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Functional abdominal pain in the elderly.

A E Bharucha1, M Camilleri

  • 1Enteric Neuroscience Group, Gastroenterology Research Unit, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USA.

Gastroenterology Clinics of North America
|July 4, 2001
PubMed
Summary
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Aging generally causes modest gastrointestinal (GI) changes, but exceptions like the esophagus and anus can lead to issues. Optimal management of elderly GI pain requires a multidisciplinary approach.

Area of Science:

  • Gastroenterology
  • Geriatrics
  • Physiology

Background:

  • Aging affects gut function, especially after age 70, though changes are often modest and asymptomatic due to functional reserves.
  • The proximal esophagus, anus, and pelvic floor may show more significant age-related functional decline.
  • Conditions like dysphagia, constipation, and fecal incontinence can arise from aging combined with other factors.

Purpose of the Study:

  • To investigate the impact of aging on gastrointestinal (GI) sensorimotor function.
  • To highlight the challenges in managing functional abdominal pain in the elderly.
  • To emphasize the need for further research and improved patient/practitioner education.

Main Methods:

  • Review of existing literature on aging and GI function.

Related Experiment Videos

  • Clinical observations regarding the management of elderly patients with GI issues.
  • Discussion of potential contributing factors to age-related GI dysfunction.

    • Main Results:

    • Aging impacts GI function, with notable exceptions in the proximal esophagus, anus, and pelvic floor.
    • Combined effects of aging and other conditions can lead to significant functional impairments.
    • Effective management of functional abdominal pain in the elderly requires specialized clinical skills.

    Conclusions:

    • Further research is crucial to understand aging's full impact on GI sensorimotor function.
    • The increasing elderly population necessitates prioritizing research and clinical efforts in this area.
    • Multidisciplinary collaboration and patient/practitioner education are essential for optimal elderly GI pain management.