DÄ internationalArchive4/2009Pain Therapy in Children and Adolescents: Current Data Situation

Correspondence

Pain Therapy in Children and Adolescents: Current Data Situation

Dtsch Arztebl Int 2009; 106(4): 55. DOI: 10.3238/arztebl.2009.0055a

Razeghi, S

LNSLNS The statement that pain that rouses the child from sleep is an alarm signal indicating the presence of an underlying organic disease is not confirmed by current data. The American Academy of Pediatrics wrote in a recent statement: "The available studies provide evidence that frequency, severity, location, and timing (postprandial, waking during night) of abdominal pain do not help distinguish between organic and functional abdominal pain" (1). The statement that children with chronic abdominal pain often report further pain, such as headache, is correct. However, this does not imply that concomitant headache is a characteristic trait of functional abdominal pain. This item is not appropriate for making a distinction between functional and organic abdominal pain: "Children with recurrent episodes of abdominal pain are more likely than children without abdominal pain or children with behavior disorders to have anorexia, nausea, episodic vomiting, constipation, diarrhea, headache, arthralgia or eye problems. Yet none of these associated symptoms have been reported to help distinguish between organic and functional abdominal pain" (1). DOI: 10.3238/arztebl.2009.0055a


Dr. med. Stefan Razeghi
Schlierseerstr. 1, 83714 Miesbach, Germany
stefanrazeghi@yahoo.de

Conflict of interest statement
The author declares that no conflict of interest exists according to the guidelines of the International Committee of Medical Journal Editors.
1.
American Academy of Pediatrics / North American Society for Pediatric Gastroenterology, Hepatology and Nutrition: Chronic Abdominal Pain in Children. Pediatrics 2005; 115: 812–5 und e370–82. MEDLINE
2.
Zernikow B, Hechler T: Schmerztherapie bei Kindern und Jugendlichen. Dtsch Arztebl 2008; 105(28–29): 511–22. VOLLTEXT
1. American Academy of Pediatrics / North American Society for Pediatric Gastroenterology, Hepatology and Nutrition: Chronic Abdominal Pain in Children. Pediatrics 2005; 115: 812–5 und e370–82. MEDLINE
2. Zernikow B, Hechler T: Schmerztherapie bei Kindern und Jugendlichen. Dtsch Arztebl 2008; 105(28–29): 511–22. VOLLTEXT