The Epidemiology of Childhood Recurrent Abdominal Pain in Western Countries: A Systematic Review

Chitkara, Denesh K.; Rawat, David J.; Talley, Nicholas J.
August 2005
American Journal of Gastroenterology;Aug2005, Vol. 100 Issue 8, p1868
Academic Journal
OBJECTIVE: Recurrent abdominal pain (RAP) of childhood is a common problem encountered by clinicians. The aim of this study was to systematically review published literature about the prevalence, incidence, natural history, and co-morbid conditions of childhood RAP in western countries. METHODS: A computer-assisted search of MEDLINE, EMBASE, and Current Contents/Science Edition databases was performed. Study selection criteria included: (1) United States and European population and school-based samples of children; (2) diagnostic criteria of RAP; and (3) published in full manuscript form in English. Data were extracted, tabulated, and presented in descriptive form. RESULT: The prevalence of RAP ranged from 0.3 to 19% (median 8.4; IQR 2.3–14.7). Published studies in children demonstrate a higher prevalence of RAP in females, with the highest prevalence of symptoms between 4 and 6 yr and early adolescence. Identified studies demonstrated associations between RAP and the child's familial and socioeconomic environment. In addition, childhood RAP was reported to be associated with psychological co-morbidity in childhood and adulthood. Population/school-based studies have not, however, established the incidence of this disorder, what features predict long-standing symptoms, or whether RAP is a risk factor for adult functional bowel disorders. CONCLUSION: RAP is a common complaint of childhood with associated familial, psychological, and co-morbid conditions. Epidemiologic studies of RAP in children may offer information on the evolution of functional bowel disorders through the lifespan. (Am J Gastroenterol 2005;100:1–8)


Related Articles

  • Recurrent Abdominal Pain.  // Clinical Pediatrics;Dec1970 Supplement, Vol. 9 Issue S1, p223 

    The article discusses the diagnosis and management of recurrent abdominal pain in children. The etiology of recurrent abdominal pain in children includes organic and emotional. The family history plays a vital role in diagnosing an emotional disturbance as the etiology for a child's recurrent...

  • Acute Abdominal Pain in Children. Leung, Alexander K.C.; Sigalet, David L. // American Family Physician;6/1/2003, Vol. 67 Issue 11, p2321 

    Provides a comprehensive clinical guideline for the evaluation of the child with acute abdominal pain. Pathophysiology; Etiology; Clinical investigations and management.

  • Does constipation cause abdominal pain in childhood? Ward, H. C.; Hosie, G. P. // Journal of the Royal Society of Medicine;Feb1998, Vol. 91 Issue 2, p80 

    The article discusses the co-relation between abdominal pain and constipation for children. It is suggested that the usual labeling of constipation as a cause of abdominal pain but there is little medical evidence to substantiate the assumption. A pathophysiological analysis of childhood...

  • GENETIC SUSCEPTIBILITY TO CHILDHOOD LEUKAEMIA. Chokkalingam, Anand P.; Buffler, Patricia A. // Radiation Protection Dosimetry;Special Issue 2008, Vol. 132 Issue 2, p119 

    The aetiology of leukaemias among children is believed to be distinct from that of adults, mainly due to the clearer role for early life exposures, including those in utero. However, few risk factors have been established, because of the challenge of studying a disease with relatively low...

  • Somatic Pain Sensitivity in Children With Recurrent Abdominal Pain. Zohsel, Katrin; Hohmeister, Johanna; Flor, Herta; Hermann, Christiane // American Journal of Gastroenterology;Jun2008, Vol. 103 Issue 6, p1517 

    OBJECTIVE: Evidence is accumulating that recurrent abdominal pain (RAP) in children is associated with visceral hyperalgesia. However, it is not known whether somatic sensitivity is altered as well. Therefore, the aim of our study was to assess somatic pain sensitivity in children with RAP and...

  • Racecadotril to the Rescue. Young, R. L.; Thompson, Jon S. // American Journal of Gastroenterology;Jan2001, Vol. 96 Issue 1, p7 

    Provides information on the study "Racecadotril in the Treatment of Acute Watery Diarrhea in Children," by E. Salazar-Lindo, J. Santisteban-Ponce, E. Chen-Woo et al.

  • Juvenile sarcoidosis presenting as Crohn's disease. Brunner, Jürgen; Sergi, Consolato; Müller, Thomas; Gassner, Ingmar; Prüfer, Friederike; Zimmerhackl, Lothar Bernd; Brunner, Jürgen; Müller, Thomas; Prüfer, Friederike // European Journal of Pediatrics;Jun2006, Vol. 165 Issue 6, p398 

    A 12-year-old Turkish girl suffered from abdominal pain located in the right lower abdomen for 3 weeks. Ultrasound revealed palisade-like swelling of the mucosa in the ileum. Gastrointestinal biopsy showed incipient granulomas in the stomach and moderate fibrosis of the terminal ileum....

  • Abdominal pain in children.  // American Medical Association Family Medical Guide;2004, p358 

    A diagram depicting the causes of abdominal pain in children is presented.

  • Urinary Tract Infection and Urological Abnormalities in Children. Ştefan, C.; Bulucea, D. // Acta Medica Marisiensis;Ago2010, Vol. 56 Issue 4, p363 

    Urinary tract infection in children is quite common and represents a serious problem for pediatric practitioner, given the risk of recurrence and complications. The motivation for this paper is due to increased morbidity and also to the severity and the impact on renal function. The purpose of...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics