Chronische Bauchschmerzen bei Kindern

Zusammenfassung

Bauchschmerzen sind häufige Beschwerden im Kindes- und Jugendalter. Die notwendigen differenzialdiagnostischen Überlegungen umfassen eine Vielzahl abdomineller und extraabdomineller organischer Ursachen sowie funktionelle Störungen. Bei chronisch rezidivierenden Bauchschmerzen ist die Unterscheidung zwischen funktionellen und organisch bedingten Beschwerden oft schwierig. Der Fokus des Beitrages liegt auf der Diagnostik und Therapie der sehr häufigen chronisch wiederkehrenden funktionellen Bauchschmerzen. Es werden aktuelle pharmakologische, diätetische und psychologische Inter-ventionen zur Behandlung chronisch rezidivierender Bauchschmerzen diskutiert.

Summary

Abdominal pain is a common disorder in childhood and adolescence. Multiple organic and functional causes of abdominal pain have to be considered. The discrimination between functional and organic causes of recurrent abdominal pain remains difficult. Unnecessary and stressful diagnostic investigations can be avoided by careful inquiry of patients history and medical evaluation. Psychological, dietary and pharmacological interventions for treatment of recurrent abdominal pain are discussed.

Schlüsselwörter

Akute Bauchschmerzen - chronische Bauchschmerzen - funktionelle Beschwerden

Keywords

Acute abdominal pain - recurrent abdominal pain - functional abdominal pain

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