Skip to main content

Functional Gastrointestinal Disorder, Pediatric

Simone Prioli, BS, MPAS, PA-C Reviewed 05/2023
 


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

The Rome IV criteria for diagnoses of FGID must be met for >2 months, at least 4 times per month, and have all of the following: 
  • Episodic or continuous abdominal pain that does not occur ...

TREATMENT

  • Dietary modifications (gluten free, prebiotics, enzyme and fiber supplements) rarely helpful

  • Psychological treatments are available such as CBT, yoga therapy, and hypnotherapy.

GENERAL MEASURES

ONGOING CARE

DIET

  • The majority of adolescents report that eating induces their symptoms.

  • FODMAPs (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols) are carbohydrates that are po...

REFERENCES

1
Reust  CM, Williams  A. Recurrent abdominal pain in children. Am Fam Physician.  2018;97(12):785–793. [View Abstract on OvidMedline]
2
...

ADDITIONAL READING

  • Holtmann G, Shah A, Morrison M. Pathophysiology of functional gastrointestinal disorders: a holistic overview. Dig Dis 2017;35(suppl 1):5–13.

  • ...

CODES

ICD10

K59.9 Functional intestinal disorder, unspecified 

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

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×