Poll of the Month

Poll of the Month – May 2026

May 19, 2026

Poll Authors: Jordan Heser, DO – Cincinnati Children’s Hospital – Cincinnati, OH and Cheryl J. Hartzell, MD – Cincinnati Children’s Hospital Medical Center – Cincinnati, OH,
Poll Editor: Rita Agarwal, MD, FAAP – Stanford University School of Medicine – Stanford, CA

A 12-year-old child was admitted to the hospital for acute on chronic abdominal pain with nausea, vomiting, decreased oral intake and recent weight loss. Primary care physician is treating patient for constipation and pain with over-the-counter medications. There is no prior outpatient work up. The initial inpatient workup is pending. What is your typical first- line approach while awaiting results? (Select all that apply)

A. Initiate an opioid as work up is pending
B. Initiate a multimodal pain regimen (Acetaminophen, NSAIDs, muscle relaxants) including an opiate
C. Initiate an opiate sparing multimodal pain (Acetaminophen, NSAIDs, muscle relaxants) regimen
D. Consult psychology (CBT, pain neuroscience education)
E. Consult physical therapy
F. Initiate amitriptyline
G. Initiate gabapentin
H. Perform an intervention (Please include in text area #1)
I. Other (Please include in text area #2)

Textarea

33 votes · 60 answers

Vote Results

Society for Pediatric Pain Medicine
Better Care for Children in Pain.

Poll of the Month – May 2026

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