Can Fam Physician. 1983 Sep;29:1655-9.
Recurrent abdominal pain with no apparent organic cause is common in children. An investigation should be made for both psychological and organic causes. The initial assessment should include a detailed history of pain, a developmental history, a detailed family pain history, and history of any school, family or marital stress. A diary recording the parents' and child's observations of the child's pain may indicate its causes, ideas for management, and indicate whether it is improving. Specific treatment for psychological pain focuses on the underlying cause, removing it if possible. However, only non-specific treatment is possible when neither organic nor psychological causes can be found. The physician should discuss the diagnosis with parents and child and reassure them the pain is benign and self-limiting. He should also acknowledge the child's pain is real and encourage him to cope by taking part in as many of his normal activities as possible.
儿童反复腹痛而无明显器质性病因较为常见。应查明是否存在心理和器质性病因。初始评估应包括疼痛详细病史、发育史、详细家族疼痛史以及任何学校、家庭或婚姻压力史。记录父母和孩子对孩子疼痛观察的日记可提示疼痛病因、管理思路，并表明疼痛是否改善。针对心理性疼痛的具体治疗方法侧重于根本病因，如果可能，应去除病因。然而，当既找不到器质性病因也找不到心理性病因时，只能进行非特异性治疗。医生应与患儿父母讨论诊断结果，使他们放心，疼痛是良性且自限性的。医生还应承认患儿的疼痛是真实的，并鼓励其通过尽可能多地参与正常活动来应对疼痛。
