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Abdominal Pain in Children PowerPoint Presentation

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Description : Check out this medical PowerPoint presentation titled "It’s A Gut Feeling: Abdominal Pain in Children" by David Deutsch, MD.

This medical PowerPoint presentation tells us how abdominal pain is a common complaint in children, and it can have many causes, ranging from mild to serious. Some possible causes of abdominal pain in children include:

Gastrointestinal infections: Viral or bacterial infections can cause abdominal pain, diarrhea, and vomiting.
Constipation: Difficulty passing stool can cause cramps and pain in the lower abdomen.
Acid reflux: When stomach acid flows back into the esophagus, it can cause pain in the upper abdomen and chest.
Food allergies or intolerance: Certain foods or substances in food can cause an allergic reaction or intolerance that leads to abdominal pain.
Appendicitis: An inflamed appendix can cause pain in the lower right abdomen.
Urinary tract infections: Infections of the bladder or kidneys can cause pain in the lower abdomen, along with frequent urination and pain or burning during urination.
Inflammatory bowel disease: Crohns disease and ulcerative colitis are two types of inflammatory bowel disease that can cause abdominal pain, diarrhea, and other symptoms.

It is important to seek medical attention if your childs abdominal pain is severe or persistent, or if they have other symptoms such as fever, vomiting, or blood in their stool. The doctor may perform a physical examination, take a medical history, and order tests such as blood work or imaging studies to help diagnose the underlying cause of the pain. Treatment will depend on the cause of the pain, but may include medication, dietary changes, or surgery in some cases.

Tags : Abdominal Pain in Children, Gastrointestinal infections, Constipation, Acid reflux, Food allergies or intolerance, Appendicitis, Urinary tract infections, Inflammatory bowel disease, Crohns disease, Pediatrics, Pediatrics PowerPoint presentation

Published on : Jun 23, 2023 | Views : 1184 | Downloads : 1

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Slide 1-

It’s A Gut Feeling: Abdominal Pain in Children David Deutsch, MD Pediatric Gastroenterology Rockford Health Physicians
Slide 2-

Introduction Common Symptom Affects 10-15% of school-aged children Definition (Dr. John Apley) 3 episodes of pain over 3 months Interferes with normal daily activities Any child that seeks medical attention
Slide 3-

Causes Functional abdominal pain 90% of children Organic 10% of children How to tell if serious? Parents want an answer How much testing to do
Slide 4-

Functional Abdominal Pain No treatable cause found Irritable bowel syndrome Hypersensitivity disorder Visceral hyperalgia Not wimpy kids
Slide 5-

Symptoms of Functional Pain Age greater than 5 years-old Pain-free periods Periumbilical pain No relationship to eating, stools, stress, etc Headaches, dizziness, appear pale
Slide 6-

Symptoms of Functional Pain Fatigue or weakness Pains in arms and legs School absence but good student Pain interfering with activities out of proportion to evaluation Often a history of colic or feeding problems No red flags
Slide 7-

Red flags Suggesting Serious Problem Age less than 5 years-old Weight loss or poor growth Pain away from the belly button Vomiting Night-time pain
Slide 8-

Red flags Suggesting Serious Problem Diarrhea (night-time) Blood in the stool Fever Rash or joint pain Family history of ulcers, inflammatory bowel disease No school absenteeism
Slide 9-

Screening Tests Thorough history (without parents) Physical exam including growth chart Stool for blood CBC ESR UA Celiac screen Missed disease rare
Slide 10-

Treatment Avoid excessive tests Explanation of RAP Not faking it Similar to headache Encourage regular routine School attendance Adequate sleep
Slide 11-

Treatment High fiber diet Peppermint Healthy diet Fast food Caffeine Spicy foods Identify any stressors
Slide 12-

Stressful Stimuli Physical Stress Recent physical illness Milk intolerance Constipation
Slide 13-

Stressful Stimuli, cont. Emotional Stress Illness in family member School problems Recent move
Slide 14-

Treatment Counseling Treat anxiety Help family promote adaptive behaviors Children very suggestible Coping mechanisms Medications Antispasmodics Amitriptyline
Slide 15-

Prognosis One-third resolve within few months One-third replace abdominal pain with new symptom One-third continue with pain
Slide 16-

Common Causes School avoidance Constipation/Encopresis Muscle pain Urinary Tract Infection Physical or sexual abuse Food allergies Parasites Giardia, Blastocystis
Slide 17-

Common Causes, cont. Lactose Intolerance Onset 4-6 years-old Bloating, diarrhea, gas Breath test or dietary exclusion Carbohydrate Intolerance Fructose (fruit and juice, soft drinks) Sorbitol (fruits, sugar-free candy and gum)
Slide 18-

Common Causes, cont. Irritable bowel syndrome Abnormal contractions or sensation of the intestine Not a psychological illness Non-ulcer dyspepsia Diarrhea-predominant Constipation-predominant
Slide 19-

Common Causes, cont. Irritable bowel syndrome Rome criteria Pain relieved by stools Altered stools at time of pain Altered stool frequency at time of pain Mucus in stools Bloating
Slide 20-

Common Causes, cont. Irritable bowel syndrome treatment Probiotics Chamomile or peppermint tea Peppermint Relaxation techniques Medications Antispasmodics Amitriptyline
Slide 21-

Common Causes, cont. Gastroesophageal reflux History of spitting up as a baby Heartburn or regurgitation Epigastric or chest pain Dysphagia Treatment Maalox or Mylanta Acid suppression
Slide 22-

Common Causes, cont. Eosinophilic Esophagitis Reflux symptoms Dysphagia Related to food allergies Treatment Elimination diet Inhaled steroids
Slide 23-

Ulcers Somewhat rare Night-time pain, vomiting Etiology Ibuprofen Helicobacter pylori 20% of children Blood test, stool test, EGD
Slide 24-

Gallstones Rare Think if blood disorders, obesity, OCP’s Symptoms Upper abdominal pain after meals Increasing pain lasting 1-4 hours Associated with vomiting
Slide 25-

Inflammatory Bowel Disease 25% of patients less than 18 years-old Family history in 30% Autoimmune disease Ulcerative colitis Diarrhea, urgency, blood or mucus Crohn’s disease Weight loss, pain, diarrhea
Slide 26-

Celiac disease Common (1:100-200 people) Gluten (wheat, rye, barley) Variable symptoms Screen with antibody tests Diagnose with EGD Gluten-free diet for life
Slide 27-

Cyclic Vomiting Syndrome Migraine Equivalent Recurrent episodes of pain and vomiting Seasonal Diagnosis of exclusion Treatment Abortive therapy (Zofran, NSAIDs) Preventative