A 10-year-old has recurrent periumbilical pain for six months, normal growth and examination, and no bleeding, nocturnal symptoms, fever or weight

Question

A 10-year-old has recurrent periumbilical pain for six months, normal growth and examination, and no bleeding, nocturnal symptoms, fever or weight loss. What is the most appropriate initial management?

Accepted Answer

Provide reassurance, support activity, and give clear safety-net follow-up

Answer

Start dietary restriction, pain medicines, and symptom diaries

Answer

Begin empiric acid suppression, repeat testing, and school absence

Answer

Refer for surgical assessment, inpatient observation, and repeat examinations

Answer

Arrange endoscopy, blood tests, and abdominal imaging at this visit

Functional abdominal pain — CCFP MCQ

A 10-year-old has recurrent periumbilical pain for six months, normal growth and examination, and no bleeding, nocturnal symptoms, fever or weight loss. What is the most appropriate initial management?