ACTA FAC. MED. NAISS. 2006; 23 (3): 171-175 |
Professional article
DIFFERENTIAL DIAGNOSIS AND THE INVESTIGATION PROTOCOL IN CHILDREN WITH RECCURENT ABDOMINAL PAIN
Danijela Jojkic-Pavkov
Institute of Child Youth Health Care Novi Sad
Sumary
Recurrent abdominal pain (RAP)
is defined as abdominal pain which occurs at least once a month for minimum
three months and is of such severity that it interferes with the child's daily
activities. RAP presents a great burden to both the child and parents, and
considering its tendency to recur, it significantly affects the whole family's
comfort and functioning. Since RAP can be caused by different kinds of abdominal
and extra-abdominal diseases, the differential diagnosis may be very difficult.
On the basis of its clinical presentation, RAP can be differentiated into three
types - recurrent isolated paroxysmal abdominal pain, abdominal pain associated
with symptoms of dyspepsia, and abdominal pain associated with altered bowel
pattern – therefore, diagnostics of the underlying cause, it will depend on the
type of pain.
Key words: recurrent abdominal pain, child, diagnosis