Dyspepsia in children

Dr. Wan Nedra, Sp. A

Pediatric Department
University of YARSI
 Dyspepsia in children

• Not as common as in adults

• Relationship to eating not volunteered
• Character of abdominal pain different
• Causes:
Oesophagitis (including Sandifer syndr)
Ulcer dyspepsia
Non-ulcer dyspepsia
 Ulcer dyspepsia

• Gastritis
• Acute ulcers
Stress ulcers (sepsis, hypoxia,
ischaemia, dehydration, trauma)
Drug-related (NSAIDS, Steroids, Iron
Antibiotics)
• Persisting/chronic ulcers
Helicobacter pylori related
 Non-ulcer dyspepsia

• H. pylori gastritis
• Giardiasis
• Pancreatitis
• Inflammatory bowel disease
• Cholelithiasis
• Recurrent abdominal pain of childhood
 Pointers to organic pain in children

• Age of onset <5 or >14 years

• Localized pain away from umbilicus
• Nocturnal pain waking the patient
• Aggravated or relieved by meals (dyspepsia)
• Loss of appetite and weight
• Alteration in bowel habit
• Associated findings: fever, rash, joint pain
• Abdominal distension, mass, visceromegaly
• Occult blood in stools, anaemia, high ESR
• GER  slide GER