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Functional Dyspepsia: An Enigma in a Conundrum.

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Functional dyspepsia (FD) in children presents with recurrent upper abdominal pain without organic cause. This review covers diagnosis and management of pediatric FD, a common functional gastrointestinal disorder.

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Area of Science:

  • Pediatric Gastroenterology
  • Functional Gastrointestinal Disorders

Background:

  • Functional dyspepsia (FD) is a common upper gastrointestinal disorder in children.
  • It is characterized by recurrent upper abdominal pain or discomfort without an identifiable organic cause.

Purpose of the Study:

  • To provide a narrative review of the diagnosis and management of functional dyspepsia in the pediatric population.
  • To summarize current understanding and approaches to pediatric FD based on Rome III criteria.

Main Methods:

  • A comprehensive literature search was conducted on PubMed.
  • Articles published in English from 1998 to November 2015 were included.
  • Key search terms were "FD," "functional gastrointestinal disorders," and "children."

Main Results:

  • Functional dyspepsia affects 3% to 27% of children, leading to increased specialist consultations.
  • Rome III criteria for pediatric FD include chronic, weekly upper abdominal pain for at least 6 months, excluding organic disease.
  • Diagnosis relies on symptom assessment and exclusion of other conditions.

Conclusions:

  • Pediatric functional dyspepsia requires careful diagnosis based on established criteria.
  • Effective management strategies are crucial for improving quality of life in affected children.
  • Further research may refine diagnostic and therapeutic approaches for pediatric FD.