Functional abdo pain in the most common cause of abdominal pain in children.
What do functional abdominal pain disorders include?
Indigestion (function dyspepsia)
IBS
Abdominal migraine (similar symptoms to regular migraine, but no headache)
Non-specified functional abdominal pain
What can functional abdominal pain in children lead to?
Increased anxiety
Can impact family life, school life & a child's daily activities
What are the RFs for functional abdo pain?
FHx
Stress & anxiety
Other psychological difficulties (depression)
Food allergies & intolerances
What is the treatment for functional abdominal pain?
Symptoms can improve over time
No cure for functional abdominal pain
Healthy diet
Reassurance & relaxations
Regular exercise
Sleep
Manage stress
Medication may be suggested in some cases
laxatives
antidiarrhoeal
antispasmodic drugs
probiotics
What are functional abdominal pain disorders?
Group of conditions causing abdo pain without inflammation, infection or structural abnormalities in the gut
What percentage of children worldwide are affected by functional abdominal pain disorders?
Around 15%
What are common symptoms of functional abdominal pain disorders?
Abdo pain
Vomiting
Constipation
Diarrhoea
Sometimes headaches
What causes functional abdominal pain disorders?
Problems with brain-gut communication, visceral hypersensitivity (nerves between gut & brain become oversensitive -> brain to notice normally ignored sensations), and sometimes changes in gut bacteria.
Can functional abdominal pain disorders cause long-term damage?
No
How are functional abdominal pain disorders diagnosed?
Mainly through symptoms, but tests may be done to rule out conditions like celiac disease and inflammatory bowel disease.