Related Experiment Video

Updated: Jan 11, 2026

Author Spotlight: Exploring the Potential of Massage Therapy in Cerebral Palsy Using Animal Models
08:24

Author Spotlight: Exploring the Potential of Massage Therapy in Cerebral Palsy Using Animal Models

Published on: August 11, 2023

2.6K

Treatment of pediatric abdominal pain: what is the evidence?

Miguel Saps1, Samantha Arrizabalo1

  • 1Division of Pediatrics Gastroenterology, Hepatology and Nutrition, Miller School of Medicine, University of Miami, Miami, FL, USA.

Expert Review of Gastroenterology & Hepatology
|November 17, 2025
PubMed

Insights

New guidelines offer evidence-based treatments for pediatric abdominal pain disorders (APDs), including irritable bowel syndrome (IBS) and functional abdominal pain (FAP). Hypnotherapy and CBT are strongly recommended for improved quality of life.

Area of Science:

  • Pediatric Gastroenterology
  • Evidence-Based Medicine
  • Clinical Practice Guidelines

Background:

  • Abdominal pain disorders (APDs), such as irritable bowel syndrome (IBS) and functional abdominal pain (FAP), are common in children and impair quality of life.
  • Management of pediatric APDs has historically lacked standardized, evidence-based approaches.

Purpose of the Study:

  • To summarize the first evidence-based treatment guidelines for pediatric IBS and FAP.
  • To provide practical guidance for clinicians managing these conditions.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs) from 1984 to June 2023.
  • Searches conducted in PubMed, Embase, and Cochrane CENTRAL databases.
  • Updated literature search for studies published after June 2023.

Main Results:

  • Strong recommendations for hypnotherapy and cognitive behavioral therapy (CBT).
  • Conditional recommendations for probiotics, symbiotics, peppermint oil, soluble fiber, and certain medications.
  • Guidelines are supported by a systematic review of RCTs.

Conclusions:

  • These guidelines standardize pediatric APD management based on evidence.
  • They offer practical tools for clinicians in a complex treatment landscape.
  • Future work should address knowledge gaps and assess guideline impact on outcomes.
Abstract

Keywords:
Abdominal pain disordersadolescentschildrenfunctional abdominal pain–not otherwise specifiedguidelinesirritable bowel syndrome

More Related Videos

Enema of Traditional Chinese Medicine for Patients with Severe Acute Pancreatitis06:05

Enema of Traditional Chinese Medicine for Patients with Severe Acute Pancreatitis

Published on: January 27, 2023

27.3K
Author Spotlight: Advancements in Retroperitoneal Approach for Necrotizing Pancreatitis03:42

Author Spotlight: Advancements in Retroperitoneal Approach for Necrotizing Pancreatitis

Published on: March 15, 2024

1.1K

Related Concept Videos

Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
713
Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
303
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
2.1K
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
477
Peptic Ulcer Disease IV: Management01:26

Peptic Ulcer Disease IV: Management

Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
419
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies01:28

Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies

Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
522