First described by Apley in 1958, describes recurrent abdominal pain (RAP) and the presence of three or more episodes of abdominal pain of considerable intensity, reaching to limit the child’s activity for a period of at least three months. Although usually not as well known as a diagnostic is estimated to affect between 10% and 18% of children of school age and is more prevalent in girls. The age range most affected is 11 to 15 years.
Unlike other abdominal problems, the cause is of anatomic, inflammatory, infectious or metabolic, but it is a functional pain. Furthermore, children with RAP, the presence of anxiety, pain tends to increase symptoms and attacks of pain, making it important fact to take the child to the doctor in the presence of any discomfort in the abdominal area.
It along with the irritable bowel syndrome, abdominal migraine and functional dyspepsia, the four main ways in which the pain occurs in the child works.
The pediatrician usually diagnose the DAR with a simple physical examination. You can only take an additional test require a urine test if the pain is located in the lateral abdomen, and thus rule out other possible pathologies.
The main symptom is abdominal pain in the navel area and is usually triggered when the child has some kind of event in the school that generates considerable stress. Similarly, it is important to detect the possible presence of other symptoms that indicate that this is another more serious problem or organic. If any of these symptoms should consult a doctor to rule out other problems:
– Gastrointestinal bleeding.
– Severe chronic diarrhea.
– Pain in the right quadrant.
– Fever of undetermined origin.
– Weight loss.
– Pain in the cost-vertebral
– Pain over the spine
Once ruled that the origin is organic, your doctor or child psychiatrist to a set of guidelines to help the child relax and teach parents to get a favorable environment for their child, trying to eliminate all risk factors that cause stress or tension. Thus, a problem can be controlled is a leading cause of school absenteeism.