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Recurrent abdominal pain during childhood
T F Oberlander1, L A Rappaport
1Children's Hospital, Boston, MA.
Pediatrics in Review
|August 1, 1993
Summary
Recurrent abdominal pain (RAP) in children presents complex diagnostic challenges. Effective management focuses on a holistic approach, recognizing that serious illness is rare and time/reassurance are key.
Area of Science:
- Pediatrics
- Gastroenterology
Background:
- Recurrent abdominal pain (RAP) in children presents a complex diagnostic challenge.
- Its presentation is influenced by age, developmental factors, and the physiology of abdominal pain.
Purpose of the Study:
- To outline a diagnostic and therapeutic strategy for managing recurrent abdominal pain in children.
- To emphasize a comprehensive approach addressing somatic, psychological, and environmental factors.
Main Methods:
- Detailed historical and physical examination.
- Systematic evaluation of symptoms and patient context.
- Longitudinal assessment and reassurance over time.
Main Results:
- A careful, holistic evaluation can prevent misdiagnosis and unnecessary investigations.
- Successful management hinges on recognizing the low likelihood of serious underlying pathology.
- Time, continued evaluation, and reassurance are crucial therapeutic elements.
Conclusions:
- Effective management of pediatric RAP requires a multifaceted approach.
- Avoidance of premature diagnosis and unnecessary tests is paramount.
- A patient, reassuring, and thorough evaluation process is the cornerstone of successful treatment.