DOI: 10.36347/sjams.2019.v07i01.001

Pages: 1-5

Abstract: Recurrent abdominal pain (RAP) affects a significant number of children in each year. It can be defined as experience of at least three (3) episodes pain that enough to affect activities over a period of three months. The purpose of this study was to determine the organic and non-organic cause of RAP in preschool Children during one year period from March-17 to February –18. Eighty preschool children with recurrent abdominal pain (RAP) were investigated. All patients underwent a thorough interview and complete physical examination and an initial sample of blood urine and stool evaluation. Additional studies were performed including abdominal ultrasonography and or radiography and Endoscopy. Organic cause was observed in 30 (37.5%) and non-organic in 50(62.5%). UTI was the commonest organic cause where UTI found in 06 (20%). Either alone or with other parasites followed by Ascariasis 04 (13%) alone. Other cause of organic pain were Giardiasis 5 (16%), Shigellosis 03 (10%), abdominal tuberculosis 1(3%), esophagitis/gastritis 4 (13%), Chronic constipation 04 (13%) and gall stones 1 (3%).Abdominal epilepsy was 3%. School phobia, sibling rivalry, unpleasant relations among parents and nocturnal enuresis were significant factors associated with RAP. Our data shows that among the children with RAP, non-organic causes are more commons 62.5% than organic causes 37.5%. This study shows that till the percentage of non-organic RAP is high in children yet better instrumental support.