Abdominal pain (peds): Difference between revisions
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{{PediatricPage|abdominal pain|abdominal pain in pregnancy|abdominal pain (geriatrics)}} | {{PediatricPage|abdominal pain|abdominal pain in pregnancy|abdominal pain (geriatrics)}} | ||
==Background== | ==Background== | ||
*Bilious emesis is a surgical emergency until proven otherwise | *Bilious emesis is a surgical emergency until proven otherwise | ||
==Clinical Features== | ==Clinical Features== | ||
[[File:Abdominal Quadrant Regions.jpg|thumb|Side-by-side comparison of quadrants and regions.]] | [[File:Abdominal Quadrant Regions.jpg|thumb|Side-by-side comparison of quadrants and regions.]] | ||
[[File:1506 Referred Pain Chart.jpg|thumb|Chart of commonly reported referred pain sites.]] | [[File:1506 Referred Pain Chart.jpg|thumb|Chart of commonly reported referred pain sites.]] | ||
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Pediatric abdominal pain DDX}} | {{Pediatric abdominal pain DDX}} | ||
==Evaluation== | ==Evaluation== | ||
''Depends on location and history'' | ''Depends on location and history'' | ||
*Consider: | *Consider: | ||
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==Management== | ==Management== | ||
*Based on diagnosis | *Based on diagnosis | ||
==Disposition== | ==Disposition== | ||
*Depends on underlying etiology | *Depends on underlying etiology | ||
**If symptoms are fully resolved and the patient has a benign abdominal exam, most patients go home with return precautions | **If symptoms are fully resolved and the patient has a benign abdominal exam, most patients go home with return precautions | ||
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==See Also== | ==See Also== | ||
*[[Special:MyLanguage/Abdominal Pain|Abdominal Pain]] | *[[Special:MyLanguage/Abdominal Pain|Abdominal Pain]] | ||
*[[Special:MyLanguage/Pyloric Stenosis|Pyloric Stenosis]] | *[[Special:MyLanguage/Pyloric Stenosis|Pyloric Stenosis]] | ||
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==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:Pediatrics]] | [[Category:Pediatrics]] | ||
[[Category:GI]] | [[Category:GI]] | ||
[[Category:Symptoms]] | [[Category:Symptoms]] | ||
Revision as of 20:42, 15 January 2026
This page is for pediatric patients. For adult patients, see: abdominal pain,abdominal pain in pregnancy, and abdominal pain (geriatrics)
Background
- Bilious emesis is a surgical emergency until proven otherwise
Clinical Features
- Abdominal pain
- May be associated with nausea, vomiting, or diarrhea
- Fever may be present in pain from infectious etiology
Differential Diagnosis
Pediatric Abdominal Pain
0–3 Months Old
- Emergent
- Nonemergent
3 mo–3 y old
- Emergent
- Nonemergent
3 y old–adolescence
- Emergent
- Nonemergent
Evaluation
Depends on location and history
- Consider:
- hCG
- Consider ectopic pregnancy in any female of reproductive age
- Urinalysis
- CBC
- Chemistry
- hCG
- Possible imaging:
- Ultrasound
- Appropriate for intussusception, ovarian/testicular torsion, gallbladder, pregnancy, appendicitis
- CT
- May be associated with 1/1,000 lifetime risk of malignancy
- Abdominal radiography
- Abdominal plain xray films are specific, but not sensitive. As such, they have very little utility in the workup of pediatric abdominal pain, unless concerned for a foreign body. Do NOT use films to "confirm" a diagnosis of "constipation," as this is not specific and may also be found during surgical emergencies (e.g. appendicitis).
- Ultrasound
Management
- Based on diagnosis
Disposition
- Depends on underlying etiology
- If symptoms are fully resolved and the patient has a benign abdominal exam, most patients go home with return precautions
- In general, unclear cases with continued pain should NOT be discharged home
See Also