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©2013 UpToDate ® Print Email Abdominal pain history Pain When did it start? Is it better, worse, or about the same? When does it occur? Is it sharp, dull, crampy? Is it constant or does it come and go? Where does it hurt? Does it move to other areas? How severe is the pain? Does the pain wake the child from sleep? How do you know the child is in pain? How does the family respond to the child's pain? Have any tests been done by other healthcare providers? If so, bring records. Does anything make the pain worse or better? (eg, bowel movement, walking, resting, medications) Other symptoms Has the child lost weight? Was it intentional or unintentional? Are there other symptoms? (eg, reduced appetite, nausea, gas, diarrhea) Do specific foods or meals cause pain? Are there respiratory symptoms? (eg, coughing, wheezing, hoarse voice) Habits Have the child's eating habits changed? (eg, restricting foods, binge eating) How frequently does the child move his/her bowels? Is he/she ever "too busy" to finish a bowel movement? Have there been episodes of unintentional fecal loss (soiling) recently? Social history Has the child's attendance at school or social activities been affected by his/her pain? Are there any known stressors for the child or adolescent? (eg, divorce, move, death, school performance)