Recurrent abdominal pain ...

Recurrent abdominal pain Rekurentnaya abdominal pain is the most repeated somatic complaints among children and adolescents. Patients with normal gastro-intestinal disturbances including irritability syndrome colon (IBS) and dyspepsia suggest that high levels of stress they have a multiple somatic complaints that they often seek medical help. Recent data indicate that children and adolescents with recurrent abdominal pain may later be diagnosed with IBS. Adolescents and young adults with a history of childhood abdominal pain rekurenntnoy can continue to show higher levels of pathological behavior including pain, other somatic complaints and functional disorders than control subjects. Headache Headaches are a common complaint in children and adolescents and are often observed in association with abdominal pain. Muscle tension headaches, as well as occasional hroncheskie are common. Carlsson discovered that children and adolescents with rekurenntnymi headaches more likely to report psychological distress than the control without the headaches. Subjects with chronic rekurenntnymi headache or migraine coexisting with tension headaches, provide the highest level of psychological distress. Stressors such as marital problems of parents and family dissolution or divorce is associated with rekurentnymi headaches in adolescents. Chest pain Chest pain in adolescents is often a concern about the presence of underlying heart disease, but chest pain in adolescents is rarely associated with heart disease and most often due to idiopathic causes. Kostohondrit and musculoskeletal pain is the most common identifiable causes of chest pain in adolescents. Arousal and hyper-perventilyatsiya may be associated with chest pain and other somaticheskmi complaints. Stressful life events can be identified in many adolescents with chest pain in spite of reason. Musculo-skeletal pain musculoskeletal pain occurs in up to 20% of children and adolescents. Cherry and colleagues have reported that the stressors associated with school, family and personal expectations were common among the 100 patients (mean age 13 years), contact rheumatological center for chronic musculoskeletal pain. Most patients responded to the combination of Physical and okkupatsionalnoy therapy, coupled with interventions aimed at laying the basis for psychosocial reasons. Chronic fatigue Chronic fatigue may accompany the various states including psychosomatic problems, depression, and chronic fatigue syndrome. Chronic fatigue syndrome is a symptom complex consisting of a deep istoschyayuschey fatigue associated with various non-specific constitutional complaints. Although the cause of syndrome hroncheskoy fatigue in children and adolescents is probably multifactorial, stress and psychosomatic factors seem to play a role in some patients.