Red Flags of Organic Recurrent Abdominal Pain in Children: Study on 100 Subjects|
Motamed, Farzaneh; Mohsenipour, Reihaneh; Seifirad, Soroush; Yusefi, Azizolah; Farahmand, Fatemeh; Khodadad, Ahmad; Falahi, Gholamhosein & Najafi, Mehri
Objective: A variety of sign, symptoms and laboratory findings are more common in children with organic
abdominal pains. This study was performed to evaluate the prevalence of organic and functional abdominal
pains and relation of red flags to organic pains in 100 children with recurrent abdominal pain (RAP).
Methods: One hundred consecutive patients with RAP were enrolled in the study. A complete interview and
physical examination was made for each patient, accompanied by a series of laboratory, clinical and paraclinical
examinations. The data were recorded and analyzed. Logistic regression analysis was used to model
and formulize correlations between sign, symptoms, and laboratory findings with organic and functional
Findings: Among 100 patients (52% male, 48% female, Age: 9.29±3.17) diagnostic works up revealed organic
pain for 57 patients. The most common symptoms of the patients included constipation, diarrhea, chest pain,
cough, headache, vomiting, hematuria, and dysuria. Fecal incontinence, delayed puberty, organomegaly,
jaundice, and family history of inflammatory bowel disease were reported in none of the patients with RAP.
Fever, pain not located in periumbilical area, nocturnal pain, elevated erythrocyte sedimentation rate, weight
loss, growth disorder, and abdominal tenderness were among the red flags which revealed diagnosis of
organic pain in this study.
Conclusion: A series of red flags could increase likelihood of finding organic pain in children with RAP.
Abdominal Pain; Children; Fever; Constipation; Red Flag