Recurrent abdominal pain in childhood

Chiou, Fang Kuan; How, Choon How; Ong, Christina

doi:10.11622/smedj.2013072

Cited by 10 publications

(9 citation statements)

References 13 publications

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“…Chronic or recurrent abdominal pain is common in school-aged children and adolescents, and the prevalence was reported to range from 7% to 45%. [18][19][20] The chronic abdominal discomfort was suggested by previous studies to be an early-stage of IBS. 21,22 In a birth cohort, Stuart Howell at el 23 found childhood abdominal pain could progress to adult IBS and was not the result from psychiatric comorbidity or emotional distress in adulthood.…”

Section: Introductionmentioning

confidence: 93%

Psychosocial Factors Associated With Irritable Bowel Syndrome Development in Chinese College Freshmen

Jiang

Yan

Sharma

et al. 2019

J Neurogastroenterol Motil

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Background/AimsThe role of psychosocial factors on irritable bowel syndrome (IBS) in adolescents is incompletely understood. The aim of this study is to investigate the association between the psychosocial factors and the risk of developing IBS in college freshmen. MethodsA cross-sectional survey was conducted in a randomly selected freshmen population in Wuhan China (n = 2449). Questionnaire evaluated demographics and psychosocial risks. The population was divided into 3 groups: non-discomfort, chronic abdominal discomfort and IBS. The association between the development of IBS and psychosocial factors was analyzed by ordinal and multiple logistic regression analysis. ResultsA total of 2053 (83.8%) completed this survey (mean age, 18.2 ± 0.9 years; female, 35.6%). Among them, 82 (4.0%) fulfilled the Rome III criteria for IBS. Female (odds ratio [OR], 3.31; 95% confidence interval [CI], 2.47-4.45), experience of abuse (OR, 2.44; 95% CI, 1.10-5.56), and suicidal intention (OR, 2.17; 95% CI, 1.15-4.17) were more likely to have IBS. Compared with chronic abdominal discomfort, however, depression (OR, 5.55; 95% CI,) was the only dependent risk factor for IBS. ConclusionThe prevalence of IBS in college freshmen is 4.0%, and to the freshmen, psychosocial factors such as experience of abuse, depression, and suicidal intention were associated with high risk of developing IBS. (J Neurogastroenterol Motil 2019;25:233-240)

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Section: Introductionmentioning

confidence: 93%

Psychosocial Factors Associated With Irritable Bowel Syndrome Development in Chinese College Freshmen

Jiang

Yan

Sharma

et al. 2019

J Neurogastroenterol Motil

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“…One study reported 27% and 70% of patients showed spontaneous relief or improvement with therapy, respectively, after 6 months of follow-up. However, 30% of children still had persistent symptoms of FAP after a follow-up of 5 years (323). There are various approaches for managing FAP, including reassurance, maintaining a symptom diary, and psychological therapy.…”

Section: Discussionmentioning

confidence: 99%

“…FAP reduces the quality of everyday life, and leads to school absences and frequent visits to the doctor, which cause considerable distress to children and their families (23). …”

Section: Introductionmentioning

confidence: 99%

Therapeutic Response for Functional Abdominal Pain in Children with Occult Constipation: Laxatives versus Prokinetic Drugs

Jang

Jeong

2017

J Korean Med Sci

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The relationship between functional abdominal pain (FAP) and occult constipation (OC) in children who did not meet the Rome III criteria for constipation has rarely been reported. This study aimed to estimate the prevalence of OC in patients with FAP and to compare the effectiveness of prokinetic drugs and laxatives for FAP and OC. Pediatric outpatients (n = 212; aged 4–15 years) who satisfied the Rome III criteria for childhood FAP were divided into 2 groups based on Leech scores: group 1 < 8; group 2 ≥ 8. Group 2 received either prokinetic drugs or laxatives and pain severity was assessed after 2 weeks, 1 month, and 3 months. A total 52.4% (111/212) of patients had OC in this study. More patients who received laxatives had reduced pain scores compared with those who received prokinetic drugs. Those treated with laxatives in group 2 had a better response than those treated with prokinetic drugs throughout the study period (P < 0.001, P < 0.001, and P = 0.002 after 2 weeks, 1 month, and 3 months, respectively). OC was frequently encountered in children with FAP. Laxatives can be more effective than prokinetic drugs for relieving symptoms of FAP in children with a Leech score ≥ 8 and suspected OC.

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“…Please refer to our other article in this series for a fuller explanation about the approach and management of children with recurrent abdominal pain. (4)…”

Section: Chronic Constipation In Infants and Childrenmentioning

confidence: 99%