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Recidiverande buksmärtor hos barn

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Sakkunnig:
Definition:
Intermittenta eller kroniska buksmärtor tre eller fler gånger under en tremånadersperiod, som stör barnets normala aktiviteter, oavsett om etiologin är funktionell eller organisk.
Förekomst:
10 % barn från femårsåldern och 10–25 % skolbarn rapporteras ha recidiverande buksmärtor.
Symtom:
Återkommande episoder av buksmärta med varierande intensitet och varaktighet.
Kliniska fynd:
Undersökningen är ofta utan anmärkning, bortsett från eventuell diffus ömhet i buken.
Diagnostik:
Eventuellt kompletterande undersökningar i differentialdiagnostiskt syfte.
Behandling:
Vid funktionell orsak är samtal med barn och föräldrar om gastrointestinala symtom, en systematisk fysisk undersökning av buken, rimlig provtagning och lugnande besked om att det inte föreligger underliggande organisk sjukdom den bästa och ofta den enda behandling som krävs. Fokus bör riktas mot en normalisering av vardagliga funktioner som skolgång och återupptagandet av aktiviteter i det dagliga livet.
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  • Anna Nager, med dr och specialist i allmänmedicin, Karolinska institutet