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"Recurrent abdominal pain is one of the most common symptoms found in children. Description of abdominal pain is important in determining the etiologic cause. Organic pain must be ruled out first before suspecting psychogenic cause of pain. However; Children and infant are likely having difficulties in describing abdominal pain. Referred pain may lead to misdiagnosis. Alarm symptoms of abdominal pain are important indices and must be recognized. Careful and complete anamnesis and physical examination play critical role in management approach of recurrent abdominal pain in children and determine whether medical therapy only or combination with surgical intervention is considered necessary."

"ABSTRAKTuberculosis was still a global health problem. Beside lung, tuberculosis also manifest in other organs, one among them  is in abdominal organs. Abdominal tuberculosis was a complex disease with unspecific sign and symptoms so that its diagnostic procedure was not rarely inconclusive. We reported a 24 years old woman with chief complain of worsening abdominal pain in all region, accompanied by nausea, vomiting, bloating, and  absent bowel movement. She also had a fresh bloody stool. She had an active pulmonary tuberculosis on initiation phase treatment. Physical examination suggest a bowel obstruction sign with distended abdomen and increase bowel sound. Colonoscopy procedure findings was a mass that obstruct bowel lumen in ileocaecal region, suggest for malignancy similar to computerized tomography (CT) scan result, but pathlogic result showed an active colitis without any sign of malignancy. Because of its contradiction, the second colonoscopy was performed and concluded as intestinal tuberculosis, matched with second pathologic examination. Although polymerase chain reaction (PCR) tuberculosis (TB) showed a negative result, a further clinical judgement concluded this as an intestinal tuberculosis case. Patient was finally treated as intestinal tuberculosis with first-line antituberculosis drugs and planned to have colonoscopy evaluation. After general condition was good and obstructive ileus sign was relieved, patient planned for outpatient care."

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Irritable bowel syndrome (IBS) adalah penyakit yang umum pada anak-anak dan remaja, dan mempengaruhi kualitas hidup. Telah ditemukan beberapa faktor risiko IBS, antara lain jenis kelamin, status sosioekonomik, dan gaya hidup. Penelitian mengenai prevalensi, faktor risiko, dan pengaruh IBS pada murid sekolah dasar sangatlah terbatas, khususnya di Indonesia, maka dari itu penelitian ini ditujukan untuk mengetahui faktor risiko, epidemiologi, dan pengaruh IBS terhadap performa akademik dan tingkat absensi. Penelitian potong lintang ini mengikutsertakan murid sekolah dasar di sebuah sekolah negeri di Jakarta. Orangtua diminta untuk mengisi kuisioner yang berisi karakteristik demografik dan kuisioner Rome III. Kami menggunakan metode total sampling. Subjek dikelompokkan menjadi dua kelompok (dengan IBS dan tanpa IBS), guna dibandingkan. Data di analisa menggunakan Pearson Chi-square, dan Mann-Whitney test. Di antara 154 subjek (86 laki-laki dan 68 perempuan) dengan umur median 9,68 tahun, 13 (8,4%) memiliki IBS. Umur, latar belakang pendidikan orangtua, dan kelas tidak berkaitan secara signifikan terhadap IBS. Jenis kelamin berkaitan secara signifikan terhadap IBS dengan perempuan sebagai faktor risiko yang signifikan. Absen tidak terkait secara signifikan dengan IBS, tetapi terlihat bahwa subjek dengan IBS memiliki nilai yang lebih tinggi sedikit dibandingkan dengan subjek tanpa IBS (P = 0.282).

Kesimpulan: Prevalensi IBS adalah 8,4%. Jenis kelamin adalah satu-satunya faktor risiko yang signifikan, dan tingkat absensi dan performa akademik secara statistik tidak signifikan terkait IBS.

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Irritable bowel syndrome (IBS) is a common disorder in children and adolescent, that influence their quality of life. Previous studies have shown that there are several risk factors towards IBS, such as gender, socioeconomic status, and lifestyle. Knowledge regarding the prevalence, risk factors, and impact of IBS in primary school students is very limited, especially in Indonesia, thus this study was aimed to explore the risk factors, epidemiology, and impact of IBS towards academic achievement and school absenteeism. This cross-sectional study included primary school students in a public school in Jakarta. Parents were asked to complete the questionnaires which comprise of demographic characteristics and Rome III questionnaire. We used total sampling. Then, the subjects were separated into two groups (those with IBS and those without IBS) in order to compare between the two. Data were analyzed with Pearson Chi-square, and Mann-Whitney test. Among 154 subjects (86 males and 68 females) with median age of 9.68 years, 13 (8.4%) had IBS. Age, parental education, and grade was not significantly associated with IBS. However, gender was a significant factor towards IBS with females as the significant risk factor. Absence was not significantly associated with IBS, but it is shown that those with IBS had slightly higher average score compared to those without IBS (P = 0.282).

Conclusion: Prevalence of IBS among primary school is 8.4. Gender was the only significant factor associated with IBS and that school absenteeism and academic achievement were not significantly associated with IBS.

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"Recurrent abdominal pain (RAP) is a very common presenting complaint in pediatric population. There is still a debate regarding the role of Helicobacter pylori (H. pylori) infection as an etiology of RAR Typically the inflammatory process in the gastric mucosa of infected individuals is chronic gastritis. Serologic and histologic examination are widely used for the diagnosis. This study was aimed to determine the role of H.pylori infection in Indonesian children with RAR The presence of serum IgG antibody to H. pylori and upper gastrointestinal endoscopy were performed on the 101 children with RAR Mztcosal biopsies were obtained for histologic analysis. The prevalence of H. pylori infection indicated by serology was 32.7% and by histology was 27. 7%. Histologic evidence of gastritis was present in 94.1 % children and 45% of them had chronic atrophic and active gastritis. Seventy percent children with H. pylori positive were found abnormal through endoscopy and all of the infected children were revealed abnormal through histological examination. Forty eight percent of seropositive children were found H. pylori positive and 80% of seronegatives children were found to be H pylori negative through histologic examination. Conclusion: H. pylori infection can be a cause of RAP in children. Work up for H. pylori infection should be performed when symptoms are suggestive of organic disease. Larger prospective studies are needed to be perforated for a longer time of period to clarify this issue."