Functional abdominal pain: what clinicians need to know

Archives of Disease in Childhood
Edward Thomas AndrewsMark P Tighe

Abstract

Abdominal pain in childhood is extremely common and presents frequently to both primary and secondary care, with many children having recurrent pain which impacts on daily functioning. Despite this most children have no discernible underlying pathology. We discuss the underlying mechanism for functional abdominal pain (visceral hypersensitivity), the evidence base linking parental anxiety and patient symptoms, and how parents can be supported in managing their children's symptoms by addressing questions commonly asked by children and families. We look at the evidence for a one-stop rational approach to investigation including a coeliac screen, inflammatory markers and consideration of stool faecal calprotectin, in the absence of red flags. We evaluate commonly used treatments for functional abdominal pain, within a context of managing family expectations. Given the limitations in pharmacological treatment options, trials of probiotics, peppermint oil, mebeverine and (for short-term use only) hyoscine butylbromide may be appropriate. Psychological interventions including cognitive-behavioural therapy, distraction techniques and hypnotherapy have a better evidence base. There is also some evidence for other complementary therapie...Continue Reading

References

Oct 23, 1998·Journal of Clinical Ultrasound : JCU·W C YipK Y Chan
Apr 25, 2000·Journal of Pediatric Gastroenterology and Nutrition·J S HyamsT Lerer
May 11, 2001·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·C C Boey, K L Goh
Jun 13, 2003·Clinical Pediatrics·David A GremseJack A DiPalma
Apr 1, 1958·Archives of Disease in Childhood·J APLEY, N NAISH
Mar 3, 2005·Pediatrics·UNKNOWN American Academy of Pediatrics Subcommittee on Chronic Abdominal Pain, UNKNOWN North American Society for Pediatric Gastroenterology Hepatology, and Nutrition
Feb 3, 2006·European Journal of Clinical Nutrition·A Z PauloK M M D Tabacow
Dec 7, 2006·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Leora KuttnerKathy Evans
Apr 7, 2007·Journal of Pediatric Gastroenterology and Nutrition·Gordon S SoonColin Macarthur
Apr 1, 2008·Journal of Pediatric Gastroenterology and Nutrition·Julie CastillouxChristophe Faure
Mar 11, 2009·Journal of Pediatric Gastroenterology and Nutrition·Miranda A L van TilburgWilliam E Whitehead
Mar 11, 2010·The American Journal of Gastroenterology·Rona L LevyWilliam E Whitehead
Jul 16, 2010·Journal of Paediatrics and Child Health·Claudio RomanoDonatella Comito
Aug 14, 2010·Journal of Pediatric Gastroenterology and Nutrition·Gati DhrooveMiguel Saps
May 24, 2011·Journal of Neurogastroenterology and Motility·Yukari TanakaDouglas A Drossman
Jul 8, 2011·The Cochrane Database of Systematic Reviews·Angela KaminskiGerald Gartlehner
Jun 26, 2012·Gut·Magnus SimrénUNKNOWN Rome Foundation Committee
Jul 25, 2012·The American Journal of Gastroenterology·Antonio CarroccioGiovanni Battista Rini
Nov 21, 2012·Journal of Korean Medical Science·Sang-Wook SongSung-Goo Kang
Dec 12, 2012·Archives of Disease in Childhood·Juliette M T M RuttenMarc A Benninga
Jan 25, 2013·World Journal of Gastroenterology : WJG·Claudio RomanoItalia Loddo
May 24, 2013·Journal of Pediatric Gastroenterology and Nutrition·Miranda A L van Tilburg, Christopher T Felix
Oct 11, 2013·Scandinavian Journal of Primary Health Care·Leo A A SpeeMarjolein Y Berger
May 31, 2014·World Journal of Gastroenterology : WJG·Anita AnnaháziTibor Wittmann
Aug 5, 2014·BioMed Research International·Zahra PourmoghaddasAli Gholamrezaei
Feb 26, 2015·Journal of Pediatric Gastroenterology and Nutrition·Natoshia R CunninghamSusmita Kashikar-Zuck
Apr 30, 2015·United European Gastroenterology Journal·Jessica R Biesiekierski, Julie Iven
May 21, 2015·PloS One·Judith J KorterinkMerit M Tabbers
Jul 30, 2015·Archives of Disease in Childhood·G C D ThorntonL J Howarth
Sep 12, 2015·Deutsches Ärzteblatt International·Martin W LaassSibylle Koletzko
Feb 1, 2013·British Journal of Pain·Adam D Farmer, Qasim Aziz
Feb 6, 2016·Archives of Disease in Childhood. Education and Practice Edition·Amit SahaAkshay Batra
Oct 22, 2016·Journal of Pediatric Gastroenterology and Nutrition·Judith J KorterinkJudith M Deckers-Kocken

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Oct 14, 2020·Pediatric Rheumatology Online Journal·David D SherrySabrina Gmuca

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