Clinical Presentations

There are three typical clinical presentations of chronic recurrent abdominal pain in children and adolescents, as follows: (1) primary periumbilical paroxysmal pain, (2) primary mid-epigastric peptic symptoms, and (3) lower abdominal pain associated with altered bowel patterns. The first group is by far the most common and is designated as being functional abdominal pain. Children with peptic symptoms complain of recurrent upper abdominal pain that may or may not be related to nausea, postprandial epigastric fullness and distension, eructations or burping, hiccups, and early satiety. This group should be considered to have "nonulcer dyspepsia" and is usually seen in the adolescent age group. Children who have a temporal association between lower abdominal pain and altered bowel pattern are more characteristic of irritable bowel syndrome (IBS) as seen in adults, and they comprise the rarest form of the condition. Even though patients may seem quite ill, physicians who care for them cannot find any evidence of organic disease to explain the symptoms. The symptoms are real and may be a nuisance in the lives of some, without overtly interfering with school or social activities, but in others they may be so severe as to make school attendance impossible.

Family studies have shown that there is a genetic vulnerability to the condition. Frequently, one or both parents experience symptoms similar to those of their child or experienced similar symptoms when they were children. The family dynamics may explain how a condition is experienced by the child. The best way to think about the patho-genesis of functional abdominal pain is to consider that there are heterogeneous groups of physical and psychological stressful stimuli that provoke or alter the intensity of the intestinal motor or sensory activity in susceptible children. The result of this is the development of abdominal pain. The same stimuli may elicit nausea or bloating acting through other pathways.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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