Recurrent abdominal pain can be caused by a number of different illnesses or there may not be any underlying problem at all. Commonly known as stomach aches, the treatment is generally symptom based. Recurrent abdominal pain is a common complaint in children . It occurs between the ages of 5 – 12 years. Chronic abdominal pain usually occurs in children beginning after age 5 years. Chronic abdominal pain is stomach ache in children that usually lasts for more than 2 months and does not respond to traditional treatments. [Recurrent stomach complaints in children] Nord Med. It is thought to be due to the interaction of biological, physical and psychological factors with the child… APPROACH TO RECURRENT ABDOMINAL PAIN IN CHILDREN DR SAMEER S 2. Abdominal pain is pain or cramping anywhere in the abdomen (tummy, belly or stomach). It is somewhat more common among girls. One in 10 children visits a clinician because of chronic or recurrent abdominal pain. Recurrent abdominal pain is commonly referred to by children and parents as a stomach ache, tummy ache, cramping, bloating, belly pain, stomach pain, gut pain, and abdomen pain. It is helpful to understand some of the things that cause this to happen. Children with depression may complain of headaches, particularly if they have trouble recognizing feelings of sadness and loneliness. This syndrome has been extensively studied. It occurs in 9 to 15 percent of all children. In some cases stomach pain is triggered by psychosomatic mechanisms. About 10 to 15% of children aged 5 to 16 years, particularly those aged 8 to 12 years, have chronic or recurring abdominal pain. The first consideration is the duration of each episode. In some children, stomach pains come and go, with no apparent reason. Recurrent abdominal pain syndrome is a not well defined pain found in about 1 in every 8 children. Parents or caregivers face the difficult decision of whether a complaint needs emergency care or not. It is often followed by diarrhea. Chronic abdominal pain in children is usually functional, that is, without objective evidence of an underlying organic disorder. Abdominal pain can happen suddenly or develop slowly. Chronic or Recurrent Abdominal Pain Syndrome: This is the commonest of the five syndromes and occurs in children between the ages of 5 and 12 years. Emotional factors. Cramp-like pain is likely to be due to gas and bloating. Stress or Worries. It is one of the most common reasons children see a doctor. This is referred to as Recurrent Abdominal Pain or RAP. This can make them more at risk to the normal stresses of life. In boys, pain is most common between ages five and six years. Functional abdominal pain includes several different types of chronic abdominal pain, including recurrent abdominal pain, functional dyspepsia, and irritable bowel syndrome. It may be accompanied by pallor, nausea and headache. A … These children tend to be sensitive and too serious. Reflux and dyspepsia – Some children will develop recurrent abdominal pain that is just under the diaphragm, maybe improved with food, and can wake them at night. If pain or other problems persist, see your doctor. This pain is rarely caused by problems with the heart. In most cases, abdominal pain is not serious and gets better with little or no treatment. Signs and symptoms of abdominal pain. In case the doctor suspects a parasitic infection, anti parasitic medicines will solve the problem. Children younger than 8 may not be able to differentiate between stomach pain and the kind of pain that warrant urgent medical attention, Friesen said. A course of anti-worm medications usually cures the infection. The present study investigated frequency and co-occurrence of recurrent headache, stomach-ache, and backache in young schoolchildren (6–13 years of age). Often the child is treated for acidity, gastritis, or dyspepsia. If the child is seen by a doctor, and all medical causes are ruled out, then the child is said to have "functional abdominal pain". Stomach pain and nausea often occur together and can affect both adults and children. Also, contact a doctor if your child's head pain steadily worsens after a head injury. Possible causes for a child's abdominal pain range from trivial to life-threatening with little difference in the child's complaints and symptoms. Most cases of abdominal pain are not serious and children often get better by themselves. Exclusion Criteria: Children who have another disease that accounts for stomach pain; Current use of anti-inflammatory medication Abdominal pain as a symptom is highly prevalent in the pediatric population. Clinical Definitions Source:Hyams et.al 1996. The symptoms of abdominal pain are commonly found in school going children. Children who have had at least one physician visit in the past year for