Background: Mostly, chronic abdominal pain (CAP) is detected with no abnormality. Therefore, focuses on psychosocial issues of children with CAP may throw light on etiology of this disorder and inputs for management. Objective: To study the psychosocial factors related with CAP and association between them in children. Methodology: In a prospective, hospital-based case control study, 199 children (aged 5-15 years) were enrolled. Children were split into cases (n=50, with CAP) and controls (n-149, without CAP). Cases were further divided into organic and nonorganic groups based on their symptoms. Baseline investigations like urine and stool routine, ultrasound (abdomen and pelvis) was done for cases. Psychosocial assessment was done in all patients. Results: Around 88% children in cases group had nonorganic pain and 12% had organic pain. Most children with nonorganic pain were females (52%). A significant association noted between type of stool, USG abdomen results, and characteristic of pain with type of abdominal pain (organic and nonorganic) (P<0.001).
Background: Diarrhea is the second leading cause of mortality in children less than 5 years. Rotavirus is the commonest pathogen which causes diarrhea in children. As a result of dehydration and its hazardous consequences, it causes various deleterious effects on a child resulting in growth failure and malnutrition and sometimes leading to death. Aims & Objectives: To determine the prevalence and elucidate the clinical pattern of rotavirus diarrhea and differentiate it from non-rotavirus diarrhea in children ? 5 years hospitalized for acute diarrhea. Material & Methods: It was a cross-sectional study carried out between October 2014 and September 2016 on a total of 189 patients admitted for acute diarrhea in a tertiary care hospital. Stool samples were processed for identification of rotavirus antigen by ELISA. Clinical characteristics along with the seasonal variation of the infection were also studied. Result: Prevalence of rotavirus in the present study was estimated to be 36.5%. Infection occurred mostly in the age group of 7 – 12 months (46.3%) followed by 1 – 6 months (31.8%). Positive cases had associated clinical features as vomiting (69.5%), fever (55%) and peri-anal redness (33.3%). Maximum no. of rotavirus cases occurred in the winter season (42%). Conclusion: Rotavirus diarrhea does not follow a specific clinical pattern and lead to substantial morbidity in the study population.
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