Etiology of Recurrent Abdominal Pain in Children

Joshi, Binita Gurubacharya

doi:10.3126/jnps.v33i1.7413

Cited by 3 publications

(4 citation statements)

References 6 publications

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“…pylori infection (Joshi., 2013;Hegar., 2000). Study in Nepal study showed that among 47 children with symptoms of abdominal pain, 41 children (87%) had organic causes and 6 (13%) non-organic causes.…”

Section: Discussionmentioning

confidence: 99%

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The Incidence of Helicobacter Pylori-infection Gastritis in Children with Recurrent Abdominal Pain

Supriatmo¹,

Ramayani²

2021

IJRP

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Background: Gastritis is a disease characterized by inflammation process in the mucosa layer of the stomach. It happened as a response to damage, that causes mucosal atrophy and epithelial metaplasia. Recurrent abdominal pain (RAP) remain the most symptom associated to gastritis. Helicobacter pylori (H. pylori) infection is the most common cause of gastritis globally. Objective: This study objective to describe the incidence H.pylori-infection gastritis in children with RAP and the association between H.pylori-infection gastritis and children with RAP. Methods: During May 2020 to December 2020, all children age 2-18 years with RAP who fulfilled Apley's criteria or Rome IV were enrolled to this cross sectional study. Diagnosis gastritis based on endoscopy using Sydney classification and H.pylori infection with rapid urease test (RUT). Exclusion criteria included avoiding PPI, H2R antagonist and antibiotic two weeks before test. Results: Total 84 of 110 RAP subjects were diagnosed as gastritis and 66 positive RUT and 30 subjects as control. Most subjects 50 (76%) in age group more than 10 years old, boys 36 (54%) and girls 30(46%). Underweight in 2 subjects and 59(90%) were normal. There were significant association between RAP and H.pylori infection gastritis (X 2 , p<001). Conclusion: The incidence of H.pylori-infection gastritis among children with reccurrant abdominal pain was 60 % and there was a significant association between H.pylori-infection gastritis and children with RAP. Tobacco exposure might be related to increasing the incidence of H.pylori-infection gastritis among children with reccurrant abdominal

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Section: Discussionmentioning

confidence: 99%

“…Giardiasis was found to be the most common organic cause (46%) for RAP, followed by chronic constipation (34%) and urine culture-proven urinary tract infection (7.3%) (Joshi BG, 2013). An Iranian study (2013) were enrolled 103 children who presenting recurrent abdominal pain symptoms, as many as 39 children (37.…”

Section: Discussionmentioning

confidence: 99%

The Incidence of Helicobacter Pylori-infection Gastritis in Children with Recurrent Abdominal Pain

Supriatmo¹,

Ramayani²

2021

IJRP

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“…Giardiasis was found to be the most common organic cause (46%) for RAP, followed by chronic constipation (34%) and urine culture-proven urinary tract infection (7.3%). Upper gastrointestinal endoscopy performed in six patients showed antral gastritis with esophagitis and with H. pylori infection (Joshi., 2013;Hegar., 2000).…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Recurrent Abdominal Pain and Helicobacter Pylori Infection in Children

Akbar¹,

Supriatmo²,

Pratita³

2020

IJRP

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This study aimed to determine the relationship between recurrent abdominal pain and Helicobacter pylori infection in children. The cross sectional study was conducted 56 children. Subjects were children between aged 2-18 years with complaints of abdominal pain based on the Rome IV criteria according to the inclusion and exclusion criteria. Interview was carried out to establish the diagnosis of recurrent abdominal pain. Helicobacter pylori infection was determined based on Helicobacter Pylori Stool Antigen (HPSA) test measurements.From 56 samples, there were 36 children with positive HPSA and 20 children with negative HPSA. Symptoms of abdominal pain occurred in 16 children (44.4%) in the HPSA positive group, while in the HPSA negative group all had abdominal pain. There was a significant association between abdominal pain symptoms and H. pylori infection (p <0.001).

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“…3 Frequently, the causes of the abdominal pain are benign medical conditions like gastroenteritis, constipation or acute viral illness and either are self-limiting or improve after treatment. [4][5][6] Mostly, cause cannot be identified and may be attributed to functional origin. 2,5 When a child presents with acute abdominal pain, careful history taking and repeated physical examinations are needed to rule out acute conditions where immediate interventions might be required.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Hyoscine Butylbromide Versus Drotaverine in Relieving Acute Nonspecific Abdominal Pain in Children- A Non - Randomized Trial

Paudel¹,

Basnet²,

Shreshtha³

2022

J. Nepal Paedtr. Soc.

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Introduction: Acute abdominal pain is a very common complaint for children presenting to the emergency department (ED). The purpose of this study was to compare efficacy of hyoscine and drotaverine for relieving acute nonspecific abdominal pain in children presenting to ED. Methods: Total of 52 children aged six years to 16 years were enrolled in a non-randomized trial at Paediatric ED of TUTH from Dec 2017 to June 2018, and randomly allocated to drotaverine or hyoscine groups; 26 in each group. Face pain score-revised tool was used to measure the efficacy of the drug. The primary outcome was to measure the reduction of face pain score (Self-reported) by at least 2 / 10 at 60 minutes after ingestion of study intervention. Other outcomes were requirement of rescue analgesia and adverse effects of drugs. Results: A total of 20 (77%) in hyoscine and 21 (81%) in drotaverine group responded to oral medication at the end of 60 minutes of oral administration and the difference was not statistically significant (p=0.808). Vomiting was only adverse event present in five (19%) in drotaverine and two (8%) in hyoscine groups, respectively. Conclusions: In this single center randomized controlled trial, both hyoscine and drotaverine were found to be equally efficacious for relieving acute non-specific abdominal pain in children.

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Etiology of Recurrent Abdominal Pain in Children

Abstract: Introduction: Recurrent abdominal pain (RAP)

Cited by 3 publications

References 6 publications

The Incidence of Helicobacter Pylori-infection Gastritis in Children with Recurrent Abdominal Pain

The Incidence of Helicobacter Pylori-infection Gastritis in Children with Recurrent Abdominal Pain

The Relationship Between Recurrent Abdominal Pain and Helicobacter Pylori Infection in Children

Efficacy of Hyoscine Butylbromide Versus Drotaverine in Relieving Acute Nonspecific Abdominal Pain in Children- A Non - Randomized Trial

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