Chronic abdominal pain (CAP) persists for more than 3 mo either continuously or intermittently. Intermittent pain may be referred to as recurrent abdominal pain (RAP). Acute abdominal pain is discussed elsewhere. CAP occurs any time after 5 yr of age. Up to 10% of children require evaluation for RAP. About 2% of adults, predominantly women, have CAP (a much higher percentage of adults have some type of chronic GI symptoms, including nonulcer dyspepsia and various bowel disturbances).
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The primary symptoms of JM are weak or painful muscles, skin rash (with JDM), fatigue and fever. Some children experience joint pain as well. 1  Weak muscles. 2  The muscles that are affected the most are near the trunk of the body: the stomach, thigh muscles, neck and upper arm muscles.he average age of onset for JDM is between six to seven years old; 25% are age 4 or less. JPM usually develops several years later. JM affects girls twice as much as boys. Once a child is diagnosed with JM, it is always considered to be the juvenile form, even if the patient continues with the disease into adulthood.