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Recurrent abdominal pain: an update

J T Boyle1

  • 1Case Western Reserve University School of Medicine, Cleveland, OH, USA.

Pediatrics in Review
|September 1, 1997
PubMed
Summary
This summary is machine-generated.

Recurrent abdominal pain (RAP) in children often indicates a functional gastrointestinal disorder. Diagnosis involves medical history, physical exams, and targeted tests to identify specific presentations like irritable bowel syndrome.

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Area of Science:

  • Pediatric Gastroenterology
  • Functional Gastrointestinal Disorders

Background:

  • Recurrent abdominal pain (RAP) is a common pediatric complaint.
  • It describes a diverse group of children with episodic abdominal pain lasting over three months.
  • The majority of RAP cases are linked to functional gastrointestinal disorders.

Observation:

  • Functional abdominal pain is often triggered by gastrointestinal motility or sensory disturbances.
  • These disturbances can be provoked by various physical and psychological stressors.
  • Three primary clinical presentations are observed: periumbilical pain, dyspepsia, and irritable bowel syndrome.

Findings:

  • Diagnosis of functional disorders in children is achieved through comprehensive evaluation.
  • This includes detailed medical history and physical examination.

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  • Selected laboratory, radiologic, and endoscopic tests aid in positive diagnosis.

    • Implications:

    • Accurate diagnosis of functional abdominal pain is crucial for effective management in children.
    • Understanding the triggers and presentations aids in developing targeted treatment strategies.
    • This approach helps differentiate functional disorders from organic diseases, improving patient care.