Abdominal pain in children : Triage

Abdominal pain is a frequent complaint among children, and its causes can range from benign to serious. Some common causes include:Gastrointestinal Issues

• Gastroenteritis (stomach flu)
• Constipation
• Food intolerances or allergies
• Inflammatory bowel disease

Infections

• Urinary tract infections
• Appendicitis
• Viral infections

Other Causes

• Stress or anxiety
• Menstrual cramps in adolescent girls
• Functional abdominal pain

Suggestion for Clinicians:

1. Systematically ask each question to gather comprehensive information on the child’s condition.

2. Use the information to categorize the risk into Green (low risk), Amber (intermediate risk), or Red (high risk).

3. Prioritize the highest level of risk identified:

   • Green: Provide home management advice and safety netting.
   • Amber: Arrange for timely face-to-face review or referral if necessary.
   • Red: Recommend immediate referral to emergency care.

4. Document all findings and actions taken, including any advice or safety netting provided.

5. Always consider potential safeguarding issues during the assessment.