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Recurrent abdominal pain during childhood
1Division of Pediatric Gastroenterology and Nutrition, Alberta Children's Hospital.
Canadian Family Physician Medecin De Famille Canadien
|March 1, 1994
Summary
Most childhood recurrent abdominal pain cases are functional, diagnosed through history and physical exams. Organic causes are rare, emphasizing the importance of thorough clinical evaluation for accurate diagnosis and parental reassurance.
Area of Science:
- Pediatric Medicine
- Gastroenterology
Background:
- Recurrent abdominal pain is a frequent pediatric complaint.
- Differentiating functional from organic causes is crucial for appropriate management.
Purpose of the Study:
- To outline the diagnostic approach for recurrent abdominal pain in children.
- To emphasize the high diagnostic yield of clinical evaluation.
Main Methods:
- Detailed patient history taking.
- Comprehensive physical examination.
- Limited laboratory investigations when indicated.
Main Results:
- Functional recurrent abdominal pain diagnosed in 90-95% of cases.
- Organic causes identified in only 5-10% of cases.
Conclusions:
- A thorough history and physical exam are key to diagnosing functional abdominal pain.
- Physician's thoroughness and clear communication build trust and reassure families.