Functional Abdominal Pain
Functional abdominal pain disorders (FAPDs)
AKA pain-predominant functional gastrointestinal disorders (FGIDs)
Most common cause of chronic abdominal pain in children and adolescents
Dx
chronic abdominal pain (≥2 months)
no alarm findings (see table in UTD)
normal physical examination
FOB negative
Includes:
Rx
Maintain Therapeudic relationship
Acknowledge pain is real
Psychologist
Prognosis: Family insight and encouragement of independence rather than feeding into the sick role has the greatest effect on outcome.
AKA pain-predominant functional gastrointestinal disorders (FGIDs)
Most common cause of chronic abdominal pain in children and adolescents
Dx
chronic abdominal pain (≥2 months)
no alarm findings (see table in UTD)
normal physical examination
FOB negative
Includes:
- functional dyspepsia
- irritable bowel syndrome (IBS)
- abdominal migraine
- FAP—not otherwise specified
Rx
Maintain Therapeudic relationship
Acknowledge pain is real
Psychologist
Prognosis: Family insight and encouragement of independence rather than feeding into the sick role has the greatest effect on outcome.