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[Recurrent abdominal pain]

M A Duarte1, J A Mota

  • 1Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.

Jornal De Pediatria
|December 17, 2003
PubMed
Summary
This summary is machine-generated.

Recurrent abdominal pain in children (4-16 years) is diagnosed via clinical history, physical exam, and lab tests. Treatment focuses on cognitive-behavioral factors for effective management.

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Area of Science:

  • Pediatrics
  • Gastroenterology
  • Psychology

Background:

  • Recurrent abdominal pain is a common condition in children aged 4-16 years.
  • It is defined by at least three pain episodes within three months, severe enough to disrupt daily activities.
  • Children are typically asymptomatic between pain episodes.

Purpose of the Study:

  • To outline current diagnostic concepts for recurrent abdominal pain in pediatric patients.
  • To review the therapeutic strategies for managing recurrent abdominal pain in children and adolescents.

Main Methods:

  • Literature review including Medline, recent reviews, personal files, books, and dissertations.
  • Inclusion of only the most significant articles for comprehensive analysis.
  • Diagnosis relies on detailed clinical history, thorough physical examination, and select laboratory tests.

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Main Results:

  • Recurrent abdominal pain is a primary cause of recurrent pain in children aged 4-16.
  • Diagnostic criteria include frequency, severity, and impact on routine activities.
  • Manifestations include isolated umbilical pain, dyspeptic symptoms, or digestive dysfunction.
  • Treatment must prioritize cognitive-behavioral aspects of pain management.

Conclusions:

  • The proposed treatment strategy for recurrent abdominal pain balances thorough investigation with efficient management.
  • This approach aims to optimize care for children and families dealing with this condition.
  • Effective management involves addressing both the physical and psychological components of recurrent abdominal pain.