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Functional Gastrointestinal Disorder, Pediatric

Simone Prioli, BS, MPAS, PA-C Reviewed 06/2021
 


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 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 sol...

TREATMENT

GENERAL MEASURES

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

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

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

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

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

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