Recurrent Abdominal Pain

Thiessen, Paul

doi:10.1542/pir.23-2-39

Cited by 32 publications

(28 citation statements)

References 12 publications

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“…Identifying certain "red-flags" which indicate the presence of an organic disease can be crucial in directing relevant investigations to avoid diagnostic delay. These "redflags" are summarized in Table 1 [9,10]. Table 2 provides a list of investigations that could be considered in a child presenting with clinical features suggestive of AM [11].…”

Section: Management Differential Diagnosis and Investigationsmentioning

confidence: 99%

Abdominal Migraine

Bhatia¹

2016

JPNC

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Abdominal migraine, previously referred to as a migraine equivalent is currently classified as one of the episodic syndromes that may be associated with migraine and is mainly characterized by recurrent attacks of abdominal pain, nausea and vomiting. Abdominal migraine, primarily a pediatric disorder, is often under diagnosed and misunderstood as it can mimic several other systemic and often potentially dangerous clinical entities. The aim of this review article is to provide the latest diagnostic criteria based on clinical features and the various management options available for abdominal migraine. It also stresses the importance of an early and a correct diagnosis of this treatable condition.

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Section: Management Differential Diagnosis and Investigationsmentioning

confidence: 99%

Abdominal Migraine

Bhatia¹

2016

JPNC

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“…A anamnese e o exame físico seguem o descrito para a abordagem das dores recorrentes em geral 10,11 . Nos casos de DAR, é necessário especial atenção no que se refere à relação da dor com a alimentação e hábito intestinal.…”

Section: Abordagem Diagnósticaunclassified

Dores recorrentes na infância e adolescência

Puccini¹,

Bresolin²

2003

J. Pediatr. (Rio J.)

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ResumoObjetivo: realizar revisão bibliográfica sobre dores recorrentes na infância e na adolescência, com enfoque no diagnóstico diferencial e manejo desses pacientes. Fontes de dados: levantamento bibliográfico no Medline eLilacs, abrangendo os últimos quatro e dez anos, respectivamente, além de estudos e textos clássicos que tratam sobre o tema.Síntese dos dados: estudos realizados em diferentes partes do mundo demonstram que as dores recorrentes mais freqüentes na infância e adolescência são dor abdominal, cefaléia e dor em membros. A ocorrência de causa orgânica é baixa, observada em 5% a 10% dos casos. Dentre as causas orgânicas bem definidas de dor abdominal recorrente, cefaléia e dor em membros, não se observa nenhuma etiologia predominante. Foram analisados os principais avanços quanto à fisiopatologia das dores recorrentes, nas suas diferentes localizações, apresentando-se uma orientação para abordagem diagnóstica e terapêutica das afecções mais freqüentes em pediatria.Conclusões: as dores recorrentes na infância e adolescência são muito freqüentes e determinam significativa demanda aos serviços de saúde. A anamnese, o exame físico e o seguimento do paciente constituem a base para abordagem dessas crianças e adolescentes.J Pediatr (Rio J) 2003;79(Supl.1):S65-S76: dor, dor abdominal, cefaléia, dor em membros. AbstractObjective: to perform a bibliographic review of recurrent pain in children and adolescents, focusing on differential diagnosis and management of such patients.Sources of data: search of Medline and Lilacs databases, covering the last four and ten years, respectively. Classical studies and texts related to the matter were also included.Summary of the findings: studies carried out in different parts of the world demonstrate that the most frequent kinds of recurrent pain in children and adolescents are abdominal pain, headache, and limb pain. The occurrence of organic etiology is low, observed in 5% to 10% of the cases. Among the well defined organic etiology, no predominance is observed. The main advances regarding the pathophysiology of recurrent pain in its main localizations were analyzed. Guidelines for the diagnostic and therapeutic approach of the most common infantile diseases related to recurrent pain are presented.Conclusions: recurrent pain in children and adolescents is very common and determines significant demand on healthcare services. Defined etiology is only presented by 5% to 10% of patients. Anamnesis, physical examination and follow-up are extremely important instruments for dealing with such patients. Dores recorrentes na infância e adolescênciaRecurrent pain in children and adolescents Considerações geraisVárias afecções dolorosas, de evolução aguda ou crôni-ca, podem acometer a criança, gerando sofrimento e importante demanda aos serviços de saúde. Muitos fatores modificam a expressão da dor na criança, como idade, sexo, nível cognitivo -percepção que a criança tem da dor -, experiências dolorosas prévias, aprendizado, padrões culturais, relações familiares e comportame...

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“…Although functional group contributed to 90% of RAP cases in the past, new diagnostic methods have contributed to improved knowledge about organic RAP and its diagnosis 2 . RAP has been reported to occur in 10-15% of children aged between 4 and 16 years.…”

Section: Introductionmentioning

confidence: 99%