STUDY PROFILE OF RECURRENT ABDOMINAL PAIN IN CHILDREN EXAMINED BY CLINICAL EXAMINATION AND ULTRASONOGRAPHY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 7
Abstract
BACKGROUND Abdominal pain is perhaps the most common painful health problem in school-aged children. J Apley, a British paediatrician, studied abdominal pain among children extensively and observed that approximately 10% of school aged children get recurrent episodes of abdominal pain. He named this symptom complex as recurrent abdominal pain (RAP) syndrome and defined it as “at least three episodes of abdominal pain, severe enough to affect their activities over a period longer than three months” Pain localization in younger children is poor, and in a suffering child, physical examination is often limited. Thus, sonographic evaluation of the abdomen is frequently performed in children to investigate the reason for the pain and to exclude other acute abdominal surgical conditions. The main clinical concerns are acute appendicitis, intussusception, and torsion of the ovary. With the routine use of high-frequency transducers, detection of enlarged abdominal lymph nodes (EALNs) is very common. When enlarged nodes are found with no other abnormality detected, the term “mesenteric lymphadenitis” is often used to describe an inflammatory process of abdominal lymph nodes. The aim of this study was to evaluate the profile of recurrent abdominal pain in children examined by clinical examination and ultrasonography. MATERIALS AND METHODS We prospectively studied 100 patients within age range from 1 to 16 years and attending paediatric department at Sri Aurobindo Institute of Medical Sciences and Hospital, Indore, Madhya Pradesh, India from July 2016 to June 2017 presenting with abdominal pain of various aetiological causes subjected to clinical and ultrasonographic examination were included in this study. RESULTS Most common area of lymph nodes seen on USG was right lower quadrant of abdomen [80 %]. Maximum numbers (46%) of patients are from 5-8 years age group. More number of boys (54%) is affected as compared with the girls. Maximum (62%) patients had total of 1-5 episodes and next infrequency are patients of multiple episodes, 30% of patients had school loss due to pain abdomen. Periumbilical and right lower quadrant of the abdomen was most commonly affected (35% each). CONCLUSION We can conclude that -EALNs are frequently seen children with pain abdomen 5- 8 yrs. with boys more commonly affected than girls. Most patients presented with 1-5 episodes, 30 % of patients had school loss due to pain abdomen. Periumbilical and Right lower quadrant of the abdomen was most commonly affected (35% each).
Authors and Affiliations
Gunjan Kela Mehrotra, Aayush Gupta, Parul Jain, Swati Mulye
Keywords
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- EP ID EP399060
- DOI 10.14260/jemds/2018/196
- Views 89
- Downloads 0
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