Medical College of Wisconsin
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Navigating recurrent abdominal pain through clinical clues, red flags, and initial testing. Pediatr Ann 2009 May;38(5):259-66

Date

05/30/2009

Pubmed ID

19476298

DOI

10.9999/00904481-20090422-03

Scopus ID

2-s2.0-67149122411   15 Citations

Abstract

Recurrent abdominal pain is a common chronic complaint that presents to your office. The constant challenge is one of detecting those with organic disease from the majority who have a functional pain disorder including functional dyspepsia, irritable bowel syndrome, functional abdominal pain, and abdominal migraine. Beginning with a detailed history and physical exam, you can: 1) apply the symptom-based Rome III criteria to positively identify a functional disorder, and 2) filter these findings through the diagnostic clues and red flags that point toward specific organic disease and/or further testing. Once a functional diagnosis has been made or an organic disease is suspected, you can initiate a self-limited empiric therapeutic trial. With this diagnostic approach, you should feel confident navigating through the initial evaluation, management, and consultation referral for a child or adolescent with recurrent abdominal pain.

Author List

Noe JD, Li BU

Author

Joshua D. Noe MD Associate Dean, Associate Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Abdominal Pain
Barium Sulfate
Biomarkers
Child
Child, Preschool
Contrast Media
Endoscopy, Digestive System
Feces
Humans
Medical History Taking
Pediatrics
Physical Examination
Practice Guidelines as Topic
Recurrence