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.

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.

The Child with Abdominal Pains

PEDIATRICS ◽  
1960 ◽  
Vol 25 (5) ◽  
pp. 780-780
Author(s):  
GIULIO J. BARBERO
Keyword(s):  
Abdominal Pain ◽  
Emotional Disturbance ◽  
Critical Analysis ◽  
Recurrent Abdominal Pain ◽  
Clinical Material ◽  
Careful Examination ◽  
Clinical Area ◽  
Almost All

This little volume is a classic monograph on the problem of abdominal pain in childhood. It is beautifully written, with brevity and clarity. Dr. Apley demonstrates so well how careful examination of a complex clinical area may be subjected to critical analysis. In almost all instances he has based his concepts on some type of analysis of clinical material liberally reinforced by the use of control measurements. Of particular interest are the studies on "abdominal epilepsy" and emotional disturbance in the problem of recurrent abdominal pain of childhood.

scholarly journals Recurrent abdominal pain among adolescents: trends and social inequality 1991–2018

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Bjørn E Holstein ◽  
Mogens Trab Damsgaard ◽  
Janni Ammitzbøll ◽  
Katrine Rich Madsen ◽  
Trine Pagh Pedersen ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Abdominal Pain ◽  
Social Inequality ◽  
Low Socioeconomic Status ◽  
International Health ◽  
Participation Rate ◽  
Recurrent Abdominal Pain ◽  
High Socioeconomic Status ◽  
Entire Study ◽  
Over Time

AbstractObjectivesThe association between socioeconomic status and recurrent abdominal pain (RAP) among adolescents is an understudied issue. No study has examined whether such an association changes over time. The aim was to examine trends in RAP among adolescents in Denmark from 1991 to 2018, to examine whether there was social inequality in RAP and whether this inequality varied over time.MethodsThe study used data from the Danish part of the international Health Behaviour in School-aged Children (HBSC) study of nationally representative samples of 11-, 13- and 15-year-olds. This study pooled data from eight comparable surveys from 1991 to 2018, overall participation rate 88.0%, n=30,048. The definition of RAP was self-reported stomach-ache daily or several days per week during the past six months. We reported absolute inequality as prevalence difference in RAP between low and high socioeconomic status and relative inequality as odds ratio for RAP by socioeconomic status.ResultsIn the entire study population, 5.6% reported RAP, 3.1% among boys and 7.8% among girls. There was a significant increase in RAP from 1991 to 2018 among boys and girls, test for trend, p<0.0001. The prevalence of RAP was significantly higher in low than high socioeconomic status, OR=1.63 (95% CI: 1.42–1.87). The absolute social inequality in RAP fluctuated with no consistent increasing or decreasing pattern.ConclusionsThe prevalence of RAP increased from 1991 to 2018. The prevalence was significantly higher among girls than among boys, and significantly higher in low socioeconomic status families. Professionals should be aware of RAP as common and potentially serious health problems among children and adolescents. In addition to clinical examination it is important to focus on improving the child’s quality of life, reduce parents’ and children’s concerns about the seriousness of the condition, and consider supplements to medicine use.

A RARE CAUSE OF SEVERE RECURRENT ABDOMINAL PAIN

2013 ◽  
Vol 68 (1) ◽  
pp. 68-70
Author(s):  
C Isen ◽  
C Ivens ◽  
SFJ Callens ◽  
J Meeuwissen ◽  
A Vonck ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Recurrent Abdominal Pain

scholarly journals Recurrent abdominal pain in 52‐year‐old male

2015 ◽  
Vol 3 (6) ◽  
pp. 504-505
Author(s):  
Giovanni D. De Palma ◽  
Francesco Maione ◽  
Dario Esposito ◽  
Saverio Siciliano ◽  
Nicola Gennarelli ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Recurrent Abdominal Pain

scholarly journals Laparoscopic reduction and repair of a left paraduodenal hernia

2019 ◽  
Vol 12 (12) ◽  
pp. e232098 ◽  
Author(s):  
Takashi Sakamoto ◽  
Alan Kawarai Lefor
Keyword(s):  
Abdominal Pain ◽  
Laparoscopic Repair ◽  
Recurrent Abdominal Pain ◽  
Paraduodenal Hernia ◽  
Enhanced Ct ◽  
History Of ◽  
Congenital Internal Hernia ◽  
Continuous Closure ◽  
Hernia Orifice ◽  
Similar Episode

Left paraduodenal hernias are the most common type of congenital internal hernia, but they are difficult to diagnose without appropriate imaging. A 79-year-old man with a history of recurrent abdominal pain had another similar episode of abdominal pain, which prompted him to seek evaluation. The pain resolved spontaneously on arrival to the hospital. Enhanced CT scan showed the characteristic findings of a left paraduodenal hernia and laparoscopic repair was undertaken. The small intestine was reduced successfully, and the hernia orifice was approximated with a continuous closure. He was discharged uneventfully 4 days after admission. The characteristic clinical and imaging findings of paraduodenal hernias are reviewed. Laparoscopic repair is reasonable in patients who have a paraduodenal hernia without intestinal ischemia.

scholarly journals The Human Microbiome and Recurrent Abdominal Pain in Children

2010 ◽  
Author(s):  
Sabeen Raza ◽  
Richard Gibbs ◽  
Debasmita Mandal ◽  
Xiang Qin ◽  
Susan Lynch ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Human Microbiome ◽  
Recurrent Abdominal Pain
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