Chronic abdominal pain in children: what to do following the medical evaluation

Banez, Gerard A.

doi:10.1097/mop.0b013e32830c6ef1

Cited by 10 publications

(8 citation statements)

References 29 publications

(20 reference statements)

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“…Suele asociarse con manifestaciones psicosomáticas. 11,12 Por su parte, la prevalencia del DME guarda una relación directa con la edad. Las causas más frecuentes en la adolescencia son traumatismos, el síndrome por sobrecarga y la lumbalgia.…”

Section: Artículo Originalunclassified

Dolor en adolescentes y sus factores de riesgo: estudio de casos y controles

Agüero

Salmain

Manzur

et al. 2018

Arch Argent Pediatr

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Introducción. Los síndromes dolorosos más comunes (cefalea, dolor abdominal y dolor musculoesquelético) aparecen o empeoran durante la adolescencia, y son frecuente motivo de consulta. Objetivo. Evaluar la asociación de edad, sexo, obesidad, desarrollo puberal, nivel de escolarización, trabajo y constitución familiar con la consulta por dolor en adolescentes. Población y métodos. Estudio de casos y controles realizado entre el 1/2/14 y el 30/6/15. Criterios de inclusión: edad 10 a 20 años, ambos sexos, consultaron por dolor (casos) o para control de salud y/o apto físico escolar (controles). Se utilizaron los test de chi 2 y de Student. Se calcularon Odds Ratios (OR). Se construyó un modelo de regresión logística binaria para evaluar independientemente cada variable asociada con dolor. Resultados. Se evaluaron 4224 historias clínicas; se incluyeron 237 casos y 468 controles. Los adolescentes con dolor tuvieron: mayor edad (p < 0,0001; OR 2,3; IC 95%: 1,6-3,2); mayor cantidad de mujeres (p < 0,0001; OR 2,24; IC 95%: 1,61-3,12); 3) mayor desarrollo puberal (p= 0,0035; OR 2,16; IC 95%: 1,3-3,6); mayor abandono escolar (p < 0,0001; OR 13,4; IC 95%: 3,9-42,9); y mayor actividad laboral (p= 0,0001; OR 3,04; IC 95%: 1,7-5,3). Solamente la edad, sexo femenino y abandono escolar se asociaron independientemente a la consulta por dolor. No hubo diferencias significativas con obesidad y constitución familiar. Conclusión. Edad mayor, sexo femenino y abandono escolar fueron factores de riesgo independientes en la consulta por dolor en adolescentes. La pubertad y el trabajo se asociaron, pero no fueron factores de riesgo independientes.

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Section: Artículo Originalunclassified

Dolor en adolescentes y sus factores de riesgo: estudio de casos y controles

Agüero

Salmain

Manzur

et al. 2018

Arch Argent Pediatr

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“…kullanıldığını belirtmişlerdir. Banez [32] çalışmasında ebeveynlerin karnı ağrıyan çocuklarına nane bitkisinin yağını kullandıklarını bildirmiştir. Day ve ark.…”

Section: Gereç Ve Yöntemunclassified

Women' approach to child that teeth, abdomen and ear ache

Efe¹,

Öncel²,

Yılmaz³

2012

Agri

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“…Also, the severity of the disorder can be affected to the child's clinical outcome 24) . The causes of RAP are complex and do not provide a single concept of causations.…”

Section: Etiologymentioning

confidence: 99%

“…Recent study showed three different therapeutic approaches such as voluntary procedures 86,87) , dietary fiber 88∼90) , and behavioral-cognitive managements 82,91∼94) . According the guidelines of recent research 24) , cognitive and behavioral therapies arise as a …”

Section: Managementmentioning

confidence: 99%

Functional Abdominal Pain in Children

Koh

2011

Korean J Pediatr Gastroenterol Nutr

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Functional abdominal pain (FAP) is one of the most common pain syndromes in childhood and is a functional gastrointestinal disorder (FGID). Recurrent abdominal pain (RAP) is characterized by three or more episodes of abdominal pain that occurover at least 3 months and are severe enough to interfere with activities. It may be caused by many conditions, including inflammatory bowel disease, peptic ulcer, pancreatitis or, functional abdominal pain. The most common clinical manifestation is periumbilical pain related to autonomic and functional symptoms like nausea, vomiting, pallor and other painful conditions like headache and limb pains. RAP requires accurate diagnostic tests to rule out organic causes of pain based on 'red flag' sign. Furthermore, to diagnose and classify functional abdominal pain, Rome III criteria were published and updated with multiple discussions of FGIDs. Conventional interventions for RAP include reassurance and general advice, symptom-based pharmacological therapies, and psychological and behavioral treatments. But further research should be conducted to advance our understanding of the multiple factors involved in the pathogenesis of this group of conditions and to provide evidence for its therapeutic benefit. (Korean J Pediatr Gastroenterol Nutr 2011; 14: 222∼231)

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Chronic abdominal pain in children: what to do following the medical evaluation

Abstract: As more is learned about different therapies for recurrent abdominal pain, an integrative approach that blends these interventions may become increasingly common.

Cited by 10 publications

References 29 publications

Dolor en adolescentes y sus factores de riesgo: estudio de casos y controles

Dolor en adolescentes y sus factores de riesgo: estudio de casos y controles

Women' approach to child that teeth, abdomen and ear ache

Functional Abdominal Pain in Children

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