EVERY physician who cares for children in private practice knows there are few complaints he has to listen to more frequently than those of recurrent "tummyaches." We all are—or at least should be—reluctant to shrug off such complaints as being due to emotional disturbances, or to call them "functional" pains. Yet even after careful studies, organic causes are rarely found.
Should we x-ray every child with chronic abdominal complaints? Obviously, that would be impractical. However, one should not forget that the rare diseases do occur, and an 11-year-old boy recently seen in private practice proves this point.
REPORT OF CASE
This child had been complaining of "stomach-aches" for the past two years. He never vomited, and his mother volunteered the rather significant remark that "the stomach-aches were not any more frequent than most children have." During the preceding half year, he had complained of abdominal pains about twice a month.
WALTER M. BLOCK. CHRONIC GASTRIC ULCER IN CHILDHOODA Critical Analysis of the Literature with Report of a Case in an Eleven-Year-Old Boy. AMA Am J Dis Child. 1953;85(5):566–574. doi:10.1001/archpedi.1953.02050070581006