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Paediatric functional abdominal pain disorders (FAPDs) are common and challenging to diagnose. A structured clinical assessment is key to effective management in primary care.

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Area of Science:

  • Pediatrics
  • Gastroenterology
  • Psychology

Background:

  • Paediatric functional abdominal pain disorders (FAPDs) represent a heterogeneous group of conditions characterized by chronic abdominal pain without a clear organic cause.
  • Diagnostic challenges in FAPDs necessitate a structured approach to patient assessment.
  • FAPDs significantly impact children's quality of life and healthcare utilization.

Purpose of the Study:

  • To summarize the clinical assessment, investigations, and management of paediatric patients with chronic abdominal pain suggestive of FAPDs.
  • To emphasize the importance of a biopsychosocial approach in managing FAPDs.
  • To outline a recommended assessment and management strategy for primary care settings.

Main Methods:

  • Literature review of current guidelines and evidence-based practices for FAPDs.
  • Synthesis of information on diagnostic criteria and red flag features.
  • Development of a primary care-focused management framework.

Main Results:

  • A thorough clinical assessment is often sufficient for diagnosing FAPDs, minimizing the need for extensive investigations.
  • Identifying 'red flag' symptoms is crucial to rule out serious underlying organic conditions.
  • A biopsychosocial approach, integrating medical, psychological, and social factors, is recommended for comprehensive management.

Conclusions:

  • Accurate diagnosis and management of FAPDs in children can often be achieved in primary care through a structured clinical approach.
  • Minimizing unnecessary investigations reduces patient and family anxiety and healthcare costs.
  • Early identification and management of FAPDs improve patient outcomes and well-being.