Non-pharmacological management of pediatric functional abdominal pain disorders: Current evidence and future perspectives

Santos, Maria Luísa Cordeiro; Júnior, Ronaldo Teixeira da Silva; Brito, Breno Bittencourt de; Silva, Filipe Antônio França da; Marques, Hanna Santos; SouzaGonçalves, Vinícius Lima de; Santos, Talita Costa dos; Cirne, Carolina Ladeia; Silva, Natália Oliveira e; Oliveira, Márcio Vasconcelos; Melo, Fabrício Freire de

doi:10.5409/wjcp.v11.i2.105

Cited by 10 publications

(8 citation statements)

References 104 publications

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“…According to the 2016 Rome IV diagnostic criteria, the necessity of ruling out other underlying organic causes of abdominal pain using further testing and investigations is no longer required to make a diagnosis, provided the lack of red flags, such as family history of inflammatory bowel disease, celiac disease, peptic ulcer disease, persistent right upper or right lower quadrant pain, dysphagia, odynophagia, persistent vomiting, gastrointestinal bleeding, nocturnal diarrhea, arthritis, perirectal disease, involuntary weight loss, perirectal disease, deceleration of linear growth, delayed puberty and unexplained fever [7 ▪ ]. Thus, the evaluation through clinical criteria is considered adequate to make the diagnosis, provided the lack of alarming criteria to suggest a separate underlying cause.…”

Section: Defining Criteriamentioning

confidence: 99%

“…Although not fully understood, IBS is thought to be because of multiple factors including abnormalities in gastrointestinal motility as well as visceral hypersensitivity, genetic predisposition, intestinal dysbacteriosis and increased intestinal permeability [4 ▪ –7 ▪ ,8,9 ▪ ].…”

Section: Potential Causes and Risk Factorsmentioning

confidence: 99%

“…Gastrointestinal dysmotility, in the form of delayed gastric emptying and increased intestinal transit, has been found in individuals with IBS [7 ▪ ]. Low-grade inflammation in the setting of IBS also has been proposed in adults and animal model studies [5 ▪ ].…”

Section: Potential Causes and Risk Factorsmentioning

confidence: 99%

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What is new with irritable bowel syndrome

Kamal,

Morneault-Gill,

Chadwick

2023

Current Opinion in Pediatrics

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Purpose of review This review aims to summarize the most up-to-date criteria for diagnosis of pediatric irritable bowel syndrome (IBS) and treatment options. It also explores recent research that has been performed evaluating risk factors, pathophysiology, and treatment designed to improve quality of life for those who suffer from IBS. IBS is a common disorder in pediatrics and one of the most common causes of abdominal pain for children; thus, it can be quite debilitating for individuals to achieve a satisfactory quality of life on a routine basis. Reliable, available treatment is needed but can be challenging to find, given the variety of symptoms and triggers involved and lack of a clear understanding of how IBS develops. Recent findings There are multiple pharmacologic and nonpharmacologic treatment options being explored and studied globally but further, larger, and well controlled studies are needed to confirm these outcomes. Summary Because pediatric IBS is one of the most common functional disorders associated with abdominal pain and can be brought on by multiple factors, management often involves addressing these individual triggers with a multifaceted treatment plan, which could include dietary changes, probiotics, medication, or psychotherapy and should be tailored to each affected individual.

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Section: Defining Criteriamentioning

confidence: 99%

Section: Potential Causes and Risk Factorsmentioning

confidence: 99%

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What is new with irritable bowel syndrome

Kamal,

Morneault-Gill,

Chadwick

2023

Current Opinion in Pediatrics

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“…Parents often have questions about other nonpharmacological, nondietary tools providers occasionally recommend. Hot or cold therapy, exercise, acupuncture, and TENS units have long been suggested as concrete tools that can help chronic pain [22 ▪ ,23 ▪ ]. However, technology is expanding the types of tools available, with wearable devices and virtual reality showing positive treatment effects.…”

Section: Treatmentmentioning

confidence: 99%

“…Recent studies show a decrease in pain symptoms, avoidance behaviors, and functional limitations in youth with chronic pain conditions [25 ▪ ], and improvements in abdominal pain and anxiety for bowel disease patients [26 ▪ ]. Similarly, biofeedback and mindfulness-based interventions have demonstrated feasibility and effectiveness with adult pain populations, but more research is needed to determine their efficacy in children with FAPD [22 ▪ ].…”

Section: Treatmentmentioning

confidence: 99%

Psychological treatment for pediatric functional abdominal pain disorders

Puckett-Perez

Gresl

2022

Current Opinion in Pediatrics

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Purpose of reviewThe purpose of this review is to discuss up-to-date psychological treatment strategies for functional abdominal pain disorders (FAPDs) with practical implications for primary care providers who are the “front line” of treatment for pediatric FAPD.Recent findingsPositive diagnosis, pain education, and access to multidisciplinary care improve outcomes for FAPD patients. Cognitive behavioral therapy (CBT) and hypnosis continue to have the strongest evidence in psychological treatments, but educational interventions and other nonpharmacological approaches show promise as well. There are innovative programs that combine these tools into group or internet-based treatments to expand access to care. Additionally, nonpharmacological tools, including neurostimulation and virtual reality programs, are increasing in popularity.SummaryFAPD is prevalent across pediatric practices, yet there is no standard medical or dietary approach, and there are many barriers to diagnosis and treatment. It is important for patients to have positive encounters around diagnosis and education, access to multidisciplinary care, and integrated psychological support. Consistently, studies show that psychology continues to be a vital component of care. This review discusses supported uses of psychology, innovative programming for increasing access to care, and how primary care providers can incorporate lessons learned from psychology in FAPD care.Video Abstracthttp://links.lww.com/MOP/A67.

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Komplementäre Verfahren bei chronischen Schmerzerkrankungen im Kindes- und Jugendalter

Anheyer

Höfel

2023

Schmerz

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Non-pharmacological management of pediatric functional abdominal pain disorders: Current evidence and future perspectives

Cited by 10 publications

References 104 publications

What is new with irritable bowel syndrome

What is new with irritable bowel syndrome

Psychological treatment for pediatric functional abdominal pain disorders

Komplementäre Verfahren bei chronischen Schmerzerkrankungen im Kindes- und Jugendalter

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