Recurrent Abdominal Pain (Compatibility Mode)
Recurrent Abdominal Pain (Compatibility Mode)
Recurrent Abdominal Pain (Compatibility Mode)
Juffrie
IKA-FK UGM
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
no normal
Re asses
USG, barium
endoscopies
fast management
Differential diagnosis
Extra abdominal
Intraabdominal:
Gastrointestinal, renal, etc
Management
Causative therapy
Psychology therapy