[Pediatric Abdominal Pain – Harmless or Harmful?].
Abdominal pain is a very common pediatric complaint. In the majority of cases there is no life-threatening pathology behind this symptom, but a functional disease. However, all-day activities of children and adolescents are often limited, frequent absences from school, and general physician/ pediatrician office visits with often unnecessary diagnostic and therapies are registered. Once an organic etiology of the abdominal pain is excluded by a thoroughly medical history taking and physical examination, the first steps for a successful alleviation of the pain is the reassurance of the patients and their family that there is no life-threatening pathology. There is evidence that cognitive-behavioral therapy may be useful in improving pain and disability outcome in the short term. There is no evidence for pharmacological, dietetic, or complementary intervention in the treatment of chronic functional abdominal pain.
1 Pädiatrische Gastroenterologie & Ernährung, Universitäts-Kinderspital beider Basel, Basel.
Raoul Ivano
RI
Furlano
D015746:Abdominal Pain / Q000209:etiology* / Q000628:therapy; D000293:Adolescent; D002648:Child; D003937:Diagnosis, Differential; D003955:Diagnostic Tests, Routine; D005260:Female; D005767:Gastrointestinal Diseases / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male; D010808:Physical Examination; D011379:Prognosis
Kinder und Jugendliche; children; chronic abdominal pain; chronische Bauchschmerzen; douleurs abdominales chroniques; douleurs abdominales fonctionnelles; enfants et adolsescents; functional abdominal pain; funktionelle Bauchschmerzen