Abdominal Pain 5.1.2

Abdominal pain is a common problem in children. Although most children with acute abdominal pain have self-limited conditions, the pain may herald a surgical or medical emergency. The most difficult challenge is making a timely diagnosis so that treatment can be initiated and morbidity prevented. This article provides a comprehensive clinical guideline for the evaluation of the child with acute abdominal pain.
Clinically, abdominal pain falls into three categories: visceral (splanchnic) pain, parietal (somatic) pain, and referred pain.Visceral pain occurs when noxious stimuli affect a viscus, such as the stomach or intestines.
Parietal pain arises from noxious stimulation of the parietal peritoneum. Pain resulting from ischemia, or ischmia,Referred pain has many of the characteristics of parietal pain but is felt in remote areas supplied by the same dermatome as the diseased organ



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