Department of Paediatric, Poole Hospital NHS Trust, Poole, Dorset, UK.
Department of Child Health, University Hospital Southampton, Southampton, UK.
Arch Dis Child. 2016 Jul;101(7):677-83. doi: 10.1136/archdischild-2014-306426. Epub 2015 Dec 23.
Functional abdominal pain (FAP) is common in childhood, but is not often caused by disease. It is often the impact of the pain rather than the pain itself that results in referral to the clinician. In this review, we will summarise the currently available evidence and discuss the functional dimensions of the presentation, within the framework of commonly expressed parental questions. Using the Rome III criteria, we discuss how to classify the functional symptoms, investigate appropriately, provide reassurance regarding parental worries of chronic disease. We outline how to explain the functional symptoms to parents and an individualised strategy to help restore function.
功能性腹痛(FAP)在儿童中很常见,但通常不是由疾病引起的。通常情况下,导致患儿被转介给临床医生的原因是疼痛的影响,而不是疼痛本身。在这篇综述中,我们将总结目前可用的证据,并在常见的父母提问框架内讨论表现的功能性方面。我们使用罗马 III 标准讨论如何对功能性症状进行分类,进行适当的检查,对父母担心慢性疾病的问题提供保证。我们概述了如何向父母解释功能性症状,并提供一个个性化的策略来帮助恢复功能。