ◽  
Cross Sectional Study ◽  
School Age Children ◽  
School Age ◽  
Cross Sectional ◽  
Fast Food Consumption ◽  
Food Advertisement

Motivation/Background: In 2001, non-communicable diseases (NCDs) accounted for 60 percent of 56 million deaths worldwide and 47% of global burden of disease. In all countries, evidence suggested underlying determinants of NCDs were largely same. These include increased consumption of rapidly processed energy-dense nutrient-poor foods high in fat, sugar, salt and reduced levels of physical activity. The objective of this study was to determine prevalence, pattern and determinants of fast foods consumption among school age children in Jos metropolis. Method: In this study, we used descriptive cross-sectional study and included 347 mothers or care givers with children age 6 to 12 years in our sample size. We applied structured interviewer-administered questionnaire during data collection and analyzed the data with SPSS version 21.0. Results: Prevalence of fast food consumption among school age children in Jos metropolis in the last one week is 91.1%. Knowledge of health risk associated with fast food consumption was 86.5%. Flour based fast food were most commonly consumed. We established an association between meal skipping, fast food advertisement and fast food consumption. Conclusions: We recommend the need to focus public enlightenment on health risk associated with fast food consumption among school age children. Likewise, children should be encouraged to carry home-made food to school and legislation on fast food advertisement directed at children should be enacted.

scholarly journals PENGARUH TINGKAT KONSUMSI ENERGI, PROTEIN, LEMAK, DAN STATUS KECACINGAN TERHADAP STATUS GIZI PADA SISWA SEKOLAH DASAR NEGERI 01 LIMPAKUWUS

2017 ◽  
Vol 9 (1) ◽  
pp. 46
Author(s):  
Rendy Manuhutu ◽  
Dyah Umiyarni Purnamasari ◽  
Endo Dardjito
Keyword(s):  
Nutritional Status ◽  
Human Life ◽  
Cross Sectional Study ◽  
School Age Children ◽  
School Age ◽  
Infection Status ◽  
Cross Sectional ◽  
Study Approach ◽  
Fat Consumption ◽  
Nutritional Status Of Children

School age is the important period of human life and the quality have to be prepared well. The school age children is susceptible to malnutrition. Malnutrition among school age children will implicatethe children�s development and further potential development in that age. Food consumption levels and worm infection status are the two most affected factors to nutritional status of children school. The purpose of this research is to know the effect of energy, protein, fat and worm inflectional status to the nutritional status of SDN 01 Limpakuwus�s student in Sumbang, Banyumas. This research was cross sectional study approach,used purposive sampling with inclusion and exclusion criteria in 44 respondents. Analysis conducted by univariate, bivariate (Spearman rank) and multivariate (multiple logistic regression).Multivariate analysis showed the variables that influenced nutritional status is the level of fat consumption (p=0.022), and the variable did not affect the nutritional status are the level of energy consumption (p=0.999), protein consumption level (p=0.580), and worm infection status (p = 0.661). The suggestion is to get more food that can fulfil the energy, protein, fat needs and make the canteen in the school becomes a healthy canteen that serves healthy and nutritious meal.

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