Aetiology of recurrent abdominal pain in a cohort of Sri Lankan children

Abstract

Organic pathology accounted for symptoms in less than a quarter of Sri Lankan children with RAP. The majority had functional bowel diseases, of which the commonest was functional abdominal pain. Rome III criteria were more effective than Rome II criteria in identifying FGD. Helicobacter pylori infection did not appear to be associated with RAP.

Clinico-Etiological Profile of Recurrent Abdominal Pain in Children Aged 5-15 Years

“…Out of total study patients only one child who had ovarian hemorrhagic cyst had pain during night. Similar study was conducted by Devanarayana NM et al (18) to detect etiology of RAP, who found that in over half of the patients (69.09%) pain was felt in the periumbilical region, nocturnal pain was presented in 12.72% cases. In a similar study, conducted by LiebmanW (8) in…”

“…In a study conducted by Wewer V et al (17) Pallor was the most common associated physical finding seen in 12 (14.63%) patients followed by hepatomegaly and splenomegaly in 2.44% and 1.22% patients respectively. Devanarayana NM et al (18) reported associated symptoms in more number of patients which included headache (41.81%), anorexia (30.9%), lethargy (23.6%), weight loss (27.27%), constipation (12.73%), dysuria (18.18%), and joint pain (18.18%). LiebmanW (8) (1978) studied clinical pattern of 119 children with RAP.…”

Diagnosis Pattern and Outcome of Adolescents Admitted with Recurrent Abdominal Pain in a Tertiary Care Hospital

“…[25][26][27][28][29] In hospitalbased studies, abdominal migraine is seen in 2.2 to 23 % of children with non-organic abdominal pain. [30][31][32][33][34] Similarly the present study shows that 0.98% of the sample with recurrent abdominal pain was diagnosed as abdominal migraine.…”

Recurrent Abdominal Pain in Children: Is it Organic or Functional?

“…[3][4][5] Avrupa'da çocuklarda fonksiyonel karın ağrısının en sık nedeni olarak irritabl barsak sendromu (İBS) bildirilirken, gelişmekte olan ülkelerde TKA olan çocukların %30'unda organik bir neden saptanmıştır. [6][7][8] Organik nedenler dışlandığında FGİB tanısına yönelinmektedir.…”

“…Birçok farklı çalışmada, gastrointestinal parazitozlar, inflamatuar barsak hastalığı, çölyak hastalığı, Helicobacter pylori enfeksiyonu, üriner sistem enfeksiyonları, laktoz intoleransı, fruktoz intoleransı ve besin allerjilerinin TKA'ya yol açabilecek organik bir neden olabileceği kabul edilmiş; ancak hangi testin ne zaman, kime uygulanması gerektiği konusunda henüz bir fikir birliğine varılamamıştır. 2,3,7,9 Bu çalışmada, çocuklarda TKA'ya yol açan organik nedenlerin değerlendirilmesi ve FGİB'nin belirlenmesi amaçlanmıştır.…”