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[Chronic abdominal pain: a pediatric approach]
1Disciplina de Pediatria e Puericultura, Faculdade de Medicina do ABC, Santo Andre.
Arquivos De Gastroenterologia
|July 1, 1989
Summary
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.