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All Journal Majalah Kedokteran Bandung Althea Medical Journal Majalah Anestesia dan Critical Care Archives of Pediatric Gastroenterology, Hepatology, and Nutrition
Yudith Setiati Ermaya
Department Of Child Health Faculty Of Medicine Universitas Padjadjaran/Dr Hasan Sadikin General Hospital Bandung Indonesia
Health Professions Medicine & Pharmacology

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Functional Abdominal Pain in Children Ermaya, Yudith Setiati
Archives of Pediatric Gastroenterology, Hepatology, and Nutrition Vol. 3 No. 2 (2024): APGHN Vol. 3 No. 2 May 2024
Publisher : The Indonesian Society of Pediatric Gastroenterology, Hepatology, and Nutrition

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58427/apghn.3.2.2024.35-51

Abstract

Background: Functional abdominal pain (FAP), often affecting girls and those with mental health issues, is a prevalent pediatric disorder characterized by persistent symptoms without a clear identifiable organic pathology. The Rome IV Criteria classify it into subtypes, which have distinct symptoms and required tailored management approaches. Discussion: Subtypes classified by the Rome IV Criteria include irritable bowel syndrome (IBS), functional dyspepsia, abdominal migraine, and FAP - not otherwise specified (NOS). The pathophysiology involves gut hypersensitivity, hyperalgesia, genetic predispositions, and psychosocial triggers. Diagnosis relies on medical history, physical examination, the presence of alarm signs, and the characteristic of pain. Treatment strategies encompass dietary modifications, psychological interventions, pharmacology treatment including proton pump inhibitors, prokinetics, and antidepressants like amitriptyline. Conclusion: Recognizing the specific subtypes, as defined by the Rome IV Criteria, allows healthcare professionals to implement individualized care strategies for optimal outcomes.
Co-Authors Anne Shafira Purnama Claytonia Aziz Chin Annrie Eidwina Chin Annrie Eidwina, Chin Annrie Dida Akhmad Gurnida Dida Akhmad Gurnida, Dida Dwi Prasetyo Dwi Prasetyo Dyah Rahmawanti Eliza Techa Fattima Eliza Techa Fattima, Eliza Techa Elsa Pudji Setiawati Elsa Pudji Setiawati Giovanni, Livia Iesje Martiza Ina Rosalina Kuswandewi Mutyara Kuswandewi Mutyara, Kuswandewi Lia Faridah Livia Giovanni Nur Melani Sari Tisnasari Hafsah Tisnasari Hafsah, Tisnasari