Functional Pain Abdomen in Children: Epidemiology and Etiopathology.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 4
Abstract
Background: Chronic abdominal pain is one of the most common problem dealt in day to day practice by paediatricians. In most of these children, no cause can be identified. Although it is common but its definition, pathophysiological mechanisms and predisposing factors are not completely understood & there is need for large well performed clinical trials for evidence based treatment. Methods: Hospital based prospective case control study conducted at Department of Paediatric Medicine, Sardar Patel Medical College and P.B.M. Hospital Bikaner. Results: Out of 150 cases, 100 (66%) children were among 5-10 yrs age group, while 50 (33%) children were among 11-15 years. 106 (70.7%) children belong to lower middle class, followed by 35 (23.3%) children in upper middle class while 9 (6%) children belong to upper lower class. Cases were classified according to ROME III criteria. According to clinical symptoms and investigations, 79 (52.6%) children had symptoms suggestive of IBS, 39 (26%) children had Dyspepsia, 15 (10%) children had Functional pain abdomen, 5 (3.3%) children had FAPS, 2 (1.3%) children had Giardiasis, 2 (1.3%) children had right ovarian cyst, 3 (2%) children had coeliac disease, 3 (2%) children had cystitis and 2(1.33%) children had gastritis. Conclusion: This study reports higher prevalence of FGIDs in children with RAP and also identifies the variables associated with increased risk of these disorder in children with RAP. FGIDs were present in 93% children with RAP. Female gender, school going children, psychological stress, traumatic life event and lower socioeconomic status increase the prevalence.
Authors and Affiliations
R. K. Soni
Keywords
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