Approach to a Child with Functional Abdominal Pain. Indian J Pediatr 2016 Nov;83(12-13):1452-1458
Date
04/23/2016Pubmed ID
27102000DOI
10.1007/s12098-016-2111-5Scopus ID
2-s2.0-84964389859 (requires institutional sign-in at Scopus site) 5 CitationsAbstract
Functional abdominal pain (FAP) is one of the most common functional gastrointestinal disorders (FGIDs) of childhood. Only a minority of patients with FAP seek medical attention, often presenting to the primary care physician while symptoms are still evolving. The bio-psychosocial model of treatment not only aims to alleviate the illness symptoms but also identifies and remedies the psychological comorbidities and social factors that contribute to illness behavior. Many patients with a mild illness can be managed in the primary care setting. However those with chronic, severe, frequently relapsing, and disabling illness usually are referred to a pediatric gastroenterologist. One of the reason for referral is to exclude organic disorders such as peptic ulcer disease, celiac disease or inflammatory bowel disease which can present with chronic abdominal pain. Recent data suggest that psychological therapy is very effective in alleviating symptoms, a subset of patients may require dietary modification and medications as an adjunct to psychological treatment.
Author List
Sood MR, Matta SRMESH terms used to index this publication - Major topics in bold
Abdominal PainCeliac Disease
Child
Gastrointestinal Diseases
Humans
Irritable Bowel Syndrome
Recurrence
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