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Table 3 Differential diagnosis of recurrent vomiting (often with abdominal pain) other than familial Mediterranean fever (FMF) in the pediatric population, by age

From: Intestinal malrotation as a misdiagnosis of pediatric colchicine resistant familial Mediterranean fever

Neonate/infancy

Childhood

Adolescence

GERD

GERD

GERD

Anatomic obstruction a

>Anatomic Obstruction a

IBD

Dietary protein intolerance

PUD

PUD

Metabolic disorderb

Pancreatitis

Cyclic vomiting

Renal disorder/obstruction

Cyclic vomiting

Pancreatitis

Adrenal crisis

Metabolic disordersb

Biliary colic

  

Renal colic

  

Acute intermittent porphyriab

  

Anatomic Obstructiona

  1. aIncludes malrotation with midgut volvulus, pyloric stenosis, intussusception, Hirschsprung disease, congenital atresia/stenosis/webs, incarcerated hernia
  2. bIncludes urea cycle defects, organic acidemias, fatty acid oxidation defects, disorders of gluconeogenesis in infancy, and porphyria in childhood/adolescence
  3. GERD gastroesophageal reflux, IBD inflammatory bowel disease, PUD peptic ulcer disease
  4. The common causes in each age are marked in bold. Functional gastrointestinal disorders are a common cause of recurrent abdominal pain but without vomiting