Functional abdominal pain in adolescents: case-based management

Functional gastrointestinal disorders (FGIDs), including functional abdominal pain (FAP), account for a large portion of conditions seen by paediatric gastroenterologists. Despite the commonality of FGIDs, there remains significant stigma around these diagnoses among medical providers, patients and...

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Bibliographic Details
Published in:Frontline gastroenterology 2021-12, Vol.12 (7), p.629-635
Main Authors: Yacob, Desale, Kroon Van Diest, Ashley M, Di Lorenzo, Carlo
Format: Article
Language:English
Subjects:
Abdomen
abdominal pain
Anxiety
Biomarkers
Celiac disease
Children & youth
Constipation
Families & family life
Family medical history
functional bowel disorder
functional dyspepsia
Gastroenteritis
Gastroenterology
Inflammatory bowel disease
Irritable bowel syndrome
Mental depression
Neurogastroenterology
Pain
Parents & parenting
Pathophysiology
Patients
Pediatrics
Physicians
Psychological aspects
psychological stress
Stress
Teenagers
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Summary:Functional gastrointestinal disorders (FGIDs), including functional abdominal pain (FAP), account for a large portion of conditions seen by paediatric gastroenterologists. Despite the commonality of FGIDs, there remains significant stigma around these diagnoses among medical providers, patients and families. This is due to the absence of easily identifiable biological markers in FGIDs and the overlay with psychological and social factors contributing to symptom onset and maintenance. As such, the biopsychosocial model is essential in conceptualising, evaluating and treating FGIDs. The way in which medical providers explain FGIDs and the manner in which they collaborate with other specialists (eg, psychologists, dieticians, physical therapists, school nurses) is paramount to the patient and family acceptance of an FGID diagnosis and the success of subsequent treatment. The following review outlines paediatric FGIDs with a focus on FAP in adolescents, in particular within the context of the biopsychosocial approach to pathophysiology, diagnosis and treatment.
ISSN:2041-4137
2041-4145
DOI:10.1136/flgastro-2020-101572