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Chronic abdominal pain in children.
Utpal Kant Singh1, Rajniti Prasad, Nishant Verma
1Department of Pediatrics, Nalanda Medical College, Patna, Bihar, India. Utpalkant.singh@yahoo.co.in
Indian Journal of Pediatrics
|August 14, 2012
Summary
Chronic abdominal pain in children often lacks organic causes. Early assessment for alarm symptoms guides diagnosis, while family factors influence pain duration and functional disability.
Area of Science:
- Pediatric Gastroenterology
- Clinical Pediatrics
Background:
- Chronic abdominal pain is common in children, frequently without identifiable organic disease.
- Current diagnostic approaches emphasize identifying 'alarm symptoms' through history and physical examination.
Purpose of the Study:
- To outline the diagnostic approach for chronic abdominal pain in children.
- To highlight the role of family characteristics in pain chronicity and functional disability.
- To emphasize the need for targeted follow-up to prevent healthcare resource overuse.
Main Methods:
- Review of diagnostic triage strategies for pediatric chronic abdominal pain.
- Assessment of alarm symptoms via patient history and physical examination.
- Evaluation of family-related factors influencing pain chronicity.
Main Results:
- Children without alarm symptoms generally do not require further diagnostic evaluation.
- Family characteristics significantly impact the persistence of abdominal pain and associated functional disability.
- Evidence for specific interventions to alleviate chronic abdominal pain in children is limited.
Conclusions:
- Diagnostic evaluation for chronic abdominal pain in children should be guided by the presence or absence of alarm symptoms.
- Addressing family coping strategies and psychosocial factors is crucial for managing chronic pain and preventing functional disability.
- Effective follow-up care can optimize resource utilization and improve patient outcomes.
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