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Related Experiment Videos

[Bladder instability and abdominal pain in children].

V García Nieto1, D Castro Díaz, J Uroz Tristán

  • 1Servicio de Pediatría, Hospital Universitario de Canarias, Tenerife.

Anales Espanoles De Pediatria
|February 1, 1990
PubMed
Summary

Anticholinergic treatment resolved bladder instability and abdominal pain in three pediatric patients. Urodynamic studies are recommended for children with recurrent abdominal pain and urinary symptoms.

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Area of Science:

  • Pediatric Urology
  • Gastroenterology
  • Clinical Medicine

Background:

  • Recurrent abdominal pain (RAP) is a common pediatric complaint with diverse etiologies.
  • Bladder instability can present with symptoms mimicking or co-existing with abdominal pain.
  • Anticholinergic medications are used to manage detrusor overactivity.

Observation:

  • Three pediatric patients presented with concurrent symptoms of bladder instability (frequency, incontinence, urgency) and recurrent abdominal pain.
  • These patients received anticholinergic therapy as part of their management.
  • A significant improvement and resolution of both abdominal pain and bladder symptoms were observed post-treatment.

Findings:

  • Successful resolution of recurrent abdominal pain and bladder instability symptoms in all three cases following anticholinergic treatment.

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  • This suggests a potential link between bladder dysfunction and abdominal pain in this patient cohort.
  • Anticholinergic therapy appears to be an effective treatment modality for this specific presentation.

    • Implications:

    • Urodynamic studies should be considered in the diagnostic workup of children presenting with recurrent abdominal pain, particularly when associated with urinary symptoms.
    • This approach may help identify underlying bladder dysfunction contributing to abdominal discomfort.
    • Further research is warranted to elucidate the pathophysiology and confirm the efficacy of anticholinergic agents in larger pediatric cohorts.