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Functional abdominal pain
1Department of Gastrointestinal Sciences, Hope Hospital, University of Manchester, Manchester M6 8HD, UK.
Postgraduate Medical Journal
|July 7, 2005
Summary
Functional abdominal pain syndrome (FAPS) involves chronic abdominal pain poorly linked to gut function, often worsened by abnormal illness behavior. A biopsychosocial approach and strong physician-patient relationships are key for effective management.
Area of Science:
- Gastroenterology
- Psychosomatic Medicine
- Neuroscience
Background:
- Functional abdominal pain syndrome (FAPS) is a rare functional gut disorder.
- Characterized by chronic or recurrent abdominal pain attributed to the gut, but poorly related to gut function.
- Associated with abnormal illness behavior and psychological morbidity, often leading patients to seek an organic cause.
Purpose of the Study:
- To highlight the limitations of conventional biomedical approaches for FAPS.
- To advocate for a biopsychosocial evaluation and multidisciplinary healthcare model.
- To discuss the current understanding of FAPS pathophysiology and clinical management strategies.
Main Methods:
- Review of the current understanding of FAPS.
- Discussion of the role of biopsychosocial factors in symptom experience.
- Exploration of potential pathophysiological mechanisms involving central pain processing.
Main Results:
- Conventional biomedical approaches are often unhelpful for FAPS patients.
- A biopsychosocial evaluation is more effective for understanding symptom experience.
- Pathophysiology likely involves central pain mechanism dysfunction (e.g., attentional bias, impaired pain modulation).
Conclusions:
- Effective management of FAPS requires a shift from a purely biomedical to a biopsychosocial model.
- A strong physician-patient relationship is crucial, setting limits on investigations and pursuing tailored treatment goals.
- Neurophysiological research holds promise for understanding FAPS pathophysiology.
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