Recurrent abdominal pain

Question 1

What is the definition of recurrent abdominal pain?

Answer 1

Pain which is;

1. sufficient enough to interrupt normal activities
2. Lasts for atleast 3 months

Question 2

What are the differentials for recurrent abdominal pain?

Answer 2

1. UTI
2. Constipation
3. Coeliac’s disease
4. Hypothyroidism
5. Irritable bowel syndrome
6. Dyspepsia

Question 3

What must be checked in a child presenting with recurrent abdominal pain?

Answer 3

1. Check child’s growth - height and weight

2. Inspect perineum for anal fissures

Question 4

Which investigations must be performed in a child presenting with recurrent abdominal pain? (3)

Answer 4

1. Urine microscopy and culture - exclude STI
2. Abdominal ultrasound - exclude gall stones / obstruction
3. Blood test

Question 5

Which blood tests must be performed? (2)

Answer 5

1. Thyroid function tests

2. Coeliac antibodies test