Referral Criteria for Children with Chronic Abdominal Pain

• Dr. M.A. Kambal — Consultant in Pediatrics, Pediatric Gastroenterology, Endoscopy and Nutrition at Specialized Medical Center Hospital, Riyadh, and an Adjunct Assistant Professor at Alfaisal University

Paediatrics

Children with chronic abdominal pain should be referred for specialist assessment when symptoms interfere with daily activities or sleep, or are associated with weight loss, poor growth, joint pain, skin rashes, allergies, previous surgery, or a significant family history. Examination findings such as jaundice, clubbing, oral ulcers, pallor, abdominal distension, tenderness, or abnormal perianal findings require further evaluation