• Title/Summary/Keyword: Abdominal pain

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Evaluation of the Children with Chronic Abdominal Pain (소아 만성 복통의 진단적 평가 -기능성 복통과의 감별점을 중심으로-)

  • Jeong, Su Jin
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.11 no.sup2
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    • pp.19-28
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    • 2008
  • Chronic abdominal pain, defined as long-lasting intermittent or constant abdominal pain, is a common pediatric problem encountered by primary care physicians and medical subspecialists. Chronic abdominal pain in children is usually functional, i.e., without objective evidence of an underlying organic disorder. Functional abdominal pain is categorized as functional dyspepsia, irritable bowel syndrome, functional abdominal pain, abdominal migraine, and aerophagia according to the Rome II criteria for pediatric functional gastrointestinal disorders. There is insufficient evidence to state that the nature of abdominal pain or the presence of associated symptoms can discriminate between functional and organic disorders. The presence of alarming symptoms or signs, such as weight loss, gastrointestinal bleeding, persistent fever, and chronic severe diarrhea, is associated with a higher prevalence of organic disease. Most children with chronic abdominal pain are unlikely to require diagnostic testing; such children often need pharmacologic and behavioral therapy.

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A Study on Perception and Performance of Abdominal Pain Management among Elementary School Health Teachers (초등학교 보건교사의 복통관리에 대한 인식과 수행)

  • Jeon, Junghee;Hwang, Sunkyung
    • Journal of the Korean Society of School Health
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    • v.25 no.2
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    • pp.222-230
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    • 2012
  • Purpose: This study was done to identify levels of health teacher's perception and performance on abdominal pain management in elementary schools. Methods: The participants were 207 health teachers in elementary school in B metropolitan city. In a descriptive cross-sectional study, the structured self-report questionnaire was developed based on the literatures and school health care guidelines by the researchers. The data were analyzed using the PASW 18.0 program. Results: The mean scores (${\pm}SD$) on perception and performance of abdominal pain management were $4.02{\pm}0.43$ (range 1~5) and $3.47{\pm}0.41$ (range 1~5), respectively. Their perception and performance of abdominal pain management had a statistically significant correlation (r=.27, p<.001). In a regression analysis, the performance of abdominal pain management was significantly influenced by perception of abdominal pain management, career of health teachers, self-confidence in abdominal pain management, and total number of classes in a school. The regression model explained 19% of the variance of performance of abdominal pain management. Conclusion: These findings showed that the performance levels were lower than its perception levels of elementary school health teachers on abdominal pain management for students. It suggests that the standardized abdominal pain management guideline is developed to improve the performance of school health teachers.

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Discogenic Abdominal Pain

  • Choi, Seok-Min;Lee, Sang-Ho
    • Journal of Korean Neurosurgical Society
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    • v.38 no.5
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    • pp.384-386
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    • 2005
  • There have been several reports about abdominal pain due to discitis in children or thoracic disc herniation. However, none of them could verify causal relationship between disc disease and abdominal pain clearly. The authors report a patient with discogenic abdominal pain who had disc degeneration at lower lumbar level without definite protrusion or any evidence of inflammation. We could reproduce the abdominal pain by using discography. The patient was treated by percutaneous disc decompression successfully.

New approach to chronic recurrent abdominal pain in children (소아 만성 복통의 새로운 임상적 접근)

  • Yang, Hye Ran
    • Clinical and Experimental Pediatrics
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    • v.49 no.2
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    • pp.129-135
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    • 2006
  • Chronic recurrent abdominal pain is a common manifestation in children. Functional abdominal pain is the most common cause of chronic abdominal pain and can be diagnosed properly by the physician without the requirement of specific evaluation when there are no alarm symptoms or signs. Functional abdominal pain is categorized as functional dyspepsia, irritable bowel syndrome, functional abdominal pain, abdominal migraine, and aerophagia, according to the Rome II criteria for pediatric functional gastrointestinal disorders. New concepts on the pathogenesis of functional abdominal pain include brain-gut interaction, visceral hypersensitivity, gastrointestinal dysmotility, inflammation, autonomic dysfunction, genetic predisposition, and triggering factors including psycho-social stress.

Pharmacological Treatment for Functional Abdominal Pain in Children (복통의 약물 요법 -복통과 연관된 기능성 위장관 질환을 중심으로)

  • Shin, Jee Youn
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.12 no.sup1
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    • pp.103-110
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    • 2009
  • Functional gastrointestinal disorders are among the most common medical problems in children. Abdominal pain-related functional gastrointestinal disorders can be categorized as functional dyspepsia, irritable bowel syndrome, abdominal migraine and childhood functional abdominal pain according to the Rome III criteria for pediatric functional gastrointestinal disorders. The aim of this paper was to examine the evidence supporting the use of the range of therapeutic options available for functional gastrointestinal disorders.

Effects of Auricular Acupressure Therapy on Back Pain and Lower Abdominal Pain in Female Undergraduate Students during Menstruation (이압요법이 여대생의 월경시 요통과 하복부 통증에 미치는 효과)

  • Kim, Yun Kyung
    • Journal of East-West Nursing Research
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    • v.21 no.2
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    • pp.103-109
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    • 2015
  • Purpose: The purpose of this study was to examine the effects of auricular acupressure therapy on back pain and lower abdominal pain in female undergraduate students during menstruation. Methods: The study used a quasi-experimental design. Data was collected from March 15th to June 31st, 2011. The participants were 20 female university students for the experimental group, and 22 female university students for the control group. visual analogue scale (VAS) with the opening records was used to assess back pain and lower abdominal pain. Data was analyzed using the ${\chi}^2$-test, Fisher's exact test, Mann-Whitney U test, and Wilcoxon signed rank test using the SPSS/WIN 11.0 program. Results: There were statistically significant differences in back pain and lower abdominal pain between the two groups. Auricular acupressure therapy decreased back pain and lower abdominal pain in the experimental group compared to the control group. Conclusion: The study results show that auricular acupressure therapy is effective in improving back pain and lower abdominal pain in female university students during menstruation. Therefore, auricular acupressure therapy can be considered a useful nursing intervention to promote improvements in back pain and lower abdominal pain related to menstruation.

