Functional Abdominal Pain and Related Syndromes
Michael Herzlinger1, Carolina Cerezo1
1Pediatric Gastroenterology, Warren Alpert Medical School of Brown University, Hasbro Children's Hospital, 593 Eddy Street, Providence, RI 02903, USA.
Child and Adolescent Psychiatric Clinics of North America
|November 22, 2017
Summary
Functional gastrointestinal disorders stem from brain-gut axis dysfunction. A bio-psychosocial approach and integrated care are key for positive diagnosis and management of these common, debilitating conditions.
Area of Science:
- Gastroenterology
- Neurogastroenterology
- Psychiatry
Background:
- Functional gastrointestinal disorders (FGIDs) are highly prevalent conditions.
- Symptoms can be debilitating despite a benign underlying nature.
- These disorders arise from a dysfunctional brain-gut axis.
Purpose of the Study:
- To emphasize a bio-psychosocial model for diagnosing FGIDs.
- To highlight the importance of understanding pathophysiology for positive diagnosis.
- To advocate for collaborative management strategies.
Main Methods:
- Review of current understanding of FGID etiology and pathophysiology.
- Application of a bio-psychosocial framework for diagnosis.
- Emphasis on integrated medical and mental health care models.
Main Results:
- FGIDs result from complex brain-gut axis interactions.
- A bio-psychosocial approach facilitates a positive diagnosis, moving beyond exclusion.
- Lack of specific biomarkers necessitates a comprehensive diagnostic strategy.
Conclusions:
- Effective management of FGIDs requires a bio-psychosocial perspective.
- Collaboration between medical and mental health providers is crucial.
- Understanding pathophysiology enables a positive diagnostic approach to FGIDs.
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