Exams and Tests

Abdominal pain in children has several potential causes, affecting multiple organ systems, each requiring a unique set of diagnostic tests. The doctor will obtain a thorough history and examine the child, which likely will include a rectal exam to evaluate the presence of blood. From this information the doctor may order additional tests.

• Blood probably will be drawn and sent to a laboratory for blood cell counts (CBC), liver function tests, blood cultures, amylase/lipase levels, and/or lead level. A urine sample may be obtained and sent for urinalysis and culture.
  
  
• A stool sample may be obtained to check for blood, bacteria, or parasites.
  
  
• Imaging studies (X-rays and related studies) may be taken to evaluate the abdomen. Other tests may include:
  
  
  • Ultrasound of the abdomen/testicles
    
    
  • CT scan of the abdomen
  
  
• Special tests may be ordered based on the child's condition, including barium enema or swallow, anal manometry, or a pelvic exam.
  
  
• A specialist such as a gastroenterologist or a general or a pediatric surgeon may be consulted.