Sood Manu R, Matta Sravan Reddy
Division of Pediatric Gastroenterology, Hepatology and Nutrition, Medical College of Wisconsin, Milwaukee, WI, 53045, USA.
Indian J Pediatr. 2016 Nov;83(12-13):1452-1458. doi: 10.1007/s12098-016-2111-5. Epub 2016 Apr 22.
Functional abdominal pain (FAP) is one of the most common functional gastrointestinal disorders (FGIDs) of childhood. Only a minority of patients with FAP seek medical attention, often presenting to the primary care physician while symptoms are still evolving. The bio-psychosocial model of treatment not only aims to alleviate the illness symptoms but also identifies and remedies the psychological comorbidities and social factors that contribute to illness behavior. Many patients with a mild illness can be managed in the primary care setting. However those with chronic, severe, frequently relapsing, and disabling illness usually are referred to a pediatric gastroenterologist. One of the reason for referral is to exclude organic disorders such as peptic ulcer disease, celiac disease or inflammatory bowel disease which can present with chronic abdominal pain. Recent data suggest that psychological therapy is very effective in alleviating symptoms, a subset of patients may require dietary modification and medications as an adjunct to psychological treatment.
功能性腹痛（FAP）是儿童期最常见的功能性胃肠病（FGIDs）之一。只有少数FAP患者寻求医疗帮助，通常在症状仍在发展时就诊于初级保健医生。生物-心理-社会治疗模式不仅旨在缓解疾病症状，还能识别并纠正导致疾病行为的心理合并症和社会因素。许多轻症患者可在初级保健机构得到治疗。然而，那些患有慢性、严重、频繁复发且致残性疾病的患者通常会被转诊给儿科胃肠病学家。转诊的原因之一是排除可能表现为慢性腹痛的器质性疾病，如消化性溃疡病、乳糜泻或炎症性肠病。近期数据表明，心理治疗在缓解症状方面非常有效，一部分患者可能需要调整饮食并使用药物作为心理治疗的辅助手段。
