Q How do I tell whether my child's abdominal pain or headache is back-to-school syndrome or an actual physical problem?
A The physical symptoms of back-to-school syndrome appear in concentrated bursts in specific situations such as before school or on exam days, and disappear on weekends or during breaks. If symptoms persist 24 hours a day without this pattern, or are accompanied by fever, weight loss, or repeated vomiting, a physical illness must first be ruled out.
Detailed Answer
The key to distinguishing the somatic symptoms of back-to-school syndrome from organic disease is the pattern. Somatization symptoms appear in concentrated bursts in specific situations (right before school, exam mornings) and disappear on weekends and during breaks, and physical examination often shows no abnormality. By contrast, if there is fever, persistent vomiting, blood in the stool, severe weight loss, or pain during sleep, an organic cause must first be confirmed at a pediatrics department. A diagnosis of back-to-school syndrome is made only after organic causes have been ruled out.
Korean Medicine Clinic Perspective
At Dongjedang, we assess in detail the pattern of when, in what situations, and how often the child's abdominal pain or headache appears, and when necessary we recommend having a pediatric examination first. After confirming there is no organic cause and judging it to be back-to-school syndrome, we begin Korean medicine treatment that addresses the digestive system and liver energy. An integrative approach that considers both possibilities together is important.
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