Emotional abdominal pain is located below the stomach and epigastrium and above the pubic bone, and the pain can be widespread or limited to the large abdomen, hypochondrium, less abdomen, or small abdomen. The nature of pain can be vague, distension, cold pain, burning pain, colic, stabbing pain, etc. There is no distension outside the abdomen, the abdominal wall is soft when pressed, there can be pressure pain, but there is no rebound pain, the pain can be continuous, or sometimes slow, sometimes stop, or recurrent attacks. Differential diagnosis of emotional abdominal pain: 1, chronic abdominal pain: chronic abdominal pain is a kind of abdominal pain that starts slowly, has a longer duration, or is secondary to acute abdominal pain, and its localization is more accurate. 2, abdominal pain after the action of violence: abdominal pain after the action of violence is one of the symptoms of liver rupture, liver rupture is a common disease in abdominal trauma, right liver rupture is more than left liver. 3, exercise abdominal pain: some people who do not often exercise will feel abdominal pain after less than 15 minutes of exercise, and even some people will have abdominal pain in a brisk walk, and it will naturally improve after resting for a while. What’s going on here? In fact, most people experience this abdominal pain in the early stages of exercise, which is known in sports medicine as mid-exercise abdominal pain. The history should begin with the initial episode of pain, the frequency, nature, and location of the pain; the relationship to diet, bowel movements, and elimination; and the outcome of various treatments (e.g., changes in position, home remedies, OTC or prescription medications). Information obtained from the parents (or other persons caring for the child) is also helpful. Their differing opinions about the occurrence of abdominal pain and how it occurs can help to observe the impact of the family situation on the child and can help to provide an approach to the management of abdominal pain that satisfies the parents as well. The potential role of parental involvement together in the onset, persistence, and overcoming of pain is emphasized. Psychogenic RAP lacks persistent intestinal symptoms, fever, weight loss or growth retardation. However, these manifestations are not specific. Commonly associated symptoms are headache, dizziness (non-vertigo), pallor and sweating. Fatigue, anorexia, nausea, vomiting, diarrhea, constipation and limb pain are also less common than organic or functional RAP. Psychosocial features of psychogenic RAP include immaturity, overdependence on parents, apprehension or depression, fear, nervousness, and excessive criticality. Often parents treat these children as special because of their special status in the family (e.g., being an only child, the youngest of their siblings, the only boy or girl among many siblings) or because of medical problems (colic, feeding difficulties). The parents are often overly concerned, doting, obedient and fully responsive to the child’s needs. Attention should be paid to any possible triggers (e.g., illness, family discord, parental separation or death, school-induced stress); evidence of benefits gained from the first episode (what the child avoided because of the pain) or benefits gained from a second episode (psychosocial gains due to illness); and the child’s personality traits. School records can reveal the impact of pain on daily activities in the classroom. Family history often includes patients with chronic somatic discomfort or pain, peptic ulcers, headaches, neuroticism, or depressive disorders. The family history should also include related illnesses or similar problems suffered by family members, especially parents, at a similar age. Most children do not have signs at the beginning of the illness. Before making a diagnosis, the presence of abdominal distention should be adequately observed and examined during the onset of pain so as not to omit any signs of organic pathology. There are often no signs other than discomfort in the umbilicus on palpation. In younger children, a general physical examination should be performed in the presence of both parents and give them the impression that the examination was done carefully and thoroughly. If the discomfort is in an adolescent or older child, a parent of the same gender should be present for the examination. At the initial visit and subsequent follow-up, the child and parents should document any episode of pain, including its nature, intensity, duration, and precipitating factors; diet; excretion; and any treatment administered and its outcome. These records can often reveal inappropriate behavioral patterns and exaggerated presentation of pain, which can aid in diagnosis. Once the diagnosis is established, repeated examinations should be avoided, lest the child pay special attention to or exaggerate those signs, or suggest that the physician lacks confidence in the diagnosis. Organogenic RAP, if suspected, should be examined appropriately. Peptic ulcers are often missed because the specific relationship between feeding and epigastric pain presented in adult patients is rare in children. uti, without specific laboratory tests, can also be missed because the pain complained of comes from the abdomen or pelvis and does not refer to coming from the hypochondrium or urethra. Functional RAP is best diagnosed by a detailed history that identifies associated symptoms or contributing factors (e.g., review of 24-hour diet to determine if food allergies or poor diet are the cause of pain, menstrual history, etc.). Functional RAP differentials include: poor diet, inadequate toilet training, constipation or stool retention and fecal incontinence due to the use of a regular toilet seat (which may be too large for the child to fear falling), dysmenorrhea, intermenstrual pain, and lactose intolerance secondary to a physiologic decrease in lactase activity that occurs between the ages of 10 and 20 years, which often begins after 2 hours of breastfeeding or dairy products because the pain occurs. Lactose intolerance is not suspected.