3. Chronic or Recurrent Abdominal Pain

  1. C. J. Hawkey FMedSci3,
  2. Jaime Bosch MD, PhD4,5,
  3. Joel E. Richter MD, FACP, MACG6,7,
  4. Guadalupe Garcia-Tsao MD8,9 and
  5. Francis K. L. Chan MD10
  1. Ayman Koteish MD1 and
  2. Anthony N. Kalloo MD2

Published Online: 16 APR 2012

DOI: 10.1002/9781118321386.ch3

Textbook of Clinical Gastroenterology and Hepatology, Second Edition

Textbook of Clinical Gastroenterology and Hepatology, Second Edition

How to Cite

Koteish, A. and Kalloo, A. N. (2012) Chronic or Recurrent Abdominal Pain, in Textbook of Clinical Gastroenterology and Hepatology, Second Edition (eds C. J. Hawkey, J. Bosch, J. E. Richter, G. Garcia-Tsao and F. K. L. Chan), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781118321386.ch3

Editor Information

  1. 3

    Nottingham Digestive Diseases Centre, University of Nottingham and Nottingham University Hospitals, Nottingham, UK

  2. 4

    Hepatic Hemodynamic Laboratory, Liver Unit Hospital Clínic-IDIBAPS, University of Barcelona, Spain

  3. 5

    Biomedical Research Centre Network of Hepatic and Digestive Diseases (CIBERehd), National Institute of Health Carlos III Ministry of Science and Innovation Barcelona, Spain

  4. 6

    Division of Gastroenterology and Nutrition, University of South Florida Tampa, FL, USA

  5. 7

    Joy M. Culverhouse Center for Esophageal Diseases, University of South Florida Tampa, FL, USA

  6. 8

    Section of Digestive Diseases Yale University, School of Medicine New Haven, CT, USA

  7. 9

    Veterans Affairs Connecticut Healthcare System West Haven, CT, USA

  8. 10

    Department of Medicine & Therapeutics The Chinese University of Hong Kong, Hong Kong SAR, China

Author Information

  1. 1

    Division of Gastroenterology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA

  2. 2

    The Johns Hopkins University School of Medicine Chief, Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, MD, USA

Publication History

  1. Published Online: 16 APR 2012
  2. Published Print: 20 APR 2012

ISBN Information

Print ISBN: 9781405191821

Online ISBN: 9781118321386

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Keywords:

  • Abdomen;
  • Chronic pain;
  • Irritable bowel syndrome (IBS);
  • Functional pain

Summary

Abdominal pain, be it acute or chronic, remains the most common and most challenging complaint in gastroenterology and family medicine practices, for it encompasses a wide spectrum of etiologies. This chapter will focus on chronic abdominal pain, and will discuss its basic pathophysiology and localization, and will subdivide chronic abdominal pain into distinct categories in order to make the approach to diagnosis and management more focused. The abdomen-specific physical examination will then be discussed, as well as the initial work-up, which will help narrow the differential diagnosis in order to provide a more comprehensive therapeutic approach.