abdominal pain or IBS symptoms. Recurrent stomach viruses should alert caregivers that something in the child’s environment is contributing to this chronic re-infection. The physical examination and screening tests are entirely normal. Abdominal pain (AP) is a very common complaint caused by a variety of conditions. Fortunately, abdominal pain in a child usually improves quickly. These episodes are often severe, and the child is not able to do his or her normal activities. Symptoms of RAP are different for every child and may change with each episode. Chronic abdominal pain in children is defined as pain of more than two weeks' duration.1 The pain may be persistent or recurrent. It is a discomfort in which children faces pain from the lower chest to distal groin.The pain can be dull, cramps and may be sharp. Children with recurrent abdominal pain who meet the criteria for irritable bowel syndrome. Mild or moderate AP affects practically all children of all ages. Examples of these events are changing schools, moving or family fights. They often are model children. Written by: A Sahib El-Radhi | Published: 19 May 2015. Recurrent abdominal pain (RAP) is common in children, and affects about 10%–20% of school-going children. Stress and anxiety — perhaps triggered by problems with peers, teachers or parents — can play a role in children's headaches. An infected tooth can cause a dental abscess to form in the mouth. Dental Abscess. They are well otherwise but at times appear distressed with the discomfort. Colicky pain is pain that comes in waves, usually starts and ends suddenly, and is often severe. They are given home-remedies, de-worming, antibiotics and … How to approach recurring abdominal pain in children. Some will complain of reflux of food or stomach contents into their throat. In many cases the investigations can be made in the out-patient clinic. If the pain lasts less than 5 minutes, even if it occurs many times daily, the pain is unlikely to be worrisome. Chronic abdominal pain is also common among adults, affecting women more often than men. Apley and Naish, who documented RAP in children in the middle of last century, noted that in the vast majority of cases, no organic causes could be found, and they considered the aetiology of RAP to be psychogenic in origin. Chronic recurrent abdominal pain – this type of pain is seen in late childhood (8-15 years) and more often in girls than in boys. The most common cause of frequent stomach pains is stress. Stomach viruses, also known as gastroenteritis, are a common source of diarrhea, nausea and stomach pain for children 3. It is usually not serious. 1998 Feb;113(2):43-5, 59. Chronic and recurrent abdominal pain is common in children, and the term "functional pain disorder" refers to pain for which a specific cause (by history, physical examination, or laboratory tests) has not been found. The pain is ill-defined, periumbilical and is unrelated to meals or the passage of bowel motions. My Wife Has Chronic Pain And Its Ruining Our Marriage Kids Relief Pain And Fever Review. Depending upon the child's age, aetiological indications can sometimes be derived from history taking. Your child can have this kind of pain when they have a stomach virus, indigestion, gas, or when they become constipated. Children often complain of abdominal pain. RAP occurs in about 1 in 6 children, and usually goes away on its own. 1. Abdominal pain is serious and a very common problem. If it occurs in your child, it needs to be evaluated by a doctor. Chronic abdominal pain, defined as long-lasting intermittent or constant abdominal pain, is a common pediatric problem encountered by primary care physicians, medical subspecialists, and surgical specialists. Causes of Recurrent Stomach Pains. Many children with stomach pain get better in hours or days without special treatment and often no cause can be found. Chronic Stomach Pain And Vomiting In Child Clinical Assessment Of Cortical Changes In Chronic Pain Zoltan Pain Relief, Easy Yoga For Pain Relief Stomach Not Pain Relief Thai Pain Relief Cream. The pain usually settles spontaneously without medical intervention. It may affect up to 30% of children ages 4 to 12. Chest pain in children can be caused by many conditions. Recurrent abdominal pain in children 1. Recurrent abdominal pain in children often has no known medical cause, but that does not mean your child's symptoms are not real 5. Different recurrent pain symptoms in children have mainly been investigated separately and comprehensive studies exploring the relationship between several of the most common recurrent pain symptoms simultaneously are few. (1) How can a clinician screen quickly for disease? Evaluation of a “tummy ache” can be a challenge both to the parents and the physician trying to diagnose the problem.