title: Red flags of organic recurrent abdominal pain in children: study on 100 subjects.
abstract: OBJECTIVE
  A variety of sign, symptoms and laboratory findings are more common in children with organic abdominal pains. This study was performed to evaluate the prevalence of organic and functional abdominal pains and relation of red flags to organic pains in 100 children with recurrent abdominal pain (RAP).
  
  
  METHODS
  One hundred consecutive patients with RAP were enrolled in the study. A complete interview and physical examination was made for each patient, accompanied by a series of laboratory, clinical and para-clinical examinations. The data were recorded and analyzed. Logistic regression analysis was used to model and formulize correlations between sign, symptoms, and laboratory findings with organic and functional abdominal pain.
  
  
  RESULTS
  Among 100 patients (52% male, 48% female, Age: 9.29±3.17) diagnostic works up revealed organic pain for 57 patients. The most common symptoms of the patients included constipation, diarrhea, chest pain, cough, headache, vomiting, hematuria, and dysuria. Fecal incontinence, delayed puberty, organomegaly, jaundice, and family history of inflammatory bowel disease were reported in none of the patients with RAP. Fever, pain not located in periumbilical area, nocturnal pain, elevated erythrocyte sedimentation rate, weight loss, growth disorder, and abdominal tenderness were among the red flags which revealed diagnosis of organic pain in this study.
  
  
  CONCLUSIONS
  A series of red flags could increase likelihood of finding organic pain in children with RAP.
authors: Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran ; Growth and Development Research Center, Tehran University of Medical Sciences, Tehran, Iran.
authors: Farzaneh
authors: F
authors: Motamed
authors: Reihaneh
authors: R
authors: Mohsenipour
authors: Soroush
authors: S
authors: Seifirad
authors: Azizolah
authors: A
authors: Yusefi
authors: Fatemeh
authors: F
authors: Farahmand
authors: Ahmad
authors: A
authors: Khodadad
authors: Gholamhosein
authors: G
authors: Falahi
authors: Mehri
authors: M
authors: Najafi
keywords: Abdominal Pain; Children; Constipation; Fever; Red Flag