A study on the correlation of Chiljung(七情) with chronic recurrent abdominal pain in children (소아의 만성 반복성 복통과 칠정(七情)과의 관계에 대한 문헌적 고찰)

  • Chang, Gyu-Tae;Kim, Jang-Hyun;Lee, Seoung-Hee
    • The Journal of Pediatrics of Korean Medicine
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    • v.18 no.1
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    • pp.139-152
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    • 2004
  • Objective: The aim of this study was to find about relation between Chiljung(七情) and chronic recurrent abdominal pain in children. Methods: It was surveyed the oriental medical book concerning Chiljung(七情) and western medical book concerning Chronic recurrent abdominal pain. Results: Chronic recurrent abdominal pain which is common disorder in children is mostly functional abdominal pain due to stress. The Stress can be defined as spiritual factor which lead to imbalance of body homeostasis in medicine. In oriental medicine, it is considered as Chiljung(七情) disorder. The gastrointestinal disease due to stress are peptic ulcer, chronic gastritis, irritable bowel syndrome, chronic abdominal pain, vomitting etc. In oriental medicine pathology mechanism, it is considered as discord with liver and spleen, depression of spleen-energy. It comes within the category of depression. Children with chronic recurrent abdominal pain is dependent on parents and they have an introspective nature, compulsive idea which is intolerable for failure.

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Systemic Classification for a New Diagnostic Approach to Acute Abdominal Pain in Children

  • Kim, Ji Hoi;Kang, Hyun Sik;Han, Kyung Hee;Kim, Seung Hyo;Shin, Kyung-Sue;Lee, Mu Suk;Jeong, In Ho;Kim, Young Sil;Kang, Ki-Soo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.17 no.4
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    • pp.223-231
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    • 2014
  • Purpose: With previous methods based on only age and location, there are many difficulties in identifying the etiology of acute abdominal pain in children. We sought to develop a new systematic classification of acute abdominal pain and to give some helps to physicians encountering difficulties in diagnoses. Methods: From March 2005 to May 2010, clinical data were collected retrospectively from 442 children hospitalized due to acute abdominal pain with no apparent underlying disease. According to the final diagnoses, diseases that caused acute abdominal pain were classified into nine groups. Results: The nine groups were group I "catastrophic surgical abdomen" (7 patients, 1.6%), group II "acute appendicitis and mesenteric lymphadenitis" (56 patients, 12.7%), group III "intestinal obstruction" (57 patients, 12.9%), group IV "viral and bacterial acute gastroenteritis" (90 patients, 20.4%), group V "peptic ulcer and gastroduodenitis" (66 patients, 14.9%), group VI "hepatobiliary and pancreatic disease" (14 patients, 3.2%), group VII "febrile viral illness and extraintestinal infection" (69 patients, 15.6%), group VIII "functional gastrointestinal disorder (acute manifestation)" (20 patients, 4.5%), and group IX "unclassified acute abdominal pain" (63 patients, 14.3%). Four patients were enrolled in two disease groups each. Conclusion: Patients were distributed unevenly across the nine groups of acute abdominal pain. In particular, the "unclassified abdominal pain" only group was not uncommon. Considering a systemic classification for acute abdominal pain may be helpful in the diagnostic approach in children.

Two Cases of Laparoscopic Adhesiolysis for Chronic Abdominal Pain without Intestinal Obstruction after Total Gastrectomy

  • Choi, Hyun Jung;Yoon, Sang Chul;Kim, Yong Jin
    • Journal of Gastric Cancer
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    • v.12 no.4
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    • pp.249-253
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    • 2012
  • Chronic abdominal pain remains a challenge to all known diagnostic and treatment methods with patients undergoing numerous diagnostic work-ups including surgery. However, the surgical treatment of patients with chronic intractable abdominal pain is controversial. There has been no discussion of the indications for adhesiolysis in cases of obstruction or strangulation of the bowel, and adhesiolysis by laparotomy has never gained acceptance as a treatment modality for chronic abdominal pain. One of the reasons for this lack of acceptance is the high complication rate during and after adhesiolysis. Laparoscopic surgery has been accepted as a technique for diagnostic and therapeutic procedures in general surgery. Laparoscopy allows surgeons to see and treat many abdominal changes that could not otherwise be diagnosed. Here we report two cases of successful symptomatic improvement through laparoscopic adhesiolysis for chronic abdominal pain without intestinal obstruction after total gastrectomy.

Acute Abdominal Pain in Children

  • Kim, Joon Sung
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.16 no.4
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    • pp.219-224
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    • 2013
  • Acute abdominal pain is a common complaint in childhood, and it can be caused by a wide range of underlying surgical and non-surgical conditions. The most common non-surgical condition is gastroenteritis, while the most common surgical condition is appendicitis. Abdominal pain in children varies with age, associated symptoms, and pain location. Although acute abdominal pain is usually benign and self-limiting, there are uncommon but life-threatening conditions that require urgent care. Meticulous history taking and physical examinations are essential to determine the cause of acute abdominal pain and to identify children with surgical conditions such as appendicitis.