Repository of Research and Investigative Information

Repository of Research and Investigative Information

Zahedan University of Medical Sciences

Recurrent abdominal pain: An etiological study among in a referreal children's medical center in Iran

(2007) Recurrent abdominal pain: An etiological study among in a referreal children's medical center in Iran. Iranian Journal of Pediatrics. pp. 235-240. ISSN 1018-4406

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Official URL: <Go to ISI>://WOS:000257679400004


Objective: Recurrent abdominal pain (RAP) affects a significant number of children each year, It can be defined as experience of at least three episodes of pain, severe enough tor affect activities, over a period of three months. The purpose of this study was to determine the organic and non-organic causes of RAP. Also, evaluate different variables of RAP such as age, sex, location and duration of pain, accompanying symptoms and stressful life events in two groups. Material & Methods: During one year period frorn October 2003 to September 2004, 70 children (aged 4-12 years), were investigated in a referral Children's Center in Tehran. All patients underwent a thorough interview and complete physical examination and an initial sample of blood, urine, and stool evaluation. If any evidence of alarm symptoms (such as vomiting and night pain) were C, observed, additional studies were performed including abdominal ultrasonography, radiography, and/ or upper gastrointestinal Endoscopy. Findings: An organic cause was found in 21 (30) patients and non-organic cause was identified in 49 (70) cases. Main observations in non-organic groups were: more periumblical pain location, positive history for stressful life events in child and their family. Also, gastrointestinal problems were the most common organic causes in 60 of children. Other organic causes were urinary tract infections 10, kidney stone 10, cholelitiasis (5), Giardiasis (15), and abdominal migraine (5). Endoseopy seems to be a safe and reliable method in diagnosis of a number of organic lesions otherwise not detected by ordinary investigations. Our data suggest that among the children with RAP, non-organic causes are more commons (70) than organic causes (30). Conclusion: This study showed that in spite of accessing to better instruments in medical sciences in recent decades, the percentage of nonorganic RAP in children is still high.

Item Type: Article
Keywords: recurrent abdominal pain children stressful life events organic abdominal pain non-organic abdominal pain Giardiasis childhood Pediatrics
Page Range: pp. 235-240
Journal or Publication Title: Iranian Journal of Pediatrics
Journal Index: ISI
Volume: 17
Number: 3
ISSN: 1018-4406
Depositing User: خانم مهدیه رضائی پور

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