Vol. 6, Issue 2, Part C (2024)

Background: Recurrent abdominal pain (RAP) in children is common and often leads to distress and frequent doctor visits. Endoscopic investigations are key in uncovering gastrointestinal issues that may contribute to recurrent abdominal pain (RAP), such as the presence of H. pylori. This study aimed to evaluate endoscopic findings and the status of Helicobacter pylori infection in children with recurrent abdominal pain.

Methods: The cross-sectional study was conducted at the Pediatric Gastroenterology, Hepatology & Nutrition Department of Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh from January 2019 to December 2020. A total of 70 children with recurrent abdominal pain (RAP) were included in the study using purposive sampling technique. To confirm H. pylori infection, rapid urease tests and histopathology of gastric biopsy samples were performed. Data were analyzed using SPSS version 22.0.

Results: Helicobacter pylori infection was found in 35.7% of participants. The mean age of infected children was 9.49±2.47 years, with a male predominance (52%). A significant association was observed between H. pylori infection and lower socioeconomic status (p=0.003). Additionally, children with RAP lasting more than 6 months and lower BMI were significantly more likely to be infected (p=0.003). The source of drinking water did not affect the results.

Conclusion: Helicobacter pylori infection frequently occurs in children experiencing recurrent abdominal pain. This infection is linked to lower socioeconomic status and an extended duration of recurrent abdominal pain. Additionally, it can negatively impact the growth of children.