Recurrent abdominal pain in children

  • Pitono Soeparto Department of Child Health, Airlangga University Medical School, Surabaya, East Java
  • Liek Djupri Department of Child Health, Airlangga University Medical School, Surabaya, East Java
  • Rustiadji Rustiadji Department of Child Health, Airlangga University Medical School, Surabaya, East Java
  • Harjoga Sandi Department of Radiology, Airlangga University Medical School, Surabaya, East Java
Keywords: recurrent abdominal pain, abdominal pain

Abstract

A total of 48 children aged between 3-12% years, who had complained of at least three episodes of abdominal pain in a period of longer than 3 months, underwent investigations.

Routine studies included: blood exam, stool and urine analysis and G.l. X-ray series. EEG, lVP and gall bladder study were occasionally performed.

Of the 48 patients studied, 25 (52.1%) were of unknown cause, 11 (22.9%) had emotional disorders, 6 (12.5%) had allergic disorders, 3 (6.3%) had ulcers, 2 (4.2%) had epilepsy and (2.1%) had narrowing of the duodenum.

Treatment consisted mostly of psychological approach supported by symptomatic therapy (antacid + fentonium bromide = ulcesium). The results of treatment were in general satisfactory.

Upper G.l. studies appeared still to be of value in children with R.A.P. Besides for detecting. organic causes, it is also of importance as part of the psychological approach to convince both the parents and the child that no real organic disease actually existed.

References

1. APLEY, J.: Psychosomatic aspects of Gastrointestinal illness in Childhood. Res. Ross Lab. Columbus, Ohio, p,92, 1962,The Child with Abdominal Pains, 2nd ed, (Blackwell sci. Publ., Oxford/London/Edinburgh/Melbourne, 1975).
2, CHRISTENSEN, M,F, and MORTENSEN, O. : Long-term prognosis in children with recurrent abdominal pain. Arch, Child, 50 : 110 (1975),
3. LABO G. et al.,: A controUed multicenter (rial of fentonium bromide in duodenal ulcelr, Int. J. Clin. Pharmacol. 10 : 299 (1974),
4, ROY, C,C,; SILVERMAN, A, and COZZETTO, F.J. Pediatric clinical gastroenterology, 2nd ed, p. 342 (Mosby. St. Louis 1975).
5, WILIAMS, R,S, and AHMED, S, : Peptic ulcar in childhood. Austr. Paediatr. 13 299 (1977).
6, WILMANA, P,F,; ISTlANTORO, J,; SINTO, A, and DARMANSjAH, J. Tolerability of fentonium bromide in Indonesian volunteers. Curro med. Res. Opin. 5 : 284 (1977).
Published
1981-08-30
How to Cite
1.
Soeparto P, Djupri L, Rustiadji R, Sandi H. Recurrent abdominal pain in children. PI [Internet]. 30Aug.1981 [cited 24Apr.2024];21(7-8):168-4. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1192
Received 2017-01-26
Published 1981-08-30