Recurrent Abdo Pain Flashcards
1
Q
Differential for Chronic abdominal pain in children
A
- Inflammatory bowel disease
- Constipation
- Coeliac disease
- Food intolerances
- Obstructive uropathy
- Intermittent volvulus due to malrotation
- Worms
2
Q
Features of Functional gut related symptoms
A
- Exclude serious pathology – careful list of investigations
- Generally well, thriving children
- Symptoms have no pattern, no clear association
- May be manifestation of underlying anxiety
3
Q
Definition of constipation in children
A
(<2 stools/wk or Type 1 stools for >2 weeks)
4
Q
Differential for constipation in children
A
- Functional
- Coeliac disease
- Hirschsprung’s disease
- Neurodevelopment disorders
- Anorectal anomalies
- Multisystem disease – CF
- Spinal cord anomalies
- metabolic: hypothyroidism, electrolyte abnormality
5
Q
Types of functional constipation in children
A
- Stool holding, large stools, soiling, toilet avoidance, behaviour around stooling, straining, encopresis
- Requires laxatives and often behavioural reinforcement strategies
6
Q
Differential for chronic diarrhoea in infants
A
- Cow’s milk protein intolerance
- Secondary lactose intolerance
- Toddler’s diarrhoea
- Infections
- Primary immune related enteropathies (rare)
- Congenital abnormalities (lymphangiectasia, acrodermatitis enteropathica, chloridorrhoea - rare)
7
Q
Differential for chronic diarrhoea in young children
A
- Secondary lactose intolerance
- Coeliac disease
- Inflammatory bowel disease
- Infections
- Pancreatic insufficiency (CF)
8
Q
Differential for chronic diarrhoea in older children
A
- Inflammatory bowel disease
- Secondary lactose intolerance
- Coeliac disease
- Infections
