Abdominal pain predominant functional gastrointestinal diseases in children and adolescents: prevalence, symptomatology and association with emotional stress

dc.contributor.authorDevanarayana, N.M.
dc.contributor.authorMettananda, S.
dc.contributor.authorRajindrajith, S.
dc.date.accessioned2015-09-28T06:34:51Z
dc.date.available2015-09-28T06:34:51Z
dc.date.issued2011
dc.descriptionPoster Presentation Abstract (PP3), 124th Annual Scientific Sessions, Sri Lanka Medical Association, 2011 Colombo, Sri Lankaen_US
dc.description.abstractINTRODUCTION AND OBJECTIVES: To assess the prevalence of abdominal pain predominant functional gastrointestinal diseases (FGD) in Sri Lankan children, their symptomatology, and predisposing factors. METHODS: A cross sectional survey was conducted among a randomly selected group of 10-16 year olds, in 8 randomly selected schools, in 4 provinces in Sri Lanka. A validated, self-administered questionnaire was distributed in an examination setting. Research assistants were present while filling the questionnaire and explanations were given. FGD Were Diagnosed using Rome III criteria. RESULTS: A total of 2180 questionnaires were distributed and 2163 (99.2%) were included in the analysis [1189 (55%) males, mean age 13.4 years, SD 1.8 years]. Seventeen incompletely filled questionnaires were excluded. Two hundred and seventy (12.5%) had at least one abdominal pain predominant FGD. Irritable bowel syndrome (IBS) was seen in 107 (4.9%), functional dyspepsia (FD) in 54 (2.5%), functional abdominal pain in 96 (4.4%) and abdominal migraine (AM) in 21 (1.0%) (2 had AM and FD, 6 had AM and IBS). Extraintestinal somatic symptoms (headache, limb pain, sleeping difficulty) were more common among affected children (p<0.05). Abdominal pain predominant FGD were significantly higher in girls and those exposed to stressful events (p<0.05). Prevalence negatively correlated with age. CONCLUSION: Abdominal pain predominant FGD were a significant health problem in Sri Lankan children affecting 12.5%. IBS was the commonest FGD diagnosed. Abdominal pain predominant FGD were higher in girls and those exposed to emotional stress. Prevalence of FGD decreased with age. Somatic symptoms were more frequent in affected children.en_US
dc.identifier.citationThe Ceylon Medical Journal. 2011; 56(Supplement 1):43en_US
dc.identifier.issn0009-0875 (Print)
dc.identifier.urihttp://repository.kln.ac.lk/handle/123456789/9776
dc.language.isoen_USen_US
dc.publisherSri Lanka Medical Associationen_US
dc.subjectAbdominal Painen_US
dc.titleAbdominal pain predominant functional gastrointestinal diseases in children and adolescents: prevalence, symptomatology and association with emotional stressen_US
dc.typeConference Abstracten_US

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