Publication

[Abdominal pain - differential diagnoses and diagnostic strategies in patients with chronic symptoms]

Journal Paper/Review - Aug 1, 2011

Units
PubMed
Doi

Citation
Gueller U, Macpherson A. [Abdominal pain - differential diagnoses and diagnostic strategies in patients with chronic symptoms]. Ther Umsch 2011; 68:459-62.
Type
Journal Paper/Review (Deutsch)
Journal
Ther Umsch 2011; 68
Publication Date
Aug 1, 2011
Issn Print
0040-5930
Pages
459-62
Brief description/objective

Abdominal pain is a very common complaint in a primary care consultation. The causes of abdominal pain are extremely diverse and range from conditions that require urgent surgical remedy to those without serious underlying pathology where the problem either settles spontaneously, or becomes chronic without any abnormalities on laboratory or clinical workup. While tests are helpful in confirming diagnoses, clinical judgement based on a careful history and physical examination remains extremely important in choosing from the extremely wide differential diagnoses and in the management of the condition. In this article, we will deal with chronically recurrent intermittent abdominal pain. Our aim is especially to provide guidance on the possibility that abdominal pain is a symptom of chronic inflammatory bowel disease (IBD) or an identifiable functional condition and when the diagnosis of irritable bowel syndrome should be made.