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M.

Juffrie
IKA-FK UGM

RECURRENT ABDOMINAL PAIN

Definition







Abdominal pain
3 x minimum
3 x within 3 month
Severe
When attack results in reduce of activity.
The cause are organic disorder, but also
psycho

Causes
 Organic
 Non organic: psycho

Incidence
35
30
25
20
male
female

15
10
5
0
3
5
7
9
11
13
15
17
year year year year year year year year

Incidence
35
30
25
20
no of cases

15
10
5
0
sep

nov

jan

mar

may

jul

Diagnosis










Observation
History
Pain: density, localization
Additional symptoms
Further symptoms
System history
Family history
Social history
Personal history

Nausea
Weak
Pale
Constipation
Headache
Vomiting
Diarrhea
Back pain
Chest pain
No gain

158
125
100
58
37
32
28
20
7
4

58
46
37
21
14
12
10
7
3
1

Physical examination
 Abdominal physical examination
 Extremity
 Head
 Anxiety

Laboratories
 Blood
 Urine
 Stool
 Imaging: x ray, usg, ct scan

Specific history
yes
Exam .. normal
yes
Test

no/not known
no/uncertain

no

Without test

blood
urine culture
albumin
amylase
stool

Without further exam normal

no normal

Re asses

USG, barium
endoscopies
fast management

Differential diagnosis
 Extra abdominal
 Intraabdominal:
 Gastrointestinal, renal, etc

Management
 Causative therapy
 Psychology therapy

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