The purpose of this study is to evaluate the factors leading to chronic abdomen in children and to suggest measures for their prevention. The study was conducted in Mayo Hospital, Lahore. 50 children again from 3-10 years were admitted and thoroughly investigated. The survey shows a majority of cases belong to low socio-economic strata with high percentage of illiteracy with poor hygienic standard of living. Height and weight indicate universal growth retardation among the children. This might be genetic but also could be a carry over of chronic nutritional tendency from their early life. It was found that 58% cases were of helminthic infestation, 30% had pulmonary and extra thoracic tuberculosis, 12% of the cases had amoebic dysentry and abdomenal neurosis. Both shared equally in contributing towards chronic abdomen. Further analysis revealed that all abdomenal problems were generally due to insanitary environment, malnutrition, poor socio-economic conditions and psychic problems. It is concluded that chronic abdomen is a syndrome of preventable ailments which should be easily diagnosed, managed and eradicated.