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[Guideline on functional abdominal pain in children]

J M T M Rutten1, J J Korterink, L M A J Venmans

  • 1AMC, afd. Kindergeneeskunde, Amsterdam.

Nederlands Tijdschrift Voor Geneeskunde
|September 23, 2017
PubMed

Insights

Diagnosing functional abdominal pain in children relies on history and physical exams, not extensive testing. Treatment focuses on reassurance and education, with therapies like hypnotherapy for persistent cases.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Practice Guidelines

Background:

  • Functional abdominal pain is common in children.
  • Guidelines are needed for consistent diagnosis and management.

Purpose of the Study:

  • To outline diagnostic and treatment strategies for pediatric functional abdominal pain.
  • To provide evidence-based recommendations for clinicians.

Main Methods:

  • Development of a guideline by a multidisciplinary working group.
  • Review of existing literature and clinical expertise.

Main Results:

  • History and physical examination are key diagnostic tools.
  • Further testing is generally not recommended without alarm symptoms.
  • Reassurance and education form the basis of treatment.
  • Hypnotherapy or cognitive behavioral therapy are options for persistent symptoms.
  • No pharmacological treatments are supported by evidence.

Conclusions:

  • Effective management of pediatric functional abdominal pain prioritizes clinical assessment and psychosocial support.
  • Non-pharmacological interventions are recommended for refractory symptoms.

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