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- Difficulties with stress management
- History of depression or anxiety
- Passive or dependent personality
- History of being bullied
- Parent with history gastrointestinal problems
- Previous gastrointestinal infection
- Repeated abdominal injury
- Located near the belly button
- Feel like indigestion, such as a burning sensation under the breastbone that is not associated with eating
- Be a feeling of fullness after a few bites of food
- Upper abdominal pain that may or not be associated with nausea or vomiting
- Associated with bowel movements, but not always relieved by bowel movements
- Blood, stool, and urine tests to look for infection and testing of stool for blood
- Imaging tests, such as x-ray or ultrasound, to look for abnormalities, such as constipation, structural defects, or tumors
- Frequency and duration of abdominal pain
- Circumstances that may have triggered the abdominal pain
- Amount of activities and school days missed
- Acid reduction treatments
- Muscle relaxers
- Bulk laxatives or antidiarrheals
American Academy of Pediatrics http://www.healthychildren.org
American College of Gastroenterology http://patients.gi.org
Canadian Paediatric Society http://www.cps.ca
The Canadian Association of Gastroenterology http://www.cag-acg.org
American Academy of Pediatrics Subcommittee on Chronic Abdominal Pain. Chronic abdominal pain in children. Pediatrics. 2005;115(3):812-815.
Antidepressants for the treatment of abdominal pain-related functional gastrointestinal disorders in children and adolescents. Cochrane Database Syst Rev. 2011 Jul 6;(7):CD008013.
Chiou E, Nurko S. Functional abdominal pain and irritable bowel syndrome in children and adolescents. Therapy. 2011;8(3):315-331.
Chiou E, Nurko S. Management of functional abdominal pain and irritable bowel syndrome in children and adolescents. Expert Rev Gastroenterol Hepatol. 2010;4(3):293-304.
Functional abdominal pain in children American College of Gastroenterology website. Available at: http://patients.gi.org/topics/functional-abdominal-pain-in-children. Updated December 2012. Accessed October 24, 2013.
Functional abdominal pain syndrome. International Foundation for Functional Gastrointestinal Disorders website. Available at: http://www.iffgd.org/site/gi-disorders/functional-gi-disorders/functional-abdominal-pain-syndrome. Updated October 1, 2013. Accessed October 24, 2013.
Recurrent abdominal pain in children. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us. Updated August 9, 2011. Accessed October 24, 2013.
12/17/2013 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Gijsbers CF, Schweizer, et al. Protozoa as a cause of recurrent abdominal pain in children. J Pediatr Gastroenterol Nutr. 2013 Nov;57(5):603-6.
- Reviewer: Michael Woods, MD
- Review Date: 11/2013 -
- Update Date: 12/17/2013 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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