The Indian Journal of Pediatrics

, Volume 85, Issue 1, pp 71–76 | Cite as

Child with Abdominal Pain

Review Article

Abstract

Abdominal pain is one of the common symptoms reported by children in urgent care clinics. While most children tend to have self-limiting conditions, the treating pediatrician should watch out for underlying serious causes like intestinal obstruction and perforation peritonitis, which require immediate referral to an emergency department (ED). Abdominal pain may be secondary to surgical or non-surgical causes, and will differ as per the age of the child. The common etiologies for abdominal pain presenting to an urgent care clinic are acute gastro-enteritis, constipation and functional abdominal pain; however, a variety of extra-abdominal conditions may also present as abdominal pain. Meticulous history taking and physical examination are the best tools for diagnosis, while investigations have a limited role in treating benign etiologies.

Keywords

Functional abdominal pain Children 

Notes

Contributions

RI did the literature search and drafted the manuscript. KN guided the framework of the manuscript and did a critical review and approved the version to be published. Dr. Muralidharan Jayashree will act as guarantor for this paper.

Compliance with Ethical Standards

Conflict of Interest

None.

Source of Funding

None.

References

  1. 1.
    Marin JR, Alpern ER. Abdominal pain in children. Emerg Med Clin North Am. 2011;29:401–28, ix–x.CrossRefPubMedGoogle Scholar
  2. 2.
    Kim JS. Acute abdominal pain in children. Pediatr Gastroenterol Hepatol Nutr. 2013;16:219–24.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    McCollough M, Sharieff GQ. Abdominal pain in children. Pediatr Clin North Am. 2006;53:107–37, vi.Google Scholar
  4. 4.
    D’Agostino J. Common abdominal emergencies in children. Emerg Med Clin North Am. 2002;20:139–53.CrossRefPubMedGoogle Scholar
  5. 5.
    Fleisher DR. Management of Functional Gastrointestinal Disorders in children: biopsychosocial concepts for clinical practice. New York: Springer; 2014. p. 182.Google Scholar
  6. 6.
    WHO | Diarrhoeal disease [Internet]. WHO. Available at: http://www.who.int/mediacentre/factsheets/fs330/en/. Accessed on 1st March 2017.
  7. 7.
    Youssef NN, Di Lorenzo C. Childhood constipation: evaluation and treatment. J Clin Gastroenterol. 2001;33:199–205.CrossRefPubMedGoogle Scholar
  8. 8.
    Chelimsky G, Czinn S. Peptic ulcer disease in children. Pediatr Rev. 2001;22:349–55.CrossRefPubMedGoogle Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 2017

Authors and Affiliations

  1. 1.Advanced Pediatrics CentrePostgraduate Institute of Medical Education and ResearchChandigarhIndia

Personalised recommendations