Abdominal Pain in Girls at Puberty

PEDIATRICS ◽  
1967 ◽  
Vol 40 (5) ◽  
pp. 924-925
Author(s):  
MORRIS A. WESSEL
Keyword(s):  
Abdominal Pain ◽  
Hormone Level ◽  
Recurrent Abdominal Pain ◽  
Diagnosis And Treatment ◽  
Physical Findings

Morris Green's article "Diagnosis and Treatment: Psychogenic, Recurrent, Abdominal Pain" in the July 1967 issue of Pediatrics calls attention to a presenting complaint well-known to pediatric practitioners. Girls in the early months of puberty often come to their physicians with a complaint of recurrent abdominal pain of a somewhat cyclical nature. Physical findings are variable, although there is often some tenderness in one of the lower abdominal quadrants. The general heightened sensitivity to any bodily discomfort which accompanies the pubertal increase in hormone level causes pubescent girls to be quite aware of and frightned by this pain.

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 During Childhood

1993 ◽  
Vol 14 (8) ◽  
pp. 313-319
Author(s):  
Tim F. Oberlander ◽  
Leonard A. Rappaport
Keyword(s):  
Abdominal Pain ◽  
Recurrent Abdominal Pain ◽  
Underlying Disease ◽  
Careful Examination ◽  
Environmental Aspects ◽  
Successful Management ◽  
Developmental Issues ◽  
Physical Findings ◽  
Over Time

RAP offers a complex and often confusing array of symptoms and diagnostic possibilities. This may be due to its unique age of presentation, its inherent somatic and cognitive developmental issues, or the physiology of abdominal pain itself. A careful examination of the historic and physical findings should produce a therapeutic plan that addresses somatic, psychological, and environmental aspects of the child. This process will avoid overly simplistic and premature misdiagnosis or potentially unnecessary investigations that convey a sense of disinterest, haste, and disbelief in the problem. The successful management of RAP lies in the recognition that serious underlying disease frequently is not present and that time usually is on our side. It is the process of continued and thoughtful evaluation and reassurance over time that counts.

scholarly journals Diagnosis and Treatment of Multiseptate Gallbladder with Recurrent Abdominal Pain

2011 ◽  
Vol 2011 ◽  
pp. 1-2 ◽  
Author(s):  
Turgut Karaca ◽  
Omer Yoldas ◽  
Bulent Caglar Bilgin ◽  
Selma Bilgin ◽  
Ender Evcik ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Laparoscopic Cholecystectomy ◽  
Female Patient ◽  
Congenital Malformation ◽  
Recurrent Abdominal Pain ◽  
Diagnosis And Treatment ◽  
Multiseptate Gallbladder ◽  
Gastrointestinal Complaints ◽  
Upper Abdominal

Laparoscopic cholecystectomy is usually performed for gallstones or polyp of the gallbladder. Multiseptate gallbladder is a rare congenital malformation. Although several asymptomatic cases have been described, patient usually present with right upper abdominal pain. We present a 29-year-old female patient with multiseptate gallbladder, cholecystectomy was performed, and her abdominal pain and gastrointestinal complaints have resolved.

Laparoscopy for diagnosis and treatment of recurrent abdominal pain in children

1996 ◽  
Vol 31 (8) ◽  
pp. 1158-1160 ◽  
Author(s):  
Steven Stylianos ◽  
James E. Stein ◽  
Laura M. Flanigan ◽  
Daniel H. Hechtman
Keyword(s):  
Abdominal Pain ◽  
Recurrent Abdominal Pain ◽  
Diagnosis And Treatment

scholarly journals Prospects for the use of biomarkers in the diagnosis of irritable bowel syndrome

2020 ◽  
pp. 94-101
Author(s):  
V. A. Akhmedov ◽  
A. K. Sargsyan ◽  
O. V. Gaus
Keyword(s):  
Irritable Bowel Syndrome ◽  
Abdominal Pain ◽  
Recurrent Abdominal Pain ◽  
Diagnosis And Treatment ◽  
Functional Disorder ◽  
Wide Range ◽  
Irritable Bowel ◽  
Number Of Publications

Irritable bowel syndrome is a chronic functional disorder of the intestine, manifested by altered intestinal habits and recurrent abdominal pain in combination with two or more criteria: association with defecation, association with a change in the frequency of defecation, association with a change in the appearance of the stool. To date, IBS remains a diagnosis of exclusion that needs to be differentiated from a wide range of organic diseases. In recent years, a large number of publications have appeared on the research of etiopathogenesis, diagnosis and treatment of IBS. This literary review highlights the problems of searching for biomarkers of IBS as a way to solve the problem of diagnosis of this pathology and understanding the causes of its occurrence.

DIAGNOSIS AND TREATMENT: PSYCHOGENIC, RECURRENT, ABDOMINAL PAIN

PEDIATRICS ◽  
1967 ◽  
Vol 40 (1) ◽  
pp. 84-89
Author(s):  
Morris Green
Keyword(s):  
Abdominal Pain ◽  
School Children ◽  
School Child ◽  
Recurrent Abdominal Pain ◽  
Medical Consultation ◽  
Temporal Relation ◽  
Diagnosis And Treatment ◽  
Present Discussion

RECURRENT abdominal pain represents a frequent cause for medical consultation. At least 1 school child in 10 suffers from this complaint. Slightly more common in girls than in boys and unusual before the age of 5, recurrent abdominal pain has its greatest incidence in children 9 to 10 years of age. In 1,000 unselected school children Apley found the complaint to occur more frequently in girls (12.3%) than in boys (9.5%); more than one fourth of all girls at age 9 were affected. Both organic and psychogenic etiologic possibilities need be considered together in each such case. The present discussion will be largely concerned with the latter. It is intended that a subsequent article will be concerned with organic abdominal pain. CHARACTERISTICS OF PSYCHOGENIC, RECURRENT, ABDOMINAL PAIN About one half of the children whose pain is psychogenic will have been symptomatic less than 1 year at the time of consultation; others will have had complaints for 1 to 5 years. Some children experience six or seven episodes a day while others one a week or one a month. Although this symptom may be related directly to stressful situations, this relationship is uncommon. A temporal relation to meals is rare, and the pain almost never awakens the child from sleep. Individual attacks are usually 5 to 30 minutes in length but may persist for hours. Episodes usually began gradually rather than abruptly. The pain is generally constant and mild or moderate rather than colicky and severe. Descriptions are vague: "It just hurts," "It feels funny," or "I don't know."

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