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Recurrent abdominal pain in childhood
Philip Bufler1, Martina Gross, Holm H Uhlig
1Abteilung für Pädiatrische Gastroenterologie und Hepatologie, Dr. von Haunersches Kinderspital, Ludwig-Maximilians-Universität München, Lindwurmstrasse 4, 80337 München, Germany. philip.bufler@med.uni-muenchen.de
Deutsches Arzteblatt International
|June 2, 2011
Summary
Chronic abdominal pain in children is best managed with cognitive behavioral therapy after ruling out organic causes. This approach avoids unnecessary tests and treatments for functional abdominal pain.
Area of Science:
- Pediatric Gastroenterology
- Childhood Functional Abdominal Pain
Background:
- Chronic, recurrent abdominal pain significantly impacts children's daily lives, leading to school absenteeism and frequent healthcare visits.
- Diagnostic and treatment pathways for pediatric abdominal pain are often burdensome and prolonged.
Purpose of the Study:
- To outline a systematic approach for evaluating chronic recurrent abdominal pain in children and adolescents.
- To differentiate functional abdominal pain from organic causes.
Main Methods:
- A selective review of the existing medical literature was conducted.
- Utilized the pediatric Rome III criteria for diagnosing functional abdominal pain.
Main Results:
- Organic causes of abdominal pain should be excluded through comprehensive medical history, physical examination, and limited laboratory tests.
- Cognitive behavioral therapy is indicated as the primary treatment for functional abdominal pain in children.
- Medications and dietary interventions are less effective than cognitive behavioral therapy for functional abdominal pain.
Conclusions:
- A systematic diagnostic strategy is crucial for managing chronic recurrent abdominal pain in pediatric populations.
- Effective management involves ruling out organic diseases while minimizing unnecessary investigations and treatments.
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