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A study of abdominal pain in children

K N Shakya1, U M S Dongol, S B Khadka

  • 1Department of Pediatrics, Kathmandu Medical College, Kathmandu, Nepal. nphl@wlink.com.np

JNMA; Journal of the Nepal Medical Association
|December 17, 2008
PubMed

Insights

Pediatric abdominal pain in Nepal is mostly due to medical conditions like gastroenteritis. Surgical causes are infrequent but pose diagnostic challenges for clinicians.

Area of Science:

  • Pediatrics
  • Gastroenterology
  • Epidemiology

Background:

  • Abdominal pain is a frequent pediatric emergency presentation in Nepal.
  • Understanding the causes and frequency of pediatric abdominal pain is crucial for effective management.

Purpose of the Study:

  • To determine the causes and their frequencies of abdominal pain in children presenting to a tertiary care hospital in Nepal.
  • To analyze the etiological spectrum of pediatric abdominal pain in the Nepali population.

Main Methods:

  • A prospective study involving clinical evaluation and investigations of children with abdominal pain.
  • Data collected from patients presenting to the emergency room and pediatric outpatient department over a two-year period.
  • Analysis of outcomes for 356 patients who completed investigations and follow-up.

Main Results:

  • The cause of abdominal pain was identified in 32.9% of patients.
  • Medical causes predominated (91.5%), with diarrheal diseases (28.3%) being the most common.
  • Surgical causes accounted for 8.5%, while secondary or extra-abdominal causes were found in 17.1%.

Conclusions:

  • Pediatric abdominal pain in Nepal is predominantly caused by medical conditions, particularly gastroenteritis.
  • A small proportion of cases require surgical intervention, presenting diagnostic difficulties.
  • Further research into the specific etiologies and management strategies for pediatric abdominal pain in the region is warranted.

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