Aim: Abdominal pain is classified into visceral, somatoparietal, and referred pain based on the nature of the pain receptors involved. The majority of abdominal pain is associated with visceral pain receptors, which are located on the serosal surface, mesentery, intestinal muscle, and mucosa of hollow organs. Hence; the present study was conducted for assessing the utility of X ray abdomen and ultrasonography in children with chronic abdominal pain. Materials and methods: This retrospective analysis of prospectively collected data included 50 children aged 3–16 years with acute abdominal pain or tenderness and typical skin purpura, after excluding 15 cases due to incomplete records. Informed consent was obtained from parents for diagnosis, radiology, treatment, and anesthesia when necessary. Data collection covered demographic details, laboratory results, and imaging findings from X-ray and ultrasound. Data analysis was done using SSPS software. Results: Sensitivity, Specificity and Diagnostic accuracy of X-ray for assessing chronic abdominal pain was 76.5 percent, 72.9 percent and 75.9 percent respectively. Sensitivity, Specificity and Diagnostic accuracy of USG for assessing chronic abdominal pain was 83.6 percent, 85.1 percent and 88.9 percent respectively. Conclusion: USG had higher diagnostic accuracy of for assessing chronic abdominal pain among children.