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Editorial: never forget syphilis.

of abdominal symptoms was more than twice as great as that in a matched control group who had not had recurrent abdominal pains as children. Interestingly, 11 of the 18 with persistent abdominal symptoms had an extended period in adolescence without symptoms-they grew out of it-and then subsided into it again. The severity of symptoms in 5 of the 18 was sufficient to interfere with normal active life. In addition 11 of the 34 had other symptoms ranging from migraine, headaches, and back pain to "bad nerves." Once again this was a higher incidence than in the control group. In general it seems that despite sympathetic management in childhood about half the children with recurrent abdominal pain will have troublesome abdominal symptoms as adults. Clearly the syndrome is not as benign as has been suggested. Reassurance and symptomatic treatment may help the child at the time, and also help the family, but it does not necessarily alter the long-term prognosis.4 An important aim in the medical care of children is to prevent childhood conditions from interfering with normal development and adult health. At present this aim is not achieved in the management of the large numbers of children with recurrent abdominal pain. There is a need for further research into the causes of the syndrome and for therapeutic trials in the hope that we may be able to prevent little bellyachers becoming big bellyachers.