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[Chronic abdominal pain: a pediatric approach]
1Disciplina de Pediatria e Puericultura, Faculdade de Medicina do ABC, Santo Andre.
Insights
Treating chronic abdominal pain in children is challenging due to diverse causes. A comprehensive model helps understand organic, psychic, and lifestyle factors for better diagnosis and management of pediatric abdominal pain.
Area of Science:
- Pediatric Gastroenterology
- Child Psychology
- Clinical Medicine
Context:
- Chronic abdominal pain in children presents diagnostic and therapeutic challenges.
- Identifying diverse organic (gastrointestinal, genitourinary) and psychic etiologies is crucial.
- Understanding dysfunctional mechanisms is essential for effective management.
Purpose:
- To highlight the complexity of diagnosing and treating chronic abdominal pain in pediatric patients.
- To emphasize the importance of considering both organic and psychic factors.
- To introduce a model for a more comprehensive understanding of pediatric abdominal pain.
Summary:
- Chronic abdominal pain in children stems from a variety of causes, requiring a multifaceted diagnostic approach.
- Organic causes like gastrointestinal and genitourinary issues are common, but psychic and behavioral factors are also significant.
- Levine and Rappaport's model, considering predisposition, lifestyle, and learned behaviors, offers a framework for understanding these complex cases.
Impact:
- Provides clinicians and families with a structured approach to understanding pediatric abdominal pain.
- Facilitates more accurate diagnosis by considering a broader range of contributing factors.
- Aims to improve therapeutic outcomes for children suffering from chronic abdominal pain.
Abstract:
To treat chronic abdominal pain in a child is a difficult task either in a therapeutic or diagnostic point of view, by the variety of its several causes, displays and evolution. It is important not only to the clinician lent also to the child's family to try to identify the possible organic and psychic etiologies; in the organic causes there are frequently gastrointestinal and genitourinary reasons, but there are many dysfunctional mechanisms that shall not be forgotten. The author believes is useful, for a better understanding, to apply Levine and Rappaport's model, that indicates four primary intervening forces of the abdominal pain; 1. predisposition, dysfunction or somatic illness; 2. habits and life style; 3. personality and learned behavior's the necessity of a deep comprehension in the relationship between term case, sometimes frustrating.