By definition, chronic or recurrent abdominal pain must occur at least 4 times each month for at least 2 months. Abdominal pain complaints begin as soon as a child can provide an accurate pain history, usually around age 7 years but occasionally younger. Before that age, children have difficulty separating emotional distress from physical pain. The differential diagnosis of child and adolescent...

<b><i>Background and Summary:</i></b> Chronic abdominal pain is a challenging complaint for both primary care providers gastroenterologists alike, due to broad differential diagnosis sometimes extensive negative workup. In the absence of red flag features that herald more acute conditions, majority patients with chronic have benign cause or functional disorder (e.g., irr...

Chronic abdominal pain sometimes constitute a major challenge, specially when a patient has two diseases with dominant features of abdominal pain in both. At this point, clinicians face a daunting task both in diagnosing and treating an individual's chronic abdominal pain. Similarly, familial Mediterranean fever disease and Crohn's disease have the same clinical features in terms of chronic abd...

The objective of this study was to explore the relationship between suicidal ideation, suicidal attempts, depression and chronic abdominal pain in data gathered during a systematic epidemiologic survey, the Hispanic Health and Nutrition Examination Survey of the United States National Centre for Health Statistics. The material comprises data collected between 1982 and 1984 in samples of Hispani...

Chronic abdominal pain is one of the most frequent complaints of subjects visiting the gastroenterologist office and a large majority of these subjects have irritable bowel syndrome (IBS). Median arcuate ligament syndrome (MALS) is a rare cause of chronic abdominal pain that results from compression or ischemia of the celiac artery by the median arcuate ligament. Characteristic features include...

Abdominal pain is a principal and in many cases, the only observable symptom of chronic pancreatitis. Like all chronic pain conditions, managing abdominal pain in chronic pancreatitis remains an onerous task for health care providers. Different mechanisms have been postulated in trying to better understand the pathogenesis of pain in chronic pancreatitis. This review seeks to take a broad look ...

Management of chronic abdominal pain can be challenging. Sometimes patients fail to get adequate response from multiple medications and nerve blocks. We present a patient case report of chronic abdominal pain with a history of multiple surgeries managed successfully by neuromodulation of the transverse abdominis plane (TAP). The TAP block is a procedure in which local anesthetic is injected int...

Children and adolescents with chronic abdominal pain pose unique challenges to their caregivers. Affected children and their families experience distress and anxiety that can interfere with their ability to perform regular daily activities. Although chronic abdominal pain in children is usually attributable to a functional disorder rather than to organic disease, numerous misconceptions, insuff...