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Right Side Abdominal Pain

Posted on February 15, 2010.
Right Side Abdominal PainAbdominal Pain in Children

Abdominal pain is a common problem among children. Although most children with acute abdominal pain are the conditions of self-limited, the pain may herald a surgical or medical emergency. The most difficult challenge is to make a timely diagnosis so that treatment can be initiated and morbidity prevented. This article provides detailed guidelines for clinical evaluation of children with acute abdominal pain.

The term "recurrent abdominal pain" as currently used clinically and in the literature should be retired. Functional abdominal pain is the most common cause of chronic abdominal pain. There is a specific diagnosis must be distinguished from anatomic, infectious, inflammatory, or metabolic causes of abdominal pain. Functional abdominal pain can be classified as one or a combination of: functional dyspepsia, irritable bowel syndrome, abdominal migraine, or pain syndrome functional abdominal (see table below titled "Recommended Clinical Definitions of Long-Lasting Intermittent or constant abdominal pain in children").

The most common cause is gastroenteritis, medical, and the most common cause of appendicitis is surgical. In most cases, abdominal pain can be diagnosed through history and physical examination. Age is a key factor in assessing the cause, incidence and symptoms of various conditions vary considerably in the pediatric age spectrum. In the acute surgical abdomen, pain generally precedes vomiting, while the reverse is true in medical conditions.

Abdominal pain and gastrointestinal (GI) symptoms such as vomiting or diarrhea, are common complaints among young leader children with emergency department (ED). It is the role of the emergency physician to distinguish between a self-limited, such as viral gastroenteritis or constipation and more life-threatening surgical emergency. Extra-abdominal, such as pneumonia or pharyngitis caused by streptococcal infection may present as abdominal pain and should be considered.

Abdominal pain is one of the most common reasons for a parent to bring his child to a doctor. The evaluation of a sore "belly" to challenge both parents and doctors.
Possible causes range from a child's abdominal pain trivial to life-threatening, with little difference in the complaints of the child. Fortunately, abdominal pain in children often improves quickly. The difficulty for a parent or caregiver is in the choice of complaints need emergency care and who are not.
Bacteria and viruses are responsible in case of abdominal pain due to infection. Gastroenteritis and stomach flu are some examples of infections that can cause stomach upset. Gastroenteritis is an inflammation and irritation of the stomach and gastrointestinal passage. Additional precautions must be taken by travelers, such as food and drinks can be contaminated at new locations and can lead to traveler's diarrhea.

Abdominal pain in children can be serious or Benin. It can be classified as serious, if accompanied by diarrhea and disease or whether it has lasted without interruption for more than three hours or if it is accompanied by fever and swollen glands in the neck of the child are swollen his red neck or if the pain persists for several days.

The nature of abdominal pain varies according to site of pain and the underlying cause. Thus, in case of colic, a common cause of this problem, the pain may be sudden and spasmodic. There may be discomfort, nausea and vomiting may be. The patient lies on his back and bent legs and presses on the abdomen to put pressure on it, which gives a sense of relief.

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