Recurrent abdominal pain
is one the challenging problems which we face in our practice.
First thing one must understand is that the child is not telling any lie. It is a genuine pain.
It may have a psychological basis, but the suffering is true. we have to acknowledge it.
I have found the following method working in South Indian children
Seven questions pointing to a possible medical problem
. 3. Motion consistency change 4. Once in six months deworm the child or is there a history of passing worms. 5. Urine pain 6. brown colour urine. 7. Any cold cough ear pain
1. Any outside oil food intake 2. Unboiled water intake 3. Any chance of hand dirt going inside. These boys may play outside & eat without washing hands
Do basic urine and motion examination. Reassure the family
Still if the pain persisits do a simple abdomen ultrasound
If still pain persists tell the parents that this may have psychological basis.
Coming to your child with white spots
in stools, verify the history of outside food intake.
This can cause some digestion disturbance.
Frankly asking him about his fears will be rewarding