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[Chronic abdominal pain in children]

D Turck1

  • 1Unité de gastroentérologie, hépatologie et nutrition Cliniqué de pédiatrie Hôpital Jeanne de Flandre, Lille.

La Revue Du Praticien
|October 22, 1998
PubMed
Summary

Recurrent abdominal pain affects 10-15% of children. A balanced diagnostic approach is crucial to identify organic causes while avoiding over-investigation or misdiagnosis of functional pain.

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Area of Science:

  • Pediatric Gastroenterology
  • Childhood Symptomatology

Context:

  • Recurrent abdominal pain is a common childhood complaint, affecting 10-15% of children aged 5-15.
  • Over-investigation or misdiagnosis of functional pain can occur without a careful diagnostic strategy.

Purpose:

  • To outline an effective diagnostic approach for recurrent abdominal pain in children.
  • To differentiate between organic and functional causes of chronic abdominal pain.

Summary:

  • A systematic approach involving careful history and clinical examination, supplemented by minimal investigations, is key.
  • This strategy helps identify organic causes like gastrointestinal or nephro-urologic diseases, or suggests functional pain.

Impact:

  • Facilitates accurate diagnosis and appropriate management of pediatric abdominal pain.
  • Reduces unnecessary diagnostic tests and the risk of missing rare organic conditions.

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