Martin D. Fried MD discusses Irritable Bowel Syndrome in children.
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Male Speaker: A lot of kids today come to doctors with recurrent abdominal pain. Okay. The week I get the most of it's the first week of school. Okay and is there any coorelation? Martin D. Fried : Sure. Kids get nervous, kids are --. Male Speaker: Is there as such thing as an irritable bowel syndrome in children? Martin D. Fried: There is an irritable bowel syndrome. I have one patient that -- one patient that comes to mind. What I use as a criteria for abdominal pain is where it is in relation to the abdomen. The further away it is from the belly button right lower quadrant appendicitis, right upper quadrant gallbladder, liver, left side spleen, radiant to the back as pancreas. If it just stays in and around the belly button, it's less likely to be a diseased organ. Male Speaker: If there is a concern about irritable bowel syndrome, is there any test you could do to diagnose or is it one by exclusion? Martin D. Fried: It is diagnosed by exclusion and history, history is the most important, 85 percent of your diagnosis could be by history. When do they get it? Is it with constipation, alternating with diarrhea, does it come and go, does it wake them up at night. The history is very important.