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Functional Gastrointestinal Disorder, Pediatric

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Term that describes a group of conditions that present with variable combinations of chronic or recurrent gastrointestinal (GI) symptoms not explained by structural or biochemical ab...

DIAGNOSIS

HISTORY

  • Symptoms reported vary depending on condition.

  • Abdominal pain or discomfort is a common symptom for most of these conditions.

  • Based on Rome IV criteria, duration of symptoms for majorit...

TREATMENT

GENERAL MEASURES

  • Treatment plan should take into consideration physical and psychosocial components of the condition.

  • Patient education about this group of conditions and their benign nature i...

ONGOING CARE

PATIENT EDUCATION

  • Conditions are common.

  • Favorable prognosis

PROGNOSIS

Recurrences of symptoms should be expected especially with stress. 

REFERENCES

1
Rasquin A, Di Lorenzo C, Forbes D, et al. Childhood functional gastrointestinal disorders: child/adolescent. Gastroenterology.  2006;130(5):1527–1537. {L-End} [View Abstract on OvidM...

ADDITIONAL READING

  • Benninga MA, Nurko S, Faure C, et al. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology.  2016;150(6):1443–1455.

  • Hyman PE, Milla PJ, Benninga MA...

CODES

ICD10

K59.9 Functional intestinal disorder, unspecified 

ICD9

564.89 Other functional disorders of intestine 

SNOMED

119292006 Disorder of gastrointestinal tract 

CLINICAL PEARLS

  • Symptom-based diagnosis

  • Not a diagnosis of exclusion

  • No tests needed for diagnosis

  • Treatment based on symptoms

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