title: [Anorectal pain in children: rare or rarely recognised?].
abstract: Anorectal pain is a common symptom, often as part of functional gastrointestinal disorders. Children seldom present with this complaint. Proctalgia fugax and chronic proctalgia are both anorectal pain syndromes but differ in duration and frequency of episodes and in pain characteristics. No research has been conducted on anorectal pain syndromes in children. We present two patients. Firstly, an 8-year-old girl who suffered from anorectal cramps. We found no underlying cause apart from constipation. The symptoms disappeared spontaneously. The second concerned an 8-year-old boy who presented with recurrent anorectal cramps. He was diagnosed with celiac disease. Anorectal dysfunction and visceral hypersensitivity have been described in adult celiac patients. Symptoms of anorectal pain in children are rare probably because it often remains unrecognised. Noninvasive diagnostic methods and interventions are preferred in paediatric medicine. Screening for celiac disease in children with anorectal pain episodes should be considered.
authors.affiliation: Reinier de Graaf Gasthuis, afd. Kindergeneeskunde, Delft.
authors.forename: Laura J H
authors.initials: LJ
authors.lastname: Sonneveld
authors.forename: Adèle C
authors.initials: AC
authors.lastname: Engelberts
authors.forename: Annette P M
authors.initials: AP
authors.lastname: van den Elzen
mesh_terms: D001004:Anus Diseases; D002446:Celiac Disease / Q000150:complications / Q000175:diagnosis*; D002648:Child; D003248:Constipation; D005260:Female; D006801:Humans; D008297:Male; D010146:Pain / Q000175:diagnosis* / Q000209:etiology; D012002:Rectal Diseases / Q000150:complications / Q000175:diagnosis*; D012007:Rectum / Q000503:physiopathology