Abdominal pain is a recognised feature of Henoch-Schönlein purpura (IgAV). In most cases it settles within 72 hours with standard analgesic management. When pain persists beyond that window or is severe from the outset, a structured next-line decision is required.
First-line management uses simple analgesia — ibuprofen with or without paracetamol. This protocol applies when abdominal pain has not resolved within 72 hours of that analgesic regimen, or when pain severity warrants earlier escalation.
Corticosteroid therapy is the next consideration for abdominal pain that has not responded to initial analgesia. The approach requires exclusion of intussusception and other causes of acute abdomen before proceeding. The complete selection criteria, agent, route, and duration are in the full protocol.
Abdominal pain usually settles within 72hrs simple analgesia is adequate for management as (Ibuprofen at 5–10mg/Kg/dose tds ± paracetamol at 10–15 mg/kg/dose qds)
If abdominal pain is severe; consider using corticosteroids (oral 1–2 mg/kg/day or pulsed i.v. methylprednisolone (e.g. 10–30 mg/kg with an average dose of 500 mg/d for three consecutive days) after excluding intussusception or any other causes of acute abdomen.
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