Causes and Assessment of the Child with Recurrent Abdominal Pain
> 90% no structural cause identified
Gastrointestinal
• Irritable bowel syndrome
• Constipation
• Non-ulcer dyspepsia
• Abdominal migraine
• Gastritis and peptic ulceration
• Inflammatory bowel disease
• Malrotation
Gynaecological
• Dysmenorrhoea
• Ovarian cysts
• Pelvic inflammatory disease
Psychosocial
• bullying, abuse, stress, etc. — a small proportion
Hepatobility/pancreatic
• Hepatitis
• Gall stones
• Pancreatitis
Urinary tract
• Urinary tract infection
• Pelvi-ureteric junction (PUJ) obstruction
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