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Recurrent Abdominal Pain

Recurrent Abdominal Pain Abstract Sir.—What causes recurrent abdominal pain in children? And what should pediatricians do about it? If a comprehensive battery of the usual studies (such as a complete blood cell count, urinalysis, ESR, examination of the stool for ova and parasites, and gastrointestinal (GI) roentgenograms show no abnormalities, what then? Should the patient be referred for psychiatric counseling because nothing "organic" has been found? Or should he undergo even more extensive testing and study, including EEG, rectal biopsy, sigmoidoscopic examination, or exploratory laparotomy? Or could there be a simpler answer for a child's problem? A simpler diagnostic test, such as the elimination diet? In the past 17 months, two separate articles with the identical title, "Recurrent Abdominal Pain," have appeared in the Journal (131:1340-1344, 1977 and 133:486-489, 1979). One study consisted of a review of the management of 19 patients, while the other was a long-term follow-up study of 161 children. In References 1. Bullock JD, Deamer WC, Frick OL, et al: Recurrent abdominal pain . Pediatrics 46:971-972, 1970. 2. Crook WG, Harrison WW, Crawford SE, et al: Systemic manifestations due to allergy: Report of 50 patients and a review of the literature on the subject (allergic toxemia and the allergic tension-fatigue syndrome) . Pediatrics 27:790-799, 1961. 3. Deamer WC: Pediatric allergy: Some impressions gained over a 37-year period . Pediatrics 48:930-938, 1971. 4. Gerrard JW: Understanding Allergies . Springfield, Ill, Charles C Thomas Publisher, 1973. 5. Deamer WC: Recurrent abdominal pain: A frequent manifestation of food allergy . Curr Med Dialogue 40:130-154, 1973. 6. Crook WG: Food allergy: The great masquerader . Pediatr Clin North Am 22:227-238, 1975. 7. Barr RG, Levine, MD, Watkins, JB: Recurrent abdominal pain of children due to lactose intolerance . N Engl J Med 300:1449-1452, 1979.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Recurrent Abdominal Pain

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References (10)

Publisher
American Medical Association
Copyright
Copyright © 1980 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1980.02130150080026
Publisher site
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Abstract

Abstract Sir.—What causes recurrent abdominal pain in children? And what should pediatricians do about it? If a comprehensive battery of the usual studies (such as a complete blood cell count, urinalysis, ESR, examination of the stool for ova and parasites, and gastrointestinal (GI) roentgenograms show no abnormalities, what then? Should the patient be referred for psychiatric counseling because nothing "organic" has been found? Or should he undergo even more extensive testing and study, including EEG, rectal biopsy, sigmoidoscopic examination, or exploratory laparotomy? Or could there be a simpler answer for a child's problem? A simpler diagnostic test, such as the elimination diet? In the past 17 months, two separate articles with the identical title, "Recurrent Abdominal Pain," have appeared in the Journal (131:1340-1344, 1977 and 133:486-489, 1979). One study consisted of a review of the management of 19 patients, while the other was a long-term follow-up study of 161 children. In References 1. Bullock JD, Deamer WC, Frick OL, et al: Recurrent abdominal pain . Pediatrics 46:971-972, 1970. 2. Crook WG, Harrison WW, Crawford SE, et al: Systemic manifestations due to allergy: Report of 50 patients and a review of the literature on the subject (allergic toxemia and the allergic tension-fatigue syndrome) . Pediatrics 27:790-799, 1961. 3. Deamer WC: Pediatric allergy: Some impressions gained over a 37-year period . Pediatrics 48:930-938, 1971. 4. Gerrard JW: Understanding Allergies . Springfield, Ill, Charles C Thomas Publisher, 1973. 5. Deamer WC: Recurrent abdominal pain: A frequent manifestation of food allergy . Curr Med Dialogue 40:130-154, 1973. 6. Crook WG: Food allergy: The great masquerader . Pediatr Clin North Am 22:227-238, 1975. 7. Barr RG, Levine, MD, Watkins, JB: Recurrent abdominal pain of children due to lactose intolerance . N Engl J Med 300:1449-1452, 1979.Crossref

Journal

American Journal of Diseases of Children – American Medical Association

Published: Mar 1, 1980

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