Abdominal pain in children is one of the frequent symptoms.
Pains manifestation may be:
acute – if they last for several hours or days (max. 7 days)
chronicle – three or more episodes during the last three months.
Causes of the acute abdominal pains:
obstructive process and irritated peritoneum, malrotation, invagination, adhesive obstruction, strangulation of hernia, appendicitis, obstruction due to foreign body, tumor, fecaloma, helminthes;
intraabdominal diseases: infectious gastroenteritis and colitis (viral, bacterial, parasitic), pancreatitis, cholecystitis, hepatitis, peptic disease etc.
extraabdominal diseases: meningitis, pneumonia, streptococci pharyngitis, inflammation of middle ear, myocarditis / pericarditis
metabolic disorders: diabetic ketoacidosis, porphyria, uremia, acute adrenal insufficiency;
systemic diseases: sickle-cell anemia, Henoch-Schonlein disease, Kawasaki disease.
Chronicle abdominal pains:
Abdominal diagnostics criteria, so called “alarming symptoms”:
Diagnostic laboratory tests and specialist’s consultations
In the most cases, acute abdominal pains may be identified on the ground of anamnesis and physical examination;
first, we should rule out acute surgical pathology. After exclusion of the acute abdomen, step by step gastroenterological and non-gastroenterological pathologies should be ruled out;
indications for hospitalization and laboratory and instrumental examinations;
examinations should be provided according to age and supposed diagnosis!
After précising of diagnosis, management of the diseases causing acute abdominal pains is provided according to the appropriate recommendations.
Pediatrician Dalila Tsivadze