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[Irritable bowel syndrome in children].
Pediatric irritable bowel syndrome (IBS) is diagnosed in children with functional gastrointestinal disorders, abdominal pain, and psychogenic factors. Management involving counseling and drug therapy significantly improved symptoms within weeks.
Area of Science:
- Pediatric Gastroenterology
- Functional Gastrointestinal Disorders
- Psychosomatic Medicine
Context:
- Irritable bowel syndrome (IBS) is a common adult gastrointestinal disorder.
- Pediatric recurrent abdominal pain (RAP) shares similarities with adult IBS.
- A clear diagnostic consensus for pediatric IBS is lacking.
Purpose:
- To define diagnostic criteria for pediatric IBS.
- To report on the prevalence and characteristics of pediatric IBS cases.
- To evaluate the effectiveness of management strategies.
Summary:
- The study identified 63 pediatric IBS cases (23.5% of 268 patients) aged 4-15 years.
- Diagnostic criteria included functional GI disorders, persistent abdominal pain (>3 weeks), and psychogenic factors.
- Psychogenic factors were often linked to school and home environments.
- Careful history taking and routine examinations were crucial for diagnosis.
- Management involved counseling and pharmacotherapy, with psychologist involvement for select cases.
Impact:
- Established a diagnostic framework for pediatric IBS.
- Demonstrated the efficacy of counseling and drug therapy for pediatric IBS.
- Highlighted the importance of considering psychogenic factors in pediatric functional GI disorders.
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