Epidemiological, Clinical, and Diagnostic Aspects of Chronic Abdominal Pain in Children: A Study in Shahrekord, Iran

Background and aims: Due to the multi-factoriality of chronic abdominal pain (CAP) in children, this study aimed to assess the main etiologies for CAP in children and its main determinants in a sample of the community of affected children living in Shahrekord, Iran. Methods: This cross-sectional stu...

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Main Authors: Karamali Kasiri, Hassan Talakesh, Fatemeh Deris, Sare Mohamadi
Format: Article
Language:English
Published: Shahrekord University of Medical Sciences 2023-06-01
Series:Epidemiology and Health System Journal
Subjects:
Online Access:https://ehsj.skums.ac.ir/PDF/ehsj-2211-1510.pdf
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author Karamali Kasiri
Hassan Talakesh
Fatemeh Deris
Sare Mohamadi
author_facet Karamali Kasiri
Hassan Talakesh
Fatemeh Deris
Sare Mohamadi
author_sort Karamali Kasiri
collection DOAJ
description Background and aims: Due to the multi-factoriality of chronic abdominal pain (CAP) in children, this study aimed to assess the main etiologies for CAP in children and its main determinants in a sample of the community of affected children living in Shahrekord, Iran. Methods: This cross-sectional study was conducted on 400 children aged 3-14 years who were referred to a referral clinic in Shahrekord, Iran in 2022. Abdominal pain at least 3 times in 3 months, which disrupted daily activities, was the criterion for entering the study. A checklist was prospectively fulfilled by interviewing to assess different aimed data. Results: The majority of children complained of periumbilical pain as the main site of chronic pain, and other pain points were much less common. The main characteristics that provided grounds for suspecting this type of pain included right abdominal pain without clear justification, growth disorder, and severe vomiting. The most common definitive diagnosis was functional constipation, followed by chronic gastritis and fecal impaction. Conclusion: The occurrence of periumbilical pain, along with the occurrence of severe and frequent vomiting and growth failure can be considered diagnostic markers triad when suspecting the occurrence of CAP. The most common etiologies for such pains included functional constipation, chronic gastritis, and fecal impaction.
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spelling doaj.art-b1249168d30348e7b80cab4080a376282023-07-02T12:10:43ZengShahrekord University of Medical SciencesEpidemiology and Health System Journal2980-78912023-06-01102899410.34172/ehsj.2023.06ehsj-2211-1510Epidemiological, Clinical, and Diagnostic Aspects of Chronic Abdominal Pain in Children: A Study in Shahrekord, IranKaramali Kasiri0Hassan Talakesh1Fatemeh Deris2Sare Mohamadi3Department of Pediatrics, Clinical Research Development Unit, Hajar Hospital, Shahrekord University of Medical Sciences, Shahrekord, IranDepartment of Pediatrics, Clinical Research Development Unit, Hajar Hospital, Shahrekord University of Medical Sciences, Shahrekord, IranDepartment of Epidemiology and Biostatistics, School of Health, Shahrekord University of Medical Sciences, Shahrekord, IranDepartment of Pediatrics, Clinical Research Development Unit, Hajar Hospital, Shahrekord University of Medical Sciences, Shahrekord, IranBackground and aims: Due to the multi-factoriality of chronic abdominal pain (CAP) in children, this study aimed to assess the main etiologies for CAP in children and its main determinants in a sample of the community of affected children living in Shahrekord, Iran. Methods: This cross-sectional study was conducted on 400 children aged 3-14 years who were referred to a referral clinic in Shahrekord, Iran in 2022. Abdominal pain at least 3 times in 3 months, which disrupted daily activities, was the criterion for entering the study. A checklist was prospectively fulfilled by interviewing to assess different aimed data. Results: The majority of children complained of periumbilical pain as the main site of chronic pain, and other pain points were much less common. The main characteristics that provided grounds for suspecting this type of pain included right abdominal pain without clear justification, growth disorder, and severe vomiting. The most common definitive diagnosis was functional constipation, followed by chronic gastritis and fecal impaction. Conclusion: The occurrence of periumbilical pain, along with the occurrence of severe and frequent vomiting and growth failure can be considered diagnostic markers triad when suspecting the occurrence of CAP. The most common etiologies for such pains included functional constipation, chronic gastritis, and fecal impaction.https://ehsj.skums.ac.ir/PDF/ehsj-2211-1510.pdfabdominal painchildrenepidemiologydiagnosis
spellingShingle Karamali Kasiri
Hassan Talakesh
Fatemeh Deris
Sare Mohamadi
Epidemiological, Clinical, and Diagnostic Aspects of Chronic Abdominal Pain in Children: A Study in Shahrekord, Iran
Epidemiology and Health System Journal
abdominal pain
children
epidemiology
diagnosis
title Epidemiological, Clinical, and Diagnostic Aspects of Chronic Abdominal Pain in Children: A Study in Shahrekord, Iran
title_full Epidemiological, Clinical, and Diagnostic Aspects of Chronic Abdominal Pain in Children: A Study in Shahrekord, Iran
title_fullStr Epidemiological, Clinical, and Diagnostic Aspects of Chronic Abdominal Pain in Children: A Study in Shahrekord, Iran
title_full_unstemmed Epidemiological, Clinical, and Diagnostic Aspects of Chronic Abdominal Pain in Children: A Study in Shahrekord, Iran
title_short Epidemiological, Clinical, and Diagnostic Aspects of Chronic Abdominal Pain in Children: A Study in Shahrekord, Iran
title_sort epidemiological clinical and diagnostic aspects of chronic abdominal pain in children a study in shahrekord iran
topic abdominal pain
children
epidemiology
diagnosis
url https://ehsj.skums.ac.ir/PDF/ehsj-2211-1510.pdf
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AT fatemehderis epidemiologicalclinicalanddiagnosticaspectsofchronicabdominalpaininchildrenastudyinshahrekordiran
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