Recurrent abdominal pain in childhood

Objective & Hypothesis:Objective: To enlighten the etiologies of patients with recurrent abdominal pain (RAP) and to determine the hint points which have to be noted during physical examination and medical history and the necessary laboratory investigations.

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Key Findings & Data:Sami Ulus Children's Hospital with the complaint of recurrent abdominal pain between August and December 2002 were evaluated prospectively.

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Conclusion & Impact:Later further investigations in the necessary patients should be planned for the diagnosis according to the considered etiology.

🔬Design:Research Article

📍Scope:2002 Verileri

⚙️Variables:Çocuk · İleriye dönük çalışma · Karın ağrısı

Abstract

Objective: To enlighten the etiologies of patients with recurrent abdominal pain (RAP) and to determine the hint points which have to be noted during physical examination and medical history and the necessary laboratory investigations. Material and Method: Fifty children who applied to Dr. Sami Ulus Children's Hospital with the complaint of recurrent abdominal pain between August and December 2002 were evaluated prospectively. After being questioned and physically examined, all patients were asked to take first step laboratory investigations. Later some of the necessary patients were asked to take second step laboratory investigations, to reach an accurate diagnosis. Results: Of the fifty children included in the study 23 were boys and 27 were girls. Their ages ranged between 4-15 years (mean age 10+/-2.8). Parasitozis was diagnosed in 15 patients (%30), functional abdominal pain in 12 (%24), constipation in 8 (16), gastritis in 5 (%10), gluten sensitive enteropathy in 2 (%4), recurrent urinary tract infection in 2 (%4), acute hepatitis B infection in 2 (%4), familial mediterranean fever (FMF) in (%2), lactose intolerance in 1 (%2), polypozis in 1 (%2), nephrolithiazis in 1 (%2). Conclusion: Our observations in this study indicated that we could incline towards the organic and functional etiology of the abdominal pain of a patient with the help of hint points which would be carefully taken during physical examination and medical history. All patients having recurrent abdominal pain should be assessed with non-invasive first step investigations. Later further investigations in the necessary patients should be planned for the diagnosis according to the considered etiology.

Özet

Amaç: Tekrarlayan karın ağrısı nedeniyle başvuran hastaların etiolojilerinin aydınlatılması, öyküde ve fizik muayenede dikkat edilmesi gereken ipuçlarının belirlenmesi ve gerekli laboratuvar tetkiklerinin saptanmasına çalışıldı. Gereç ve Yöntem: Dr. Sami Ulus Çocuk Hastanesi Genel Polikliniği'ne Ağustos-Aralık 2002 tarihleri arasında tekrarlayan karın ağrısı nedeniyle başvuran 50 olgu prospektif olarak ele alındı.Tüm hastalardan ayrıntılı anamnez ve fizik muayeneden sonra 1. basamak LABORATUVAR tetkikleri istendi.Gerekli görülen hastalardan düşünülen etiolojiye yönelik 2. basamak tetkikler istendi. Bulgular: Çalışmaya alınan 50 hastanın 23'ü erkek, 27'si kız idi.Yaşları 4-15 arasında değişmekteydi (ort:10+/-2.8). 15 hastada (%30) parazitoz, 12 hastada (%24) fonksiyonel karın ağrısı, 8 hastada (%16) konstipasyon, 5 hastada (%10) gastrit, 2 hastada (%4) gluten sensitif enteropati, 2 hastada (%4) tekrarlayan idrar yolu enfeksiyonu, 2 hastada (%4) akut hepatit B enfeksiyonu, 1 hastada (%2) FMF, 1 hastada (%2) laktoz intoleransı, 1 hastada (%2) polipozis, 1 hastada (%2) hiperoksalüriye bağlı nefrolitiyazis saptandı. Sonuç: Bu çalışmada anamnez ve fizik muayenede dikkat edilecek ip uçları ile hastanın karın ağrısının organik veya fonksiyonel etiolojisine yönelebileceğimizi gördük.Hastalardan öncelikle daha az invaziv olan 1. basamak tetkikler, gereken hastalardan düşünülen etiolojiye yönelik daha ileri tetkiklerin planlanması gerekir.

Keywords

Çocuk İleriye dönük çalışma Karın ağrısı Child Prospective Studies Abdominal Pain

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Cite This Article

KARACAN, C. D., TEOMAN, P., BAŞ, A. Y., ÖZKASAP, S., ATİK, F., ERTAN, Ü. (2004). Recurrent abdominal pain in childhood. Medical Network Klinik Bilimler ve Doktor, Cilt: 10 - Sayı: 3, 317–321. https://ajindex.com/articles/279134

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