Approach to a Child with Functional Abdominal Pain.

Abstract:

: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.

journal_name

Indian J Pediatr

authors

Sood MR,Matta SR

doi

10.1007/s12098-016-2111-5

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

1452-1458

issue

12-13

eissn

0019-5456

issn

0973-7693

pii

10.1007/s12098-016-2111-5

journal_volume

83

pub_type